26.09.11 HHA Patio Project Manual.pdf

PROJECT MANUAL

BID DOCUMENTS & SPECIFICATIONS

PATIO IMPROVEMENTS

220 Adams Street, Hoboken, NJ 07030 for :

HOUSING AUTHORITY of the CITY OF HOBOKEN 400 Harrison Street Hoboken, New Jersey 07030

EXECUTIVE DIRECTOR

Marc A. Recko

COMMISSIONERS

Barbara Reyes, Chairperson Erica Seitzman, Vice Chairperson David Edwards Anthony Forbes Jean Rodriguez Matthew Testa Carmen Vega

MANAGEMENT STAFF

Emil Kotherithara , Chief Financial Officer Frank Merchand, Director of Development Natalie Villafane, Modernization Administrator Sammy Fermaint, Maintenance Supervisor

GENERAL COUNSEL

Fitzpatrick & Waterman, ESQS

Prepared by

Date of Issue : September 11, 2026

P A T I O I M P R O V E M E N T S @ 2 2 0 A d a m s S t . H o b o k e n N J f o r T H E H O B O K E N H O U S I N G A U T H O R I T Y

SECTION 00001 – TABLE OF CONTENTS

SECTIONS

INFORMATION, CONDITIONS AND BIDDING & CONTRACT REQUIREMENTS

00000 Title Page 00000 - 1 00001 Table of Contents 00001 - 1 thru 2 00100 Invitation to Bid 00100 - 1 thru 2 00101 Bid Document Submission Checklist 00101- 1 thru 2

BID FORMS

00200 Bid Form 00200- 1 thru 2 00202 Acknowledgement of Receipt of Any Notice of Revision or Addenda to the Bid Documents 00202 - 1 00203 Bid Bond Guarantee 00203 - 1 thru 2 00204 Performance and Payment Bond and Instructions 00204 - 1 thru 4 00205 Consent of Surety 00205 - 1 00206 Bidders Statement of Ownership 00206 - 1 thru 2 00207 Subcontractor Certificate 00207 - 1 thru 2 00208 Previous Participation Certificate and Instructions (10/2016) (HUD-2530) 00208 - 1 thru 5 00209 Equal Employment Opportunity Certification (HUD-92010) 00209 - 1 thru 2 00210 Certification Regarding Debarment and Suspension (HUD-9222) 00210 - 1 thru 2 00211 Non-Collusion Affidavit (NCA) 00211 - 1 00212 Bidders Affidavit (BA) 00212 - 1 00213 Bidders Qualification Questionnaire (QQ) 00213 - 1 thru 7 00214 Statement of Compliance (SOC) 00214 - 1 00215 Affirmative Action Affidavit (AAA) 00215 - 1 thru 3 00216 Site Inspection Affidavit (SIA) 00216 - 1 00217 Voluntary Act & Deed Acknowledgement Affidavit (VADA) 00217 - 1 00218 Political Contribution Disclosure, Federal (PCDFED) 00218 - 1 00219 Political Contribution Disclosure, New Jersey (PCDNJ) 00219 - 1

CONTRACT ADMINISTRATION & CONTRACT CLOSEOUT DOCUMENTS

00300 Instructions to Bidders (HUD-5369) 00300 - 1 thru 4 00301 Representations, Certifications and Other Statements of Bidders (11/1992) (HUD-5369A) 00301 - 1 thru 3 00302 General Conditions for Construction Contracts (HUD-5370) 00302 - 1 thru 19 00310 General Conditions / Federal Requirements (GFED) 00310 - 1 thru 18 00311 Special Conditions (SC) 00311 - 1 thru 9 00320 Form of Contract (FOC) 00320 - 1 thru 4

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00330 Wage Rate Determination (WRD) 00330 - 1 00331 Prevailing Rage Rates. (PWR) 00331 - 1 00332 New Jersey Prevailing Wage Requirements (NJPWR) 00333 Fact Sheet #66 : The Davis Bacon and Related Acts. (DBRA) 00333 - 1 thru 2 00334 N.J.S.A. Prevailing Wage Rate Determination (NJSA) 00334 - 1 00335 Prevailing Wage Compliance. (PWC) 00335 - 1 00340 Additional Provisions. (TS-1) 00340 - 1 thru 4

TECHNICAL SPECIFICATIONS

010100 List of Drawings 010100-1 010200 Allowances 010200-1 010300 Alternates 010300-1 thru 2 010400 Unit Prices 010400-1 thru 3 010450 Cutting and Patching 010450-1 thru 3 011000 Project Supervision and Coordination 011000-1 thru 3 011520 Applications for Payment 011520-1 thru 2 011530 Change Order Procedures 011530-1 thru 3 012000 Project Meetings 012000-1 thru 3 013000 Submittals and Scheduling 013000-1 thru 6 013700 Schedule of Values 013700-1 014200 Reference Standards and Definitions 014200-1 thru 3 015000 Temporary Facilities 015000-1 thru 5 016200 Contractors Request for Payment 016200-1 016300 Substitutions 016300-1 thru 3 016400 Product Handling 016400-1 thru 2 017000 Contract Closeout 017000-1 thru 3 017100 Cleaning 017100-1 thru 3 017200 Project Record Documents 017200-1 thru 5 019000 General Requirements for Alterations 019000-1

END OF SECTION 00001

09/11/26 TABLE OF CONTENTS 00001 of 2 2

00332 - 1 thru 9

INVITATIO N TO BID

HOUSING AUTHORITY OF THE CITY OF HOBOKEN

Patio Improvements at 220 Adams Street, Hoboken NJ

The Housing Authority of the City of Hoboken (the “Owner”) will receive sealed bids for Patio Improvements at 220 Adams Street, Hoboken NJ, in accordance with Bid Materials prepared together with such addenda as may be issued.

Bids will be accepted until 2:00 pm (prevailing time) on Thursday October 1, 2026 at the main office of the Owner, located at 400 Harrison Street, Hoboken, New Jersey. Late bids will not be accepted. Photocopies or facsimiles of bid forms will not be accepted in lieu of the original bid forms. Bids determined by the Owner to be late will be returned to the bidder, unopened.

Bids must be enclosed in a sealed envelope bearing the name and address of the bidder and must be delivered to the Housing Authority of the City of Hoboken, 400 Harrison Street, Hoboken, New Jersey 07030, properly marked bearing the name of the project, prior to the October 1, 2026 deadline.

It is the bidder’s responsibility to see that bids are presented to the Owner on the hour and at the place designated. Bids may be hand delivered or mailed; however, the Owner disclaims any responsibility for bids forwarded by regular or express mail or common carrier.

Bids must be on the forms provided in Bid Materials and must be completed in the manner designated therein. The bidder shall not change the wording of the Bid Form. Unauthorized conditions, limitations, or provisions attached to a bid will be cause for rejection of that bid. If alterations by erasure or by interlineation are made for any reason, the bidder must explain such erasure or interlineation, with a signed statement from the bidder.

Commencing on Friday September 11, 2026 an electronic copy of the Bid Materials may be obtained by emailing nvillafane@myhhanj.com

A Non-Mandatory Pre-Bid Walkthrough has been scheduled for Thursday September 17, 2026 at 2:00pm beginning at 220 Adams Street, Hoboken NJ. Interested bidders are requested, but not required to attend this meeting.

Each bid shall be accompanied by a Bid Bond issued by a New Jersey Licensed Surety Company, which is listed in the most recently published U.S. Treasury Circular No. 570, or by certified check in the amount called for in the Bid Materials, payable to the Housing Authority of the City of Hoboken. Bids must also be accompanied by all the materials required by the Bid Materials. Regardless of whether the Bid Bond or Certified Check is submitted for bid guarantee, each bidder must submit a Consent of Surety, also from a New Jersey Licensed Surety Company, which is listed in the most recently published U.S. Treasury Circular No. 570, stating that it will issue the necessary performance bond should the bidder be awarded a contract for this work with the Owner.

mailto:emil.cfo@myhhanj.com

P A T I O I M P R O V E M E N T S @ 2 2 0 A d a m s S t . H o b o k e n N J f o r T H E H O B O K E N H O U S I N G A U T H O R I T Y

Each bidder must submit, with its Bid, security in the amount indicated below.

Amount of Bid Bid Guarantee Up to $200,000 10% of Bid $200,000 to $400,000 $20,000 Over $400,000 5% of Bid

No bidder may withdraw its bid for a period of sixty (60) days after the actual date of opening thereof. All bidders shall be required to consent on the Bid Form to the holding of bids for consideration by the Owner for such period.

This Invitation for Bid and any contract awarded pursuant to it comply with the fair and open process established and further defined by N.J.S.A. 19:44A-20.7. Consequently, the provisions of N.J.S.A. 19:44A- 20.5 and N.J.S.A. 19:44A-20.26, as to campaign contributions, do not apply to the Invitation to Bid and any contract awarded pursuant to it.

All bidders are hereby notified that compliance with the most recently published and applicable Davis- Bacon Wage Requirements will be required in the performance of any contract awarded pursuant to this Invitation to Bid; that compliance with the New Jersey Public Works Contractor Registration Act, N.J.S.A. 34:11-56.48, et seq., will be required at the time of bid submission;

and that compliance with the business registration provisions of P.L. 2004, c.57 will be required at time of contract execution. All bidders, including corporations, limited liability companies, partnerships, and sole proprietorships, must submit a Statement of Ownership. During the performance any contract awarded pursuant to this Invitation to Bid, the successful bidder agrees to comply with P.L. 1975, c. 127 (N.J.A.C. 17:27), “Law Against Discrimination”, current regulations. The successful bidder will be required to obtain a Performance Bond for the full amount of the contract from a New Jersey Licensed Surety Company, which is listed in the most recently published U.S. Treasury Circular No. 570, and a Maintenance Bond for a percentage of the construction cost, as defined in the Bid Materials.

The Owner reserves the right to reject any or all bids, waive any identified informalities or technicalities in the bidding, and sever or make awards of all or parts of any bids to one of more responsible bidders if it is in the best interest of the Owner to do so. The Owner also reserves the right to reject the bid of any respondent who has previously failed to perform properly, or to complete on time any contract work of a similar nature or who is not in a position to perform the contract. No bid shall be withdrawn for a period of sixty (60) days subsequent to the bid opening without the consent of the Owner.

MARK A. RECKO

Executive Director Housing Authority of the City of Hoboken

INVITATION TO BID 001000 of 2 209/11/26

09.11.26

Patio Improvements @ 220 Adams Street, Hoboken NJ

BID DOCUMENT SUBMISSION CHECKLIST

PLEASE SUBMIT ONE ORIGINAL, &ONE ELECTRONIC PDF COPY OF BID

DOCUMENTS

A. Failure to submit the following documents at the time of bid submission is a mandatory cause for the bid to be rejected. (N.J.S.A. 40A:11-23.2)

Initial Each Item as Submitted with Bid (Bidder’s Initials)

Bid Bond/Guarantee, pursuant to N.J.S.A. 40A:11-21

Consent of Surety, pursuant to N.J.S.A. 40A:11-22

Statement of Ownership, pursuant to N.J.S.A. 52:25-24.2 (must be signed and notarized)

Subcontractor Certificate, pursuant to N.J.S.A. 40A:11-16

State of New Jersey Department of Labor Public Works Contractor Registration Act Certificate, pursuant to N.J.S.A. 34-11-56.48

If applicable, Acknowledgement of Receipt of Any Notice of Revisions or Addenda to the Bid Documents

B. Failure to submit the following documents may be a cause for the bid to be rejected. (N.J.S.A.

40A:11-23.1b)

Initial Each Item as Submitted with Bid (Bidder’s Initials)

Bid Document Submission Checklist

Bid Form

BCL 00101 1 of 2

P A T I O I M P R O V E M E N T S @ 2 2 0 A d a m s S t . H o b o k e n N J f o r T H E H O B O K E N H O U S I N G A U T H O R I T Y

Business Registration Certificate or Certificate and Registration for Individuals, pursuant to N.J.S.A. 40A:11-16 and 52:32-44 for both the Bidder and all Subcontractors required to be listed in this Bid, as referenced above _______

Previous Participation Certificate (HUD-2530)

Non-Collusion Affidavit (Must be Signed and Notarized)

Bidder’s Affidavit (Must be Signed and Notarized)

Qualification Questionnaire (Must be Signed and Notarized)

Statement of Compliance

Affirmative Action Affidavit (Must be Signed and Notarized)

Site Inspection Affidavit (Must be Signed and Notarized)

Voluntary Act and Deed Acknowledgement Affidavit (Must be Signed and Notarized)

Political Contribution Disclosure

Representations, Certifications and Other Statements of Bidders

(HUD 5369-A)

Certification Regarding Debarment and Suspension (HUD2992)

Equal Opportunity Certification (HUD 92010)

C. SIGNATURE: The undersigned hereby acknowledges and has submitted the above listed requirements.

Name of Bidder:

By Authorized Representative:

Signature:

Printed Name and Title:

Date:

BCL 00101 2 of 2

Patio Improvements @ 220 Adams Street, Hoboken NJ

BID FORM

BIDDER’S NAME:

ADDRESS:

TELEPHONENO.:

FACSIMILE NO.:

E-MAIL ADDRESS:

TO: HOUSING AUTHORITYOF THE CITYOF HOBOKEN

(the “AUTHORITY” and/or the “OWNER”)

ADDRESS: 400 Harrison Street Hoboken, New Jersey 07030

TELEPHONENO.: (201) 798-0370

E-MAIL ADDRESS: mrecko@myhhanj.com

ATTENTION: Mr. Marc A. Recko, Executive Director

Pursuant to and in accordance with your Invitation to Bid for work described above and in accordance with the Instructions for Bidders relating thereto, the undersigned hereby agrees to furnish all plant, labor, materials, supplies, equipment, and other facilities necessary or proper for, or incidental to, or as required by the Bid Materials for the above project, TOTAL LUMP SUM SINGLE CONTRACT BID: Patio Improvements @ 220 Adams Street, Hoboken NJ

For the sum of:

(Written Amount) dollars $ .

(Numerals)

BF 00200 1 of 2

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All blank spaces for bid prices must be filled in, in ink or typewritten, in both words and figures.

In submitting this bid, I have received and considered any and all addendums, if any, listed in form ACBD of the Bid Materials.

It is agreed that the Authority shall be permitted to accept this bid within the period stipulated without further cost to the Authority. It is further agreed that the Authority is not bound to accept the lowest bid of any submitted and can waive any informalities in any bid.

It is agreed that the successful bidder, upon his failure or refusal to execute and deliver the contract and bonds required within ten (10) days after he had received notice of the acceptance of his bid, shall forfeit to the Housing Authority, as liquidated damages for such failure or refusal, the security deposit with his bid.

If the bid is made by a corporation, it shall be signed by the President or other authorized officer AND attested by the Secretary.

If the bid is made by a partnership, it shall be signed in firm or partnership name AND also by two or more of the partners or members of the firm in their individual names.

If the bid is made by a limited liability company, it shall be signed by the Managing Member or other authorized officer AND also by two or more of the partners or members of the firm in their individual names.

If the bid is made by an individual, it shall be signed by the individual.

Submitted by:

Legal Name of Bidder

Signed by: Title:

Signed by: Title:

Signed by: Title:

Attest: Title:

BF 00200 2 of 2

Patio Improvements @ 220 Adams Street, Hoboken NJ

ACKNOWLEDGEMENT OF ANYNOTICE OFREVISIONS OR

ADDENDA TO THE BID DOCUMENTS

(Name of Construction Project) (Project or Bid Number)

In accordance with N.J.S.A. 40A:11-23.1(a), 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 that the submitted bid takes into account the provisions of the notice, revision or addendum. Note that the Housing Authority of the City of Hoboken’s record of notice to bidders shall take precedence and that failure to include provisions of changes in a bid proposal may be subject for rejection of the bid. Moreover, you must provide the following information when submitting the bid. Failure to do so shall render a bidder’s bid proposal unresponsive, and shall constitute a fatal defect that cannot be cured by a governing body, and shall cause the bid to be rejected without opportunity to cure the defect.

Title of Addendum/Revision How Received Date Received (Mail, Fax, Pick-up, etc.)

Acknowledgement by Bidder:

Name of Bidder:

By Authorized Representative:

Signature: Printed Name and Title: Date:

ACBP 00202 1 of 1

Patio Improvements @ 220 Adams Street, Hoboken NJ

BID BOND/GUARANTEE

In accordance with N.J.S.A. 40A:11-21, provide the following information when submitting the bid.

Failure to do so shall render a bidder’s bid proposal unresponsive, and shall constitute a fatal defect that cannot be cured by a governing body, and shall cause the bid to be rejected without opportunity to cure the defect. Moreover, letters of credit are not acceptable as bid guarantees.

KNOW ALL MEN BY THESEPRESENTS, that we, the undersigned, as Principal and as SURETY are held and firmly bound unto the Housing Authority of the City of Hoboken, hereinafter called the “Authority”, in the penal sum of % of the bid.

Dollars, lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these present.

THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the accompanying bid, dated , for .

NOW THEREFORE, if the Principal shall not withdraw said bid within the period of sixty (60) days after the said opening, and shall within the period specified therefore, give bond with good and sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of such contract; or in the event of the withdrawal of said bid within the period specified or the failure to give such bond within the time specified, it the Principal shall pay the

Authority the difference between the amount specified in said bid and the amount for which the

Authority may procure the required work or supplies or both, if the latter amount be in excess of the former, then the above obligation shall be void and of no effect, otherwise to remain in full force and virtue.

IN WITNESS WHEREOF, the above bounded parties have executed this instrument under their several seals this day of , 20 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body.

BB 00203 1 of 2

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In the presence of:

BB 00203 2 of 2

(Seal) (Individual Principal)

(Address) (Business Address)

(Seal) (Individual Principal)

(Address) (Business Address)

ATTEST:

(Corporate Principal)

(Affix Corporate Seal) (Business Address)

BY:

ATTEST

(Corporate Surety)

(Affix Corporate Seal)

BY:

(Power of Attorney for person signing for the surety company must be attached to bond.)

Patio Improvements @ 220 Adams Street, Hoboken NJ

09.11.26

PERFORMANCE AND PAYMENT BOND INSTRUCTIONS

(1) Individual sureties, partnerships, or corporations not in the surety business will not be acceptable.

(2) The name of the principal shall be shown exactly as it appears in the Contract.

(3) The penal sum shall be not less than the contract amount.

(4) If the Principals are partners or joint venturers, each member shall execute the bond as an individual, with his place of residence shown.

(5) If the Principal is a corporation, the bond shall be executed under its corporate seal. If the corporation has no corporate seal, the fact shall be stated, in which case a scroll or adhesive seal shall be affixed following the corporate name.

(6) The official character and authority of the persons executing the bond for the Principal, whether individual, partnership, or corporation, shall be certified by individual, partner or, in the case of a corporation, by the secretary or assistant secretary thereof under the corporate seal, or there may be attached copies of so much of the records of the corporation as will evidence the official character and authority of the officer signing, duly certified by the secretary or assistant secretary, under the corporate seal, to be true copies. If a corporation, president or vice president should sign for same, secretary of corporation should attest to signature of signing officer.

(7) The current power-of-attorney of the persons signing for the surety company must be attached to the bond.

(8) The date of bond must not be prior to the date of contract.

(9) The following informationmust be placed on the bond by the surety company:

a. The rate of premium in dollars per thousand, and

b. The total dollar amount of premium charged.

(10) The signature of a witness shall appear in the appropriate place, attesting to the signature of each party to the bond.

(11) Type or print the name underneath each signature appearing in the bond.

(12) An executed copy of the bond must be attached to each copy of the contract (original counterpart) intended for signing.

(13) The Performance and Payment Bond is generally of the type that will be required, but it is subject to such modification in form as may be required by the Housing Authority of the City of Hoboken.

PPB 00204 1 of 4

Patio Improvements @ 220 Adams Street, Hoboken NJ

PERFORMANCE AND PAYMENTBOND

PPB 00204 2 of 4

KNOW ALL MEN BY THESE PRESENTS, Thatwe, the undersigned, as PRINCIPAL and as SURETIES are hereby held and firmly bound into the Housing Authority of the City of Hoboken (the

“AUTHORITY”), in the penal sum of

Signed this day of 20 .

The condition of the above obligation is such that whereas, the above-named PRINCIPAL was awarded, on the day of , 20 a contract with the AUTHORITY for which said contract, consisting of Invitation, Bid and Award, is made a part of this Bond, the same as though set forth herein:

Now, if the said

SHALL WELL ANDFAITHFULLY DO ANDPERFORM THE THINGSAGREED BY

to be done and performed according to the terms of said contract, and shall pay all lawful claims of sub-labor performed or materials, provisions, provender or other supplies or teams, fuels, oils, implements, or machinery furnished, used or consumed in the carrying forward, performing or completing of said contract, we agreeing and assenting that this undertaking shall be for the benefit of any subcontractor, materialmen, laborer, person firm or corporation having a just claim, as well as for the oblige herein; then this obligation shall be void, otherwise the same shall remain in

P A T I O I M P R O V E M E N T S @ 2 2 0 A d a m s S t . H o b o k e n N J f o r T H E H O B O K E N H O U S I N G A U T H O R I T Y 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 said surety hereby stipulates and agrees that no modifications, omissions, or additions in or to the terms of said contract or in or to the specifications therefore shall in anywise effect the obligation of said surety on its bond.

IN WITNESS WHEREOF, the above parties have executed this instrument under their several seals this day of , 20 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body.

In the presence of:

PPB 00204 3 of 4

(SEAL)

(Individual Principal)

(Address) (Business Address)

(SEAL)

(Individual Principal)

(Address) (Business Address)

(SEAL)

(Individual Principal)

(Address) (Business Address)

(SEAL)

(Individual Principal)

(Address) (Business Address

P A T I O I M P R O V E M E N T S @ 2 2 0 A d a m s S t . H o b o k e n N J f o r T H E H O B O K E N H O U S I N G A U T H O R I T Y

(SEAL)

PPB 00204 4 of 4

(Individual Principal)

(Address) (Business Address)

(Affix Corporate Seal)

(Corporate Principal)

(Business Address) by ATTEST:

(Affix Corporate Seal)

(Corporate Surety)

(Business Address)

The rate of premium in this bond is $ per thousand. The total amount of premium charges is $ .

(The above is to be filled in by Surety Company.)

(The Power of Attorney of person signing for Surety Company must be attached to bond.)

09.11.26

CONSENT OF SURETY

In accordance with N.J.S.A. 40A:11-22, provide the following information when submitting the bid. Failure to do so shall render a bidder’s bid proposal unresponsive, and shall constitute a fatal defect that cannot be cured by a governing body, and shall cause the bid to be rejected without opportunity to cure the defect.

The undersigned hereby certify that they are the duly authorized agents of duly authorized to do business in the State of New Jersey, and agree to furnish to a surety bond for the financial performance of any and all provisions contained in the specifications and contract. The maximum amount that we will be surety for is

ATTEST:

Secretary

The terms of the Surety Company for furnishing the bond are hereby accepted.

Name of Bidder

By:

Title

IMPORTANT: THIS FORMMUST BE EXECUTED BY SURETY AND BIDDER. SUBMISSION OF A CERTIFIED

CHECK TO FULFILL THE BID SECURITY REQUIREMENTS DOES NOT RELIEVE THE BIDDER FROM

SUBMISSION OF THIS CONSENT OF SURETY BY A SURETY COMPANY LICENSED TO ISSUE SURETY BONDS IN THE STATE OF NEW JERSEY AND APPROVED IN U. S. TREASURY CIRCULAR NO. 570.

COS 00205 1 of 1

09.11.26 BSO 00206 1 of 2

BIDDER’S STATEMENT OF OWNERSHIP

In accordance with N.J.S.A. 52:25-24.2, provide the following information when submitting the bid. Failure to do so shall render a bidder’s bid proposal unresponsive, and shall constitute a fatal defect that cannot be cured by a governing body, and shall cause the bid to be rejected without opportunity to cure the defect.

PART I – If the bidder is a Corporation:

Name of Corporation

State of Incorporation

Date of Incorporation

For those individuals* who own 10 percent or more of any class of its stock:

NAMES ADDRESS

PART II – If the bidder is a Partnership:

Name of Partnership

County in which Certificate of Tradename is filed

For those individuals* who own 10 percent or more of the interest in the Partnership:

NAMES ADDRESS

P A T I O I M P R O V E M E N T S @ 2 2 0 A d a m s S t . H o b o k e n N J f o r T H E H O B O K E N H O U S I N G A U T H O R I T Y

BSO 00206 2 of 2

PART III – If the bidder is a Limited Liability Company:

Name of Limited Liability Company

State of Formation

For those individuals* who own 10 percent or more of the interest in the Limited Liability Company:

NAMES ADDRESS

PART IV – If the bidder is a Sole Proprietorship:

, hereby certifies that I am the sole owner of

, the bidder herein.

Signature Date Signature of person who completed Part I, II or III above

* If any of the “individuals” listed above is a Corporation, Partnership, or Limited Liability Company, a separate sheet should be attached giving the same information requested above for each such Corporation, Partnership, or Limited Liability Company. Similarly, if any additional entity is a Corporation, Partnership, or Limited Liability Company, information must be provided to the level of ownership required to document ultimate ownership in persons (not Corporations, Partnerships, or Limited Liability Companies).

09.11.26

SUBCONTRACTOR CERTIFICATE

In accordance with N.J.S.A. 40A:11-16, provide the following documentation and/or information when submitting the bid. Failure to do so shall render a bidder’s bid proposal unresponsive, and shall constitute a fatal defect that cannot be cured by a governing body, and shall cause the bid to be rejected without opportunity to cure the defect.

The Bidder says as follows:

A. I am (a partner or officer of the firm of, etc.) of the party making the foregoing proposal or bid;

B. In preparing the foregoing bid, the Bidder solicited and received price quotes for the subcontracted work, set forth below;

C. The Bidder has provided true copies of the New Jersey Department of Labor Public

Works Contractor Certificates for each of the below listed subcontractors with the foregoing bid;

D. The Bidder shall provide true copies of the New Jersey Business Registration Certificates for each of the below listed subcontractors at the time of execution of contract; and

E. If awarded a contract for this project, the Bidder shall award a contract to each of the below listed subcontractors.

1. MECHANICAL, ANDALL KINDRED WORK

Name of Subcontractor:

Address:

Telephone No.:

Facsimile:

N. J. License No. (if applicable):

Name of Licensee (if applicable):

N.J. Public Works Contractor Certificate No.

N.J. Business Registration Certificate No. (if available)

Scope of work for which price quote was submitted:

SCC 00207 1 of 2

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SCC 00207 2 of 2

2.

3.

ELECTRICAL, ANDALL KINDRED WORK

Name of Subcontractor:

PLUMBING, GAS FITTING, ANDALL KINDRED WORK

Name of Subcontractor:

Address:

Telephone No.:

Facsimile:

N. J. License No. (if applicable):

Name of Licensee (if applicable):

N.J. Public Works Contractor Certificate No.

N.J. Business Registration Certificate No. (if available)

Scope of work for which price quote was submitted:

Address:

Telephone No.:

Facsimile:

N. J. License No. (if applicable):

Name of Licensee (if applicable):

N.J. Public Works Contractor Certificate No.

N.J. Business Registration Certificate No. (if available)

Scope of work for which price quote was submitted:

PreviousParticipation Certification

O M B ApprovalNo.2502-0118 (Exp.11/30/2022

Previous editionsare obsolete ref24

CFR

200SubpartH

Form

HUD-2530(10/2016)

Page1 of4

US

Departm entofHousing and

Urban Developm ent U S D epartm entofAgriculture O ffice ofHousing/FederalHousing Com m issioner

Farm ersHom eAdm inistration

PartIto becom pletedby Controlling

Participant(s)ofCoveredProjects (See instructions) Reasonforsubm ission:

ForHUD

HQ

/Fm

HA

useonly

1.Agencynam eandCity wherethe application isfiled 2.ProjectNam e,ProjectNum ber,City andZip Code

3.Loan orContractam ount$ 4.Num berofUnits orBeds

5.SectionofAct 6.

Type ofProject(checkone) Existing

Rehabilitation Proposed(New)

7.ListallproposedControlling Participants and attach com pleteorganization chartforallorganizationsshowingownership

Nam eandaddress(Last,First,M iddle Initial) ofcontrolling participant(s)proposingto participate RoleofEachPrincipalin

Project

9.SSN

orIRS Em ployerNum ber(TIN)

Certifications:

The controlling participants(s)listedaboveherebyapply toHUD orUSDA

Fm HA,asthe casem aybe,forapprovaltoparticipate ascontrolling participant(s)in the role(s)andprojectlisted above.The controlling participant(s)certify thattheinform ation provided on thisform andin any accom panyingdocum entationis trueandaccurate.I/we acknowledgethatm aking,presenting,orsubm itting afalse,fictitious, or fraudulentstatem ent,representation,orcertification m ayresultin crim inal,civil, and/oradm inistrative sanctions,including fines,penalties,andim prisonm ent.Thecontrolling participants(s)furthercertify to the truthand accuracyofthe following:

1.ScheduleA containsalisting,forthe lasttenyears,ofevery projectassistedorinsured byHUD,USDA Fm

HA

and/orStateandlocalgovernm enthousingfinance agenciesin which the controlling participant(s)have participated orarenow participating.

2.Forthe period beginning yearspriorto the dateofthis certification, andexceptasshownon thecertification:

a.Nom ortgageon aprojectlisted haseverbeenin default,assignedto the G overnm entorforeclosed,norhasitreceived m ortgagerelieffrom the m ortgagee;

b.Thecontrolling participantshaveno defaultsornoncom plianceunderanyConventionalContractorTurnkey

ContractofSalein connection with apublic housing project;

c.Thereareno knownunresolved findings asaresultofHUD audits,m anagem entreviewsorotherG overnm entalinvestigationsconcerning thecontrolling participants ortheirprojects;

d.There hasnotbeenasuspensionorterm ination ofpaym entsunderanyHUD assistancecontractdueto thecontrolling participant’s faultornegligence;

e.Thecontrolling participantshavenotbeenconvicted ofafelony andarenotpresentlythesubjectofa com plaintorindictm entcharging afelony.(A felony isdefined asanyoffensepunishablebyim prisonm entfora term exceeding oneyear,butdoesnotinclude any offenseclassified asa m isdem eanorunderthe lawsofa

Stateandpunishable byim prisonm entoftwo yearsorless);

f.The controlling participants havenotbeensuspended,debarredorotherwise restricted byanyDepartm entorAgencyofthe

FederalG overnm entorofa StateG overnm entfrom doing businesswith suchDepartm entor

Agency;

g.The controlling participantshavenotdefaulted on anobligation coveredbya suretyorperform ancebond andhavenotbeenthe subjectofa claim underanem ployeefidelity bond;

3.All the nam esofthecontrolling participantswho proposeto participate in this projectarelisted above.

4.Noneofthe controlling participantsis aHUD/Fm

HA

em ployeeora m em berofa HUD/Fm

HA

em ployee'sim m ediate householdasdefined in StandardsofEthicalConductforEm ployeesofthe Executive

Branch in

C.F.R.Part2635(57

FR

35006)andHUD's StandardofConductin

C.F.R.Part0andUSDA's

StandardofConductin C.F.R.Part0

SubpartB.

5.Noneofthecontrolling participants is aparticipantin anassistedorinsuredprojectasofthis dateon which construction hasstoppedforaperiod in excessof20 daysorwhich hasbeensubstantially com pletedform ore than90 daysanddocum entsforclosing,including finalcostcertification,havenotbeenfiled with

HUD

orFm

HA.

6.Noneofthe controlling participants havebeenfound byHUD orFm

HA

to bein noncom pliancewith any applicablefairhousingandcivil rights requirem entsin

CFR

5.105(a).(Ifany controlling participants havebeen found to bein noncom pliance with any requirem ents,attachasignedstatem entexplaining the relevantfacts,circum stances,andresolution,ifany).

7.Noneofthe controlling participants is aM em berofCongressoraResidentCom m issionernorotherwise prohibitedorlim ited by law from contracting with theG overnm entofthe

United StatesofAm erica.

8.Statem entsabove(ifany)to which thecontrolling participant(s)cannotcertify havebeendeletedbystriking through thewordswith apen,andthe controlling participant(s)haveinitialed eachdeletion (if any)andhave attacheda true and accuratesigned statem ent(if applicable)to explain the factsand circum stances.

Nam eofControlling

Participant SignatureofC ontrolling Participant

C ertification

D ate

(m m /dd/yyyy)

Area Codeand

Tel.No.

This form prepared by

(print nam

e) Area

Codeand Tel.No.

PreviousParticipation Certification

O M B ApprovalNo.2502-0118 (Exp.11/30/2022

Previous editionsare obsolete ref24

CFR

200SubpartH

Form

HUD-2530(10/2016)

Page2 of4

ScheduleA:

ListofPrevious

Projects and

Section Contracts.

Below is acom pletelistofthecontrolling participants’previousparticipation projectsandparticipation history in coveredprojects asper24CFR,part200§200.214andm ultifam ily Housing program sofFm

HA,StateandlocalHousing FinanceAgencies,ifapplicable.

Note:

Readand follow theinstruction sheetcarefully.M ake fulldisclosure.Add extra sheetsifyou needm orespace.Doublecheckforaccuracy.Ifno previousprojects,write by yournam e,“No previousparticipation,FirstExperience”.

1.Controlling

Participants’Nam e(Last,First)

2.Listofprevious projects

(Projectnam e, projectID and,G ovt.agencyinvolved) 3.ListParticipants’Role(s) (indicate datesparticipated,andif feeoridentity ofinterest participant)

4.Statusofloan (current,defaulted, assigned,foreclosed)

5.W asthe

Projectever in defaultduring your participation YesNo

Ifyes,explain

6.LastM O R rating and PhysicalInsp.Score and date

PartII- ForH

U D InternalProcessingO nly Received andcheckedbym e foraccuracy andcom pleteness;recom m endapprovalorreferto

Headquarters afterchecking appropriate box.

Date(m m /dd/yyyy)

TelNo.andareacode A.

No adverseinform ation;form

HUD-2530

approval C.DisclosureorCertification problem recom m ended.

B.

Nam e m atch in system

D.O ther(attach m em orandum

Staff ProcessingandControl

Signatureofauthorized reviewer

Signatureofauthorized reviewer

Approved

Yes No

Date(m m /dd/yyyy)

Page3 of4

Instructions forCom pleting the

PreviousParticipation Certificate,form

HUD-2530

Carefully readtheseinstructions andthe applicable regulations.A copyofthe regulationspublished at24C.F.R.part200,subpartH, 200.210-200.222canbeobtainedon-line atwww.gpo.gov andfrom theAccountExecutive atanyHUD

O ffice.Type orprintneatly in ink whenfilling outthis form .Incom pleteform will bereturnedto theapplicant.

Attach extra sheetsasyou needthem

.Be sureto indicate "Continued onAttachm ents"whereverappropriate.Sign eachadditionalpage thatyouattachifitrefersto youoryourrecord.Carefully read the certification before you signit.Any questionsregardingtheform orhow to com plete itcanbeansweredbyyourHUD

AccountExecutive.

Purpose:Thisform providesHUD/USDA

Fm

HA

with acertified reportofallpreviousparticipationin relevantHUD/USDA program s bythosepartiessubm itting theapplication.Theinform ation requestedin thisform isusedby

HUD/USDA

to determ ineifyou m eetthe standardsestablishedto ensurethatallcontrolling participantsin

HUD/USDA

projectswill honortheirlegal,financialandcontractual obligations andareofacceptablerisks from the underwriting standpointofaninsurer,lenderorgovernm entalagency.

HUD

requires thatyou certify andsubm ityourrecordofpreviousparticipation,in relevantprojects,by com pleting andsigning this form ,before your participation canbeapproved.

H U D approvalofyour certification is a necessary precondition for your participation in the projectand in the capacity thatyou propose.Ifyou do notfilethiscertification,do notfurnish theinform ation requested accurately,ordo notm eetestablished standards, H U D willnotapprove yourcertification.

N ote thatapprovalofyourcertification doesnotobligate H U D to approve yourprojectapplication,and itdoesnotsatisfy allother H U D program requirem entsrelative to yourqualifications.

W ho

M ustSign and File

Form

HUD-2530:

Form

HUD-2530

m ustbecom pletedandsignedbyallControlling Participantsof

CoveredProjects,assuchterm saredefined in

CFR

part200 §200.212,andasfurtherclarified by the

ProcessingG uide

(HUD

notice

H 2016-15)referencedin

CFR

§200.210(b)andavailable on theHUD website at:

http://portal.hud.gov/hudportal/HUD?src=/program

_offices/housing/m fh/prevparticipation.

W here and W hen

Form

HUD-2530

M ustBeFiled:Theoriginalofthisform m ustbesubm ittedtotheHUD O ffice whereyourproject application will beprocessedatthe sam etim e you file yourinitial projectapplication.

Thisform m ustbefiled with applicationsfor projects listed in

CFR

§200.214andforthe

Triggering Eventslisted at24CFR §200.218.

Page4

Review ofAdverse

Determ ination:

Ifapprovalofyourparticipationin aHUD projectis denied,withheld,orconditionally grantedon the basisofyour record of previous participation, you will be notified by the

HUD

O ffice.

You m ay requestreconsideration in accordancewith

CFR

§200.222andfurtherclarified bytheProcessingG uide.Requestm ustbem adein writing within daysfrom yourreceiptofthe notice ofdeterm ination.

TheDepartm entofHousing andUrban Developm ent(HUD)isauthorized tocollectthis inform ation bylaw 42U.S.C.3535(d)and byregulation at24CFR

200.210.Thisinform ation is neededsothatprincipals applying to participate in m ultifam ily program s canbecom eHUD-approved controllingparticipants.

The inform ation you provide will enableHUD to evaluateyourrecord with respectto establishedstandardsofperform ance,responsibility andeligibility.

W ithoutpriorapproval,acontrolling participant m aynotparticipate in aproposedorexisting m ultifam ily orhealthcareproject.

HUD

usesthis inform ation to evaluatewhetheror notcontrolling participants poseanunsatisfactory underwriting risk.

The inform ation is usedto evaluatethe potential controlling participants andapproveonly individuals andorganizations thatwill honortheirlegal,financialandcontractual obligations.

Privacy ActStatem ent:

TheHousing andCom m unity

Developm entActof1987,42U.S.C.3543requirespersonsapplying fora Federally-insured orguaranteedloantofurnish his/herSocialSecurity

Num ber(SSN).HUD m usthaveyourSSN foridentification ofyourrecords.HUD m ayuseyourSSN forautom atedprocessingofyourrecordsandto m akerequestsforinform ation aboutyou andyourprevious records with otherpublic agenciesandprivate sectorsources.HUD m aydisclose certaininform ation to Federal, Stateandlocalagencieswhenrelevanttocivil, crim inal,orregulatory investigations andprosecutions.Itwill notbeotherwise disclosed orreleasedoutside ofHUD,exceptasrequired andperm itted by law.You m ustprovide allofthe inform ation requested in this application,including yourSSN.

Purpose:Theinform ation collectedby form

HUD-2530

is requiredforprincipals applying to participatein m ultifam ily program sto becom eHUD-approved controlling participants.Theinform ation you provide will enableHUD to evaluateyourrecordwith respectto establishedstandardsofperform ance,responsibility, andeligibility.

Routine Use:Theinform ation collected bythisform will notbeotherwisedisclosedoutsideofHUD,exceptto public agenciesand private sectorsourcesforautom atedprocessingofyourrecordsandforrequestinginform ation aboutyou forparticipantapproval;to appropriate agencies,entities,andpersonswhen itis reasonablynecessaryto m itigate abreachorrelated incident;

to Federal,state and/orlocalagencieswhenrelevantto civil, crim inal,orregulatoryinvestigations andprosecutionsorforotherinquiries.

Disclosure:Providing theinform ation is voluntary.You m ustprovide allinform ation requestedinthis application,including your

SSN.W

ithoutpriorapprovalorinform ation,acontrolling participantm aynotparticipatein aproposedorexisting m ultifam ily or healthcareproject.

SO

RN

ID/URL:https://www.govinfo.gov/content/pkg/FR-2016-07-29/pdf/2016-18026.pdf

Page5

Public reporting burden forthis collection ofinform ation is estim atedto averagethree hourperresponse,including thetim e for reviewing instructions, searchingexisting datasources,gathering and m aintaining the data needed,and com pleting and reviewing the collection ofinform ation.

This agencym aynotcollectthis inform ation, andyou arenotrequired to com plete this form ,unless itdisplaysa currently valid O M B controlnum ber.

A responseism andatory.

Failure to provide anyoftheinform ation will resultin yourdisapprovalofparticipation in this

HUD

program form HUD-92010 (3/2006) VA form 26-421

U.S. Department of Housing and Urban Development Office of Housing OMB Control No. 2502-0029 Federal Housing Commissioner (exp. 9/30/2016)

Equal Employment Opportunity Certification Excerpt From 41 CFR §60-1.4(b)

Theapplicant herebyagreesthat it will incorporate or causeto be incorporatedinto any contract for constructionwork, or modifi-cation thereof, as defined in the regulations of the Secretary of Labor at41CFRChapter60,which is paid for in whole or in part with funds obtained from the FederalGovernment or borrowed on the credit of the Federal Government pursuant to a grant, contract, loan insurance, or guarantee,or undertakenpursuant to any Federalprogram involving suchgrant, contract, loan, insur-ance,or guarantee,the following equal opportunity clause:

During the performanceof this contract, the contractor agreesas follows:

(1) Thecontractorwill not discriminate againstanyemployeeor applicant for employment becauseof race, color, religion, sex,or national origin. The contractorwill take affirmative action to ensure that applicants are employed, and that em-ployees are treated during employment without regard to their race,color, religion, sex,or national origin, suchaction shall include, but not be limited to the following: Employ-ment, upgrading, demotion, or transfer; recruitment or re-cruitment advertising; layoff or termination; ratesof pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause.

(2) Thecontractorwill, in all solicitations or advertisementsfor employeesplacedby oronbehalf of thecontractor, statethat all qualified applicants will receive considerationsfor em-ployment without regard to race, color, religion, sex, or national origin.

(3) Thecontractor will sendtoeachlabor union or representative of workers with which it hasa collective bargaining agree-ment or other contract or understanding, a notice to be provided advising the said labor union or workers' represen-tatives of the contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employeesand applicants for employment.

(4) Thecontractorwill comply with all provisionsof Executive Order 11246 of September24, 1965, and of the rules, regu-lations and relevant ordersof the Secretaryof Labor.

(5) The contractor will furnish all information and reports re-quired byExecutive Order 11246 of September24,1965,and by rules, regulations, andordersof theSecretaryof Labor, or pursuantthereto, andwill permit accessto its books, records, andaccounts by the administering agencyand the Secretary of Labor for purposesof investigation to ascertain compli-ancewith such rules, regulations, and orders.

(6) In the event of the contractor's noncompliance with the nondiscrimination clausesof this contract or with anyof the said rules, regulations, or orders, this contract may be can-celed, terminated, or suspendedin whole or in part and the contractor may be declared ineligible for further Govern-mentcontractsor federally assistedconstruction contracts in accordancewith proceduresauthorized in Executive Order 11246 of September24, 1965, andsuchother sanctions may be imposed and remedies invoked asprovided in Executive Order11246of September24,1965,or by rule, regulation, or orderof theSecretaryof Labor, orasotherwiseprovided by law.

(7) Thecontractor will includetheportion of thesentenceimme-diately preceding paragraph(1) and the provisions of para-graphs(1) through (7) in every subcontractor purchaseorder unless exemptedby rules, regulations, or orders of the Sec-retary of Labor issuedpursuant to section 204 of Executive Order 11246 of September24, 1965, so that suchprovisions will be binding upon each subcontractor or vendor. The contractor will take suchaction with respectto any subcon-tract or purchase order as the administering agency may direct as a meansof enforcing such provisions, including sanctions for noncompliance:Provided, however, That in the event a contractor becomesinvolved in, or is threatened with, litigation with a subcontractoror vendor asa result of such direction by the administering agency the contractor may requesttheUnited Statesto enter into suchlitigation to protect the interests of the United States.

Theapplicant further agreesthat it will beboundby theaboveequal opportunity clausewith respect to its own employment practices when it participates in federally assistedconstruction work:

Provided, That if theapplicant soparticipating is aStateor local government, theaboveequalopportunity clauseis not applicable to anyagency,instrumentality or subdivision of suchgovernment which doesnot participate in work on or under the contract.

Theapplicant agreesthatit will assistandcooperateactively with theadministering agencyandtheSecretaryof Labor in obtaining the compliance of contractors andsubcontractors with the equal opportunity clauseandthe rules, regulations, andrelevant orders of the Secretaryof Labor, that it will furnish the administering agencyand the Secretaryof Labor such information asthey may require for the supervision of such compliance, and that it will otherwise assist theadministering agencyin the dischargeof the agency'sprimary responsibility for securing compliance.

Theapplicant further agreesthatit will refrain from enteringinto any contract or contractmodification subject to Executive Order 11246of September24,1965,with acontractor debarredfrom, or who hasnot demonstratedeligibility for, Governmentcontracts and Federally-assisted construction contracts pursuant to the Executive order and will carry out such sanctionsand penalties for violation of the equal opportunity clauseasmay be imposed

Firm Name and Address By

Title

Department of Veterans Affairs form HUD-92010 (3/06) VA form 26-421 uponcontractors andsubcontractorsby theadministering agency or the Secretary of Labor pursuant to Part II, Subpart D of the Executiveorder. In addition, theapplicant agreesthatif it fails or refuses to comply with these undertakings, the administering agency may take any or all of the following actions: Cancel, terminate,or suspendinwholeor in part thisgrant (contract, loan, insurance, guarantee); refrain from extending any further assis-tanceto theapplicant undertheprogramwith respectto which the failure or refund occurred until satisfactory assuranceof future compliancehasbeen received from suchapplicant; andrefer thecase to the Department of Justice for appropriate legal proceedings.

Excerpt from HUD Regulations 200.410Definition of term “applicant”.

(a) In multifamily housing transactionswherecontrols over the mortgagor areexercisedby theCommissioner either through the ownership of corporate stock or under the provisions of a regulatory agreement,the term “applicant” asusedin this subpart shall meanthe mortgagor.

(b) In transactions other than thosespecified in paragraph(a)of this section, the term “applicant” asusedin this subpartshall mean the builder, dealer or contractor performing the con-struction, repair or rehabilitation work for themortgagor or other borrower.

200.420EqualOpportunity Clauseto beincluded in contractsand subcontracts.

(a) The following equal opportunity clauseshall be included in eachcontract and subcontract which is not exempt:

During theperformanceof thiscontract, thecontractor agrees asfollows:

(1) The contractor will not discriminate against any em-ployee or applicant for employment becauseof race, creed, color, ornationalorigin. Thecontractorwill takeaffirmative action to ensured that applicants are employed, and that employeesare treatedduring employment without regard to their race,creed,color, or national origin. Suchaction shall include, but not be limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; ratesof payor otherforms of compensation; and selection for training, including ap-prenticeship. The contractor agreesto post in conspicuous places, available to employees and applicants for employ-ment, notices to beprovided setting forth the provisions of the nondiscrimination clause.

(2)The contractorwill in all solicitations or…