25-13 Miry Run Phase II.pdf
PDF 3 MB Posted
- Attached to
- Miry Run Phase II 25-13 State and local contract opportunity
- Solicitation number
- 25-13
- Issued by
- Mercer County, New Jersey
About this file
This document is a bid package for the Miry Run Phase II Trails Project (Bid #25-13) issued by Robbinsville Township in Mercer County, New Jersey. The project involves trail construction and related infrastructure work, with electronic bids to be opened on July 15, 2025, at 10:30 AM through BidNet Direct. The bid covers 14 line items including construction layout, site clearing, pavement removal, excavation, stone work, lawn restoration, fence installation, and related site preparation tasks. Quantities range from 1 to 6,500 units across various categories, with bidders required to provide unit pricing for each line item.
The bid requires several mandatory submissions, including a bid guarantee of 10% of the total bid (not exceeding $20,000), business registration certificates, insurance documentation, and compliance with various state regulations including prevailing wage requirements, anti-discrimination provisions, and equal employment opportunity standards. Bidders must be registered with the New Jersey Public Works Contractor Registration and provide proof of business registration. The project appears to be funded locally, with no indication of specific state or federal grant sources. Contractors will be responsible for obtaining necessary permits, providing safety programs, and complying with environmental and labor regulations throughout the project's duration.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| MIRY PHASE II PLAN.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Miry Run Phase II
BID# 25-13
BID OPENING July 15, 2025 at 10:30 AM
ROBBINSVILLE TOWNSHIP
MERCER COUNTY, NEW JERSEY
Mayor David L. Fried
Members of Council
Amit Chopra Chris Ciaccio Hal English
Deborah Blakely, Vice President Mike Todd, President
Michele Seigfried, MMC, RMC, CMR, Municipal Clerk
NOTICE TO BIDDERS
Notice is hereby given that on July 15, 2025, at 10:30 AM (Prevailing time), electronically sealed bids will be opened and conducted in a n electronic platform in accordance with N.J.A.C. 5:34-1 et seq., on BidNet Direct at www.bidnetdirect.com// robbinsville-twp, at which time and place the sealed bids will be opened publicly and read for the following:
BID # 25-13 Miry Run Phase II
Bids shall be electronically uploaded, no physical bids shall be received, opened or honored.
NOTE:
It is the bidder’s responsibility to ensure that the bid package is delivered 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.
Submission of Bid:
If indicated, bid proposals must be accompanied by a certified check, cashier’s check, or bid bond in the amount of ten per centum (10%) of the total amount of the bid, but not in excess of twenty thousand ($20,000) dollars and made payable to the Township of Robbinsville.
If bids are to be submitted electronically per this notice, the bidder shall submit a copy of the bid guarantee with electronic submittal and mail the original to the Municipal Clerk's office, Municipal Building, 2298 Route 33, Robbinsville, NJ 08691. The bid bond may also be provided with a certified check and cashier’s check per provisions within the general requirements of this bid.
The scope of Work contemplated for the Project named above is included in the plans only. All specifications are included in the plans sets. Please review the plans carefully. There is a Quantity Proposal in the specifications.
Contract documents may be obtained from the BidNet Direct, for zoom opening information contact the Qualified Purchasing Agent at:
Robert Dolan, QPA bob@rmdassocnj.com
The Township of Robbinsville does not release the project estimate.
Bidders are required to comply with the requirements of N.J.S.A.10:5-31 et seq. and N.J.A.C. 17:27.
Bid Tabulation:
Bid results will be posted on BidNet Direct www.bidnetdirect.com//robbinsville-twp.
This bid has been advertised in accordance with the “Fair and Open Basis” (N.J.S.A. 19:44A-20.5).
Robert Dolan, QPA Purchasing Agent Township of Robbinsville June 23, 2025 http://www.bidnetdirect.com/ mailto:bob@rmdassocnj.com http://www.bidnetdirect.com/robbinsville-twp
Applicable to Bid if marked “X”
DOCUMENTATION REQUIRED OR REVIEWED
Initials When Due
X Bid Guarantee (Bid Bond or Certified/Cashier’s Check) (with POA for full amount of Bid Bond)
With Bid
Submission
X Consent of Surety (Certificate from Surety company) With Bid
Submission
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 the Project
X Acknowledgement of Receipt of Addenda (To be Completed if
Addenda are Issued)
With Bid
Submission
X Ownership Disclosure Form With Bid
Submission
Named Subcontractors in Bid for Listed Specialty Trades With Bid
Submission
X
Public Works Contractor Registration Certificate(s) for the Bidder and all Subcontractors
Prior to Award, but effective at time of bid
X Business Registration Certificate – Bidder and all Sub Contractors Prior to Contract
Award
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 Federal debarment Form Prior to Contract
Award
X Prevailing Wage Certification (PL 2021, C301) Prior to Contract
Award
X Equipment Certification With Bid
Submission
X EEO/AA Form AA-201
After Notice of
Award, Prior to
Signing Contract
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 With Bid
Submission
X
X
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:
BID PROPOSAL
MIRY RUN RECREATION AREA PHASE 2 TRAILS PROJECT
(Bidder Name)
ITEM DESCRIPTION UNIT BID
QUANTITY
UNIT PRICE BID BID AMOUNT
1. CONSTRUCTION LAYOUT / MOBILIZATION LS 1 $ $
2. CLEARING SITE LS 1 $ $
3. REMOVAL OF PAVEMENT SY 5,000 $ $
4. EXCAVATION CY 1,250 $ $
5. OPEN-GRADED FRICTION COURSE, 3” TON 650 $ $
6. AASHTO #57 CLEAN CRUSHED STONE CY 150 $ $
7. AASHTO #2 CLEAN BROKEN STONE CY 650 $ $
8. STONEDUST, 4” THICK CY 150 $ $
9. DGA, 4” THICK CY 150 $ $
10. LAWN RESTORATION AREA SY 6,600 $ $
11. FENCE, WOOD SPLIT RAIL LF 1,330 $ $
12. SILT FENCE LF 6,500 $ $
13. LAYOUT STAKEOUT LS 1 $ $
14. AS-BUILT SURVEY LS 1 $ $
TOTAL BID AMOUNT (Items 1 through 14):_ $
WRITE TOTAL BID AMOUNT (Items 1 through 14):
NOTE: This is a unit price bid. The unit price provided for each item is representative of the Bidder’s intent. The total bid amount is the correct sum of the unit price bid multiplied by the bid quantity. Errors by the Bidder in determining the bid amount for an item or the correct total bid amount or in expressing the correct total bid amount in words will be corrected by the Engineer or the Owner.
By initialing here, the Bidder hereby represents and warrants that the above BID PROPOSAL is complete and accurate: ________
PROPOSAL PAGE
Company Name _____________________________________________________________
Address _____________________________________________________________
Type/Print Name: _____________________________________________________________
Title: _____________________________________________________________
Date: ______________________________________________________________
Telephone: _______________________________________________________________
Email address: _______________________________________________________________
Signature of Authorized Representative:
BID GUARANTEE
KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned:______________________as
PRINCIPAL; and_________________________________________________ A CORPORATION organized and existing under the laws of the State of ______________________________ and duly authorized to do business in the State of New Jersey as SURETY and held and firmly bound unto the EXAMPLE a body politic and corporate of the State of New
Jersey, as OWNER in penal sum of
($________________________________________________________) for the payment of which, well and truly be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns.
Signed, sealed and dated this_____ day of ________________20__
The condition of the above obligation is such that whereas the principal has submitted a certain bid, attached hereto and hereby made a part of hereof, to enter into a contract in writing for the
Bid number and name:______________________________________________________________.
NOW THEREFORE,
A) If said bid shall be rejected or in the alternative.
B) If said bid shall be accepted and the Principal shall execute and deliver a contract properly completed in accordance with said bid and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said bid.
Then this obligation shall be void; otherwise it shall remain in full force and effect; it being expressly understood and agreed that the liability of the surety for any and all claims hereunder shall in no event, exceed the penal amount of this obligation as herein stated.
The Surety, for value received, hereby stipulates and agrees that the obligations of said
Surety and its bond shall be in no way impaired or affected by any extension of the time within which the Owner may accept such bid; and Surety does hereby waive notice of any such extension.
IN WITNESS WHEREOF, the Principal and Surety have hereunto set their hands and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents signed by their proper officers, the day and year first set forth above
Witness or attest_______________________________
Principal
Witness or attest:_______________________________
Surety
Attorney – in Fact
Bidder shall submit with the bid a certified check, cashier's check or bid bond in the amount of ten percent
(10%) of the total price bid, but not in excess of $20,000, payable unconditionally to the owner. When submitting a Bid Bond, it shall contain Power of Attorney for full amount of Bid Bond from a surety company authorized to do business in the State of New Jersey and acceptable to the owner. The check or bond of the unsuccessful bidder(s) shall be returned pursuant to N.J.S.A. 40A:11-24a. The check or bond of the bidder to whom the contract is awarded shall be retained until a contract is executed and the required performance bond or other security is submitted. The check or bond of the successful bidder shall be forfeited if the bidder fails to enter into a contract pursuant to N.J.S.A. 40A:11-21.
Failure to submit a bid guarantee shall result in rejection of the bid.
CONSENT OF SURETY
KNOW ALL MEN BY THESE PRESENTS, that for and in consideration of the sum of $1.00, lawful money of the United States of America, the receipt whereof is hereby acknowledged, paid the undersigned corporation, and for other valuable consideration, the SURETY
COMPANY__________________________________________________ organized and existing under the laws of the State of ________________ and licensed to do business in the
State of ________New Jersey_______________ certifies and agrees, that if the contract for the
_______________________________________________________ is awarded to
_______________________________ the undersigned corporation will execute the bond or bonds as required of the contract documents and will become Surety in the full amount set forth in the contract documents for the faithful performance of all obligations of the Contractor.
Signed and sealed this____ day ______ of 20____
SURETY COMPANY
Name Attorney in fact
Acknowledgement of Receipt of Changes
Pursuant to the NJSA 40A:11-23. 1a, the undersigned bidder hereby acknowledges receipt of the following notices, revisions or addenda to the bid advertisement, specifications or bid documents. By indicating date of receipt, bidder acknowledges the submitted bid takes into account the provisions of the notice, revision or addendum. Note that the local units record of notice to bidders shall take precedence and that failure to include provisions of changes in the bid proposal may be subject for rejection of the bid.
Title of Addendum/Revision Received Via (email, fax, etc.) Date Received
ACKNOWLEDGEMENT OF BIDDER
Name of Bidder:
Bidder’s Signature:
Printed Name & Title:
Date:
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 Township 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 to notify the Township 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 to declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Signature:
Date:
SUB-CONTRACTOR INFORMATION
Please provide the Name, address, telephone number and fax number of any subcontractor in the following categories as required by N.J.S.A.40A:11-16 (if this section is not applicable, please reference N/A, if performed in house Note: for in-house please provide licensure information)
1. PLUMBING WORK AND GAS FITTING AND ALL KINDRED WORK:
NAME___________________________________________________________
ADDRESS________________________________________________________
TELEPHONE#:_________________________LICENSE#__________________
2. ELECTRICAL WORK:
TELEPHONE#:_________________________ LICENSE # ________________
3. STRUCTURAL STEEL AND ORNAMENTAL IRON WORK:
4. STEAM POWER PLANTS, STEAM AND HOT WATER HEATING AND VENTILATING
APPARATUS AND ALL KINDRED WORK:
TELEPHONE#:_________________________ LICENSE # _________________
5. GENERAL CONDITION, WHICH SHALL INCLUDE ALL OTHER WORK REQUIRED FOR
THE COMPLETION OF THE PROJECT:
TELEPHONE#:_________________________ LICENSE # _________________
REQUIRED SUBMISSION IF BIDDER INTENDS TO SUBCONTRACT NON
STATUTORY SUB-CONTRACTORS
SUBCONTRACTOR UTILIZATION PLAN
(REFERENCED IN RFP STANDARD TERMS AND CONDITIONS)
Solicitation No.:
NOTE: If utilizing subcontractors, failure to submit the properly completed form will be sufficient cause for rejection of the bid as non-responsive.
Solicitation Title:
Bidder's Name and Address:
Bidder's Telephone No.:
Bidder's Contact Person:
INSTRUCTIONS: List all businesses to be used as subcontractors. This form may be duplicated for extended lists.
SUBCONTRACTOR'S NAME
ADDRESS, ZIP CODE
TELEPHONE NUMBER
AND VENDOR ID NUMBER
TYPE(S) OF GOODS OR
SERVICES TO BE PROVIDED
ESTIMATED VALUE OF
SUBCONTRACTS
I hereby certify that this Subcontractor Utilization Plan (Plan) is being submitted in good faith. I certify that each subcontractor has been notified that it has been listed on this Plan and that each subcontractor has consented, in writing, to its name being submitted for this contract.
Additionally, I certify that I shall notify each subcontractor listed on the Plan, in writing, if the award is granted to my firm, and I shall make all documentation available to the Division of Purchase and Property upon request.
I further certify that all information contained in this Plan is true and correct and I acknowledge that the State will rely on the truth of the information in awarding the contract.
PRINCIPAL OF FIRM:
(Signature) (Title) (Date)
NON-COLLUSION AFFIDAVIT
State of New Jersey County of _________________ ss:
I, ________________________________ residing in ___________________________________ (name of affiant) (name of municipality) in the County of _______________________________ and State of _____________________of full age, being duly sworn according to law on my oath depose and say that:
I am _____________________________________ of the firm of _________________________ (title or position) (name of firm)
_____________________________________ the bidder making this Proposal for the bid entitled ______________________________, and that I executed the said proposal with (title of bid proposal) 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 in this affidavit are true and correct, and made with full knowledge that the ______________ _________________________relies upon the truth of the statements contained in said Proposal (name of contracting unit) 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 maintained by
Subscribed and sworn to before me this day _____________________________ Signature
________________, 2____ ___________________________________ (Type or print name of affiant under signature) Notary public of
My Commission expires _______________
(Seal)
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:
Name: Phone:
Address:
Equipment/Service Provided:
Contract Amount:
Name: Phone:
Address:
Equipment/Service Provided:
Contract Amount:
Name: Phone:
Address:
Equipment/Service Provided:
Contract Amount:
EQUIPMENT CERTIFICATION
The undersigned Bidder hereby certifies as follows:
The bidder owns, controls, has proof of lease, rental of all the necessary equipment required to accomplish the work described in the specifications.
Name of Bidder: ___________________________________
By: ___________________________________ (Signature)
Name of above: __________________________________________ (Print)
Title: __________________________
Date:________________________
EXAMPLE PUBLIC WORKS CERTIFICATE
(rev11/21) CND-1
CERTIFICATION OF NON-DEBARMENT
FOR FEDERAL GOVERNMENT CONTRACTS
N.J.S.A. 52:32-44.1 (P.L. 2019, c.406)
This certification shall be completed, certified to, and submitted to the contracting unit prior to contract award, except for emergency contracts where submission is required prior to payment.
PART I: VENDOR INFORMATION
Individual or
Organization Name
Address of Individual or Organization
DUNS Code
(if applicable)
CAGE Code
(if applicable)
Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts III and IV) Non-Profit Corporation (skip Parts III and IV)
For-Profit Corporation (any type) Limited Liability Company (LLC) Partnership
Limited Partnership Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
PART II – CERTIFICATION OF NON-DEBARMENT: Individual or Organization
I hereby certify that the individual or organization listed above in Part I is not debarred by the federal government from contracting with a federal agency. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the
Owner is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award the Owner to notify the Owner 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 Owner, permitting the Owner to declare any contract(s) resulting from this certification void and unenforceable.
Full Name
(Print):
Signature: Date:
(rev11/21) CND-2
PART III – CERTIFICATION OF NON-DEBARMENT: Individual or Entity Owning Greater than 50
Percent of Organization
Section A (Check the Box that applies)
Below is the name and address of the stockholder in the corporation who owns more than 50 percent of its voting stock, or of the partner in the partnership who owns more than 50 percent interest therein, or of the member of the limited liability company owning more than 50 percent interest therein, as the case may be.
Name of Individual or
Organization
Home Address (for Individual) or Business Address
OR
No one stockholder in the corporation owns more than 50 percent of its voting stock, or no partner in the partnership owns more than 50 percent interest therein, or no member in the limited liability company owns more than 50 percent interest therein, as the case may be.
Section B (Skip if no Business entity is listed in Section A above)
Below is the name and address of the stockholder in the corporation who owns more than 50 percent of the voting stock of the organization’s parent entity, or of the partner in the partnership who owns more than 50 percent interest in the organization’s parent entity, or of the member of the limited liability company owning more than 50 percent interest in organization’s parent entity, as the case may be.
Stockholder/Partner/Member
Owning Greater Than 50
Percent of Parent Entity
Home Address (for Individual) or Business Address
No one stockholder in the parent entity corporation owns more than 50 percent of its voting stock, no partner in the parent entity partnership owns more than 50 percent interest therein, or no member in the parent entity limited liability company owns more than 50 percent interest therein, as the case may be.
(rev11/21) CND-3
Section C – Part III Certification
I hereby certify that no individual or organization that is debarred by the federal government from contracting with a federal agency owns greater than 50 percent of the Organization listed above in
Part I or, if applicable, owns greater than 50 percent of a parent entity of the above named organization. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the Owner is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award Owner to notify the Owner 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 Owner permitting the Owner to declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print): Title:
Part IV – CERTIFICATION OF NON-DEBARMENT: Contractor – Controlled Entities
Section A
Below is the name and address of the corporation(s) in which the
Organization listed in Part I owns more than 50 percent of voting stock, or of the partnership(s) in which the Organization listed in Part I owns more than 50 percent interest therein, or of the limited liability company or companies in which the Organization listed above in Part I owns more than
50 percent interest therein, as the case may be.
Name of Business Entity Business Address
**Add additional sheets if necessary**
The Organization listed above in Part I does not own greater than 50 percent of the voting stock in any corporation and does not own greater than 50 percent interest in any partnership or any limited liability company.
(rev11/21) CND-4
Section B (skip if no business entities are listed in Section A of Part IV)
Below are the names and addresses of any entities in which an entity listed in Part III A owns greater than 50 percent of the voting stock (corporation) or owns greater than 50 percent interest (partnership or limited liability company).
Name of Business Entity Controlled by Entity
Listed in Section A of Part IV Business Address
**Add additional Sheets if necessary**
No entity listed in Part III A owns greater than 50 percent of the voting stock in any corporation or owns greater than 50 percent interest in any partnership or limited liability company.
Section C – Part IV Certification
I hereby certify that the Organization listed above in Part I does not own greater than 50 percent of any entity that that is debarred by the federal government from contracting with a federal agency and, if applicable, does not own greater than 50 percent of any entity that in turns owns greater than 50 percent of any entity debarred by the federal government from contracting with a federal agency. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the Owner is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award by the Owner to notify the Owner 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 Owner permitting the
Owner to declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print): Title:
New Jersey Business Registration Certification
Pursuant to N.J.S.A. 52:32-44, the 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
EXAMPLE:
New Jersey Business Registration Certification
ACORD
CERTIFICATE OF LIABILITY INSURANCE I
DATE (MM/DD/YYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
P
H
ONE
.,_ Ext1: I
FAX
lA/C Nol:
(Insurance Company Name) E-MAIL
ADDRESS:
(Street Address) INSURERISl AFFORDING COVERAGE NAIC#
(City, State, Zip Code) INSURER A:
INSURED INSURER B:
INSURER C:
(Contractor Name) INSURER D:
(Street Address) INSURER E:
(City, State, Zip Code) INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDL SUBR
,:3't,gT,,�F/v1 ,:g��grv�Vv1 LIMITS LTR INC,D WVD POLICY NUMBER
GENERAL LIABILITY EACH OCCURRENCE $
f--
X
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES !Ea occurrence\ $ f--
D CLAIMS-MADE [X] OCCUR
f--
MED EXP (Any one person) $
PERSONAL & ADV INJURY
f--f--
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
n POLICY rxi �rR,: nLOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
$ tEa accident\ f--
ANY AUTO BODILY INJURY (Per person) $ f-- ALL OWNED � SCHEDULED BODILY INJURY (Per accident) $ f--
AUTOS
f--
AUTOS
NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS IPer accidentl f--
UMBRELLA LIAB
H
OCCUR EACH OCCURRENCE $
f--
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION $ $
WORKERS COMPENSATION I T°1i��nJ1�s I I
O J�
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
□ N/A
E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
�lst�ft·H�� O�OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
The Municipality of Princeton, and each of its officers, employees, servants and agents, are Additional Insured under the Commercial General Liability Policy above, with respect to work performed by the Named Insured for the above-referenced project, as required by Section 19-4.4 of the "Code of the Township of Princeton, New Jersey (1968)".
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
NAME AND ADDRESS OF
GOVERNING BODY
I ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
N.J.A.C. 12:60-9 App.
N.J.A.C. 12:60-9 App.
LOWEST BIDDER PREVAILING WAGE CERTIFICATION
In the matter of an award of a contract for public work for a project described as:
[Enter project description here ]
STATE OF NEW JERSEY
DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT
DIVISION OF WAGE & HOUR COMPLIANCE
Certification of Lowest Bidder
, of full age and under oath, duly provides the following sworn statement:
(1). I am the owner and/or highest-ranking official or officer of a company or firm named , which holds a currently valid public works contractor registration pursuant to the New Jersey Public Works Contractor Registration Act, N.J.S.A. 34:11-56.48 et seq., certificate number
(2). I submitted a bid for a contract award in the above identified project and the public body has informed me that I am the lowest bidder by 10 percent or more as compared to the next lowest bid submitted.
(3). The amount of my bid does include paying the prevailing wage rate to all workers who perform work on the project at rates of pay, including both base wage and fringe benefits, set forth in applicable Wage Determinations, (1) for the appropriate locality, (2) for the appropriate work classification (e.g., carpenter, electrician, mason, plumber), and (3) for the appropriate jo b title (e.g., Apprentice, Journeyman, Forman), published by the New Jersey Department of Labor and Workforce Development (NJDOL) pursuant to the New Jersey Prevailing Wage Act (NJPWA), N.J.S.A. 34:11-56.25 et seq., and corresponding NJDOL rules, N.J.A.C. 12:60..
I certify under penalty of perjury that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are false, I am subject to punishment. See N.J.S.A. 2C:28-1 et seq., specifically, N.J.S.A. 2C:28-3, within the New Jersey Code of Criminal Justice.
Dated: Signature:
Attachment 3
EXHIBIT B
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.
CONSTRUCTION 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 re-gard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexu-al orientation, gender identity or expression, disability, nationality or sex. Such equal employ-ment opportunity shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The con-tractor agrees to post in conspicuous places, available to employees and applicants for employ-ment, 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 re-ceive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disabil-ity, nationality or sex.
The contractor or subcontractor will send to each labor union, with which it has a collective bar-gaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under this act and shall post copies of the notice in conspicuous places available to employees and applicants for employ-ment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations prom-ulgated 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.
When hiring or scheduling workers in each construction trade, the contractor or subcontractor agrees to make good faith efforts to employ minority and women workers in each construction trade consistent with the targeted employment goal prescribed by N.J.A.C. l7:27-7.2; provided, however, that the Dept. of LWD, Construction EEO Monitoring Program, may, in its discretion, exempt a contractor or subcontractor from compliance with the good faith procedures pre-scribed by the following provisions, A, B, and C, as long as the Dept. of LWD, Construction EEO Monitoring Program is satisfied that the contractor or subcontractor is employing workers
EXHIBIT B (Cont) provided by a union which provides evidence, in accordance with standards prescribed by the Dept. of LWD, Construction EEO Monitoring Program, that its percentage of active “card car-rying” members who are minority and women workers is equal to or greater than the targeted employment goal established in accordance with N.J.A.C. 17:27-7.2. The contractor or subcon-tractor agrees that a good faith effort shall include compliance with the following procedures:
(A) If the contractor or subcontractor has a referral agreement or arrangement with a union for a construction trade, the contractor or subcontractor shall, within three business days of the contract award, seek assurances from the union that it will cooperate with the contractor or sub-contractor as it fulfills its affirmative action obligations under this contract and in accordance with the rules promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et. seq., as supple-mented and amended from time to time and the Americans with Disabilities Act. If the contrac-tor or subcontractor is unable to obtain said assurances from the construction trade union at least five business days prior to the commencement of construction work, the contractor or sub-contractor agrees to afford equal employment opportunities minority and women workers di-rectly, consistent with this chapter. If the contractor's or subcontractor's prior experience with a construction trade union, regardless of whether the union has provided said assurances, indi-cates a significant possibility that the trade union will not refer sufficient minority and women workers consistent with affording equal employment opportunities as specified in this chapter, the contractor or subcontractor agrees to be prepared to provide such opportunities to minority and women workers directly, consistent with this chapter, by complying with the hiring or scheduling procedures prescribed under (B) below; and the contractor or subcontractor further agrees to take said action immediately if it determines that the union is not referring minority and women workers consistent with the equal employment opportunity goals set forth in this chapter.
(B) If good faith efforts to meet targeted employment goals have not or cannot be met for each construction trade by adhering to the procedures of (A) above, or if the contractor does not have a referral agreement or arrangement with a union for a construction trade, the contractor or subcontractor agrees to take the following actions:
(l) To notify the public agency compliance officer, the Dept. of LWD, Construction EEO Moni-toring Program, and minority and women referral organizations listed by the Division pursuant to N.J.A.C. 17:27-5.3, of its workforce needs, and request referral of minority and women workers;
(2) To notify any minority and women workers who have been listed with it as awaiting availa-ble vacancies;
(3) Prior to commencement of work, to request that the local construction trade union refer mi-nority and women workers to fill job openings, provided the contractor or subcontractor has a referral agreement or arrangement with a union for the construction trade;
(4) To leave standing requests for additional referral to minority and women workers with the local construction trade union, provided the contractor or subcontractor has a referral agree-ment or arrangement with a union for the construction trade, the State Training and Employ-ment Service and other approved referral sources in the area;
(5) If it is necessary to lay off some of the workers in a given trade on the construction site, layoffs shall be conducted in compliance with the equal employment opportunity and non-discrimination standards set forth in this regulation, as well as with applicable Federal and State court decisions;
(6) To adhere to the following procedure when minority and women workers apply or are re-ferred to the contractor or subcontractor:
(i) The contactor or subcontractor shall interview the referred minority or women worker.
(ii) If said individuals have never previously received any document or certification signifying a level of qualification lower than that required in order to perform the work of the construction trade, the contractor or subcontractor shall in good faith determine the qualifications of such individuals. The contractor or subcontractor shall hire or schedule those individuals who satisfy appropriate qualification standards in conformity with the equal employment opportunity and non-discrimination principles set forth in this chapter. However, a contractor or subcontractor shall determine that the individual at least possesses the requisite skills, and experience recog-nized by a union, apprentice program or a referral agency, provided the referral agency is ac-ceptable to the Dept. of LWD, Construction EEO Monitoring Program. If necessary, the con-tractor or subcontractor shall hire or schedule minority and women workers who qualify as trainees pursuant to these rules. All of the requirements, however, are limited by the provisions of (C) below.
(iii) The name of any interested women or minority individual shall be maintained on a waiting list, and shall be considered for employment as described in (i) above, whenever vacancies oc-cur. At the request of the Dept. of LWD, Construction EEO Monitoring Program, the contractor or subcontractor shall provide evidence of its good faith efforts to employ women and minori-ties from the list to fill vacancies.
(iv) If, for any reason, said contractor or subcontractor determines that a minority individual or a woman is not qualified or if the individual qualifies as an advanced trainee or apprentice, the contractor or subcontractor shall inform the individual in writing of the reasons for the determi-nation, maintain a copy of the determination in its files, and send a copy to the public agency compliance officer and to the Dept. of LWD, Construction EEO Monitoring Program.
(7) To keep a complete and accurate record of all requests made for the referral of workers in any trade covered by the contract, on forms made available by the Dept. of LWD, Construction EEO Monitoring Program and submitted promptly to the Dept. of LWD, Construction EEO Monitoring Program upon request.
(C) The contractor or subcontractor agrees that nothing contained in (B) above shall pre-clude the contractor or subcontractor from complying with the union hiring hall or apprentice-ship policies in any applicable collective bargaining agreement or union hiring hall arrange-ment, and, where required by custom or agreement, it shall send journeymen and trainees to the union for referral, or to the apprenticeship program for admission, pursuant to such agreement or arrangement. However, where the practices of a union or apprenticeship program will result in the exclusion of minorities and women or the failure to refer minorities and women con-sistent with the targeted county employment goal, the contractor or subcontractor shall consider for employment persons referred pursuant to (B) above without regard to such agreement or arrangement; provided further, however, that the contractor or subcontractor shall not be re-quired to employ women and minority advanced trainees and trainees in numbers which result in the employment of advanced trainees and trainees as a percentage of the total workforce for the construction trade, which percentage significantly exceeds the apprentice to journey worker ratio specified in the applicable collective bargaining agreement, or in the absence of a collec-tive bargaining agreement, exceeds the ratio established by practice in the area for said con-struction trade. Also, the contractor or subcontractor agrees that, in implementing the proce-dures of (B) above, it shall, where applicable, employ minority and women workers residing within the geographical jurisdiction of the union.
After notification of award, but prior to signing a construction contract, the contractor shall sub-mit to the public agency compliance officer and the Dept. of LWD, Construction EEO Monitor-ing Program an initial project workforce report (Form AA-201) electronically provided to the public agency by the Dept. of LWD, Construction EEO Monitoring Program, through its web-site, for distribution to and completion by the contractor, in accordance with N.J.A.C. 17:27-7.
The contractor also agrees to submit a copy of the Monthly Project Workforce Report once a month thereafter for the duration of this contract to the Dept. of LWD, Construction EEO Mon-itoring Program, and to the public agency compliance officer.
The contractor agrees to cooperate with the public agency in the payment of budgeted funds, as is necessary, for on-the-job and/or off-thejob programs for outreach and training of minorities and women.
(D) The contractor and its subcontractors shall furnish such reports or other documents to the Dept. of LWD, Construction EEO Monitoring Program as may be requested by the Dept. of LWD, Construction EEO Monitoring Program from time to time in order to carry out the pur-poses of these regulations, and public agencies shall furnish such information as may be re-quested by the Dept. of LWD, Construction EEO Monitoring Program for conducting a compli-ance investigation pursuant to N.J.A.C. 17:27-1.1 et seq.
Attachment 7
Attachment 8
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-…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .