bergen RFQ-15 RFQ for Engineering Services 2027.pdf

NOTE: Bergen Community College will consider proposals only from firms or organizations that have demonstrated the capability and willingness to provide high quality services in the manner described in this Request for Qualifications.

RFQ-15 REQUEST FOR QUALIFICATIONS

FOR THE PROVISION OF ENGINEERING SERVICES IN 2027

ISSUE DATE: Monday, September 21, 2026

DUE DATE: Tuesday, October 6, 2026

Issued by:

Bergen Community College 400 Paramus Road

Paramus, New Jersey 07652

GLOSSARY

The following definitions shall apply to and are used in this Request for Qualifications:

"College" - refers to Bergen Community College.

"Qualification Statement" - refers to the complete response to this RFQ submitted by a

Respondent.

"Qualified Respondent" - refers to those Respondents who (in the sole judgment of the

College) have satisfied the qualification criteria set forth in this RFQ.

"RFQ" - refers to this Request for Qualifications, including any amendments thereof or supplements thereto.

"Respondent" or "Respondents" - refers to the interested firm(s) that submit a

Qualification Statement.

SECTION 1

INTRODUCTION AND GENERAL INFORMATION

1.1. Introduction and Purpose.

Bergen Community College is soliciting Qualification Statements from interested persons and/or firms for the provision of engineering services, as more particularly described herein. Through a Request for Qualification process described herein, persons and/or firms interested in assisting the College with the provision of such services must prepare and submit a Qualification Statement in accordance with the procedure and schedule in this RFQ. The College will review Qualification Statements only from those firms that submit a Qualification Statement that includes all the information required to be included as described herein (in the sole judgment of the College). The College intends to qualify (a) person(s) and/or firm(s) that (a) possesses the professional, financial and administrative capabilities to provide the proposed services, and (b) will agree to work under the compensation terms and conditions determined by the College.

1.2. Procurement Process and Schedule.

The selection of Qualified Respondents is not subject to the provisions of the

County College Contracts Law, N.J.S.A. 18A:64A-25.5 et seq. The selection is subject to the “New Jersey Local Unit Pay-to-Play” Law, N.J.S.A. 19:44A-20.4 et seq. The College has structured a procurement process that seeks to obtain the desired results described above, while establishing a competitive process to assure that each person and/or firm is provided an equal opportunity to submit a Qualification Statement in response to the RFQ.

Qualification Statements will be evaluated in accordance with the criteria set forth in

Section 2 of this RFQ, which will be applied in the same manner to each Qualification

Statement received.

Qualification Statements will be reviewed and evaluated by the College and its legal and/or financial advisors (collectively, the “Review Team”). The Qualification

Statements will be reviewed to determine if the Respondent has met the minimum professional, administrative and financial areas described in this RFQ. Under no circumstances will a member of the Review Team review responses to an RFQ for any services for which they or their firm submitted a response. Based upon the totality of the information contained in the Qualification Statement, including information about the reputation and experience of each Respondent, the College will (in its sole judgment) determine which Respondents are qualified (from professional, administrative and financial standpoints). Each Respondent that meets the requirements of the RFQ (in the sole judgment of the College) will be designated as a Qualified Respondent and will be given the opportunity to participate in the selection process determined by the College.

The RFQ process commences with the issuance of this RFQ. The steps involved in the process and the anticipated completion dates are set forth in Table 1, Procurement

Schedule. The College reserves the right to, among other things, amend, modify or alter the Procurement Schedule upon notice to all potential Respondents.

All communication concerning this RFQ or the RFQ process should be sent through Euna Procurement (Bergen Bids) under Bergen Community College and the appropriate opportunity. www.bergenbids.com

Designated Contact Person:

Ms. Stephanie Weise, Director, Purchasing and Services Bergen Community College 400 Paramus, Road Paramus, NJ 07652

Qualifications must be submitted through the Euna Procurement website, www.bergenbids.com (Bergen Bids) under Bergen Community College and the appropriate opportunity prior to Tuesday, October 6, 2026, at 2:00 PM. The College assumes no responsibility for delays in any form causing any RFQ to be received by the procurement website later than the above-mentioned scheduled deadline.

Subsequent to issuance of this RFQ, the College (through the issuance of addenda to all firms that have received a copy of the RFQ) may modify, supplement or amend the provisions of this RFQ in order to respond to inquiries received from prospective

Respondents or as otherwise deemed necessary or appropriate by (and in the sole judgment of) the College.

TABLE 1

ANTICIPATED PROCUREMENT SCHEDULE

ACTIVITY DATE

1. Issuance of Request for Qualifications Monday, September 21, 2026

2. Receipt of Qualification Statements Tuesday, October 6, 2026

3. Board of Trustees Approval Tuesday, November 24, 2026

Section 1.3. Conditions Applicable to RFQ.

Upon submission of a Qualification Statement in response to this RFQ, the

Respondent acknowledges and consents to the following conditions relative to the submission and review and consideration of its Qualification Statement:

• This document is an RFQ and does not constitute an RFP.

• This RFQ does not commit the College to issue an RFP.

• All costs incurred by the Respondent in connection with responding to this RFQ shall be borne solely by the Respondent.

• The College reserves the right (in its sole judgment) to reject for any reason any and all responses and components thereof and to eliminate any and all Respondents responding to this RFQ from further consideration for this procurement.

• The College reserves the right (in its sole judgment) to reject any Respondent that submits incomplete responses to this RFQ, or a Qualification Statement that is not responsive to the requirements of this RFQ.

• The College reserves the right, without prior notice, to supplement, amend, or otherwise modify this RFQ, or otherwise request additional information.

• All Qualification Statements shall become the property of the College and will not be returned.

• All Qualification Statements will be made available to the public at the appropriate time, as determined by the College (in the exercise of its sole discretion) in accordance with law.

• The College may request Respondents to send representatives to the College for interviews.

• Any and all Qualification Statements not received by the procurement website by

2:00 pm Prevailing Time on Tuesday, October 6, 2026, will be rejected.

• Neither the College, nor its staff, consultants, or advisors (including but not limited to the Review Team) shall be liable for any claims or damages resulting from the solicitation or preparation of the Qualification Statement, nor will there be any reimbursement to

Respondents for the cost of preparing and submitting a Qualification Statement or for participating in this procurement process.

Section 1.4. Rights of the College.

The College reserves, holds and may exercise, at its sole discretion, the following rights and options with regard to this RFQ and the procurement process in accordance with the provisions of applicable law:

• To determine that any Qualification Statement received complies or fails to comply with the terms of this RFQ.

• To supplement, amend or otherwise modify the RFQ through issuance of addenda to all prospective Respondents who have received a copy of this RFQ.

• To waive any technical non-conformance with the terms of this RFQ.

• To change or alter the schedule for any events called for in this RFQ upon the issuance of notice to all prospective Respondents who have received a copy of this RFQ.

• To conduct investigations of any or all of the Respondents, as the College deems necessary or convenient, to clarify the information provided as part of the Qualification

Statement and to request additional information to support the information included in any

Qualification Statement.

• To suspend or terminate the procurement process described in this RFQ at any time (in its sole discretion.) If terminated, the College may determine to commence a new procurement process or exercise any other rights provided under applicable law without any obligation to the Respondents.

The College shall be under no obligation to complete all or any portion of the procurement process described in this RFQ.

1.5 Addenda or Amendments to RFQ.

During the period provided for the preparation of responses to the RFQ, the

College may issue addenda, amendments, or answers to written inquiries. Those addenda will be noticed by the College and will constitute a part of the RFQ. All responses to the RFQ shall be prepared with full consideration of the addenda issued prior to the proposal submission date.

1.6 Cost of Proposal Preparation.

Each proposal and all information required to be submitted pursuant to the RFQ shall be prepared at the sole cost and expense of the Respondent. There shall be no claims whatsoever against the College, its staff, or consultants for reimbursement for the payment of costs or expenses incurred in the preparation of the Qualification Statement or other information required by the RFQ.

1.7 Proposal Format.

Responses should cover all information requested in the Questions to be answered in this RFQ. Responses that in the judgment of the College fail to meet the requirements of the RFQ or which are in any way conditional, incomplete, obscure, contain additions or deletions from requested information, or contain errors may be rejected.

SECTION 2

SCOPE OF SERVICES

It is the intent of the College to solicit Qualification Statements from Respondents that have expertise in the provision of Engineering Services. Firms and/or persons responding to this RFQ shall be able to demonstrate that they will have the continuing capabilities to perform these services:

A. Provide Engineering Services in one or more of the following engineering areas - Surveying, Civil, Traffic, Fire Alarm and Protection, Structural, Mechanical, Electrical, and or Environmental as requested by the College, and the ability to provide, but not be limited to the following Engineering

Services for the specific engineering areas:

i. Site analysis and planning;

ii. Defining project needs;

iii. Schematic concept development

iv. Preliminary and final design and image development;

v. Preparation of plans, specifications, conceptual design, cost estimates and project manuals for building construction;

vi. Assistance in all aspects of the bidding process;

vii. Budget projections;

viii. Space planning

ix. Review and evaluate permit requirements;

x. Prepare and submit applications and correspondence to applicable regulatory agencies, as required.

B. Attend regular, special and emergency meetings of the College

Board of Trustees and/or Site and Facilities Committee, if required;

C. Attend at all other meetings and bid related conferences that the

College deems necessary;

D. Prepare and/or review of reports, permits, applications and bid documents as requested by the College or one of its authorized representatives; and

E. Review of all correspondence referred by the College or one of its authorized representatives and prepare correspondence on behalf of the

College, if requested.

F. Interact with applicable College personnel and other governmental agencies, as required.

G. Provide such other specialized Engineering services as may be deemed necessary by the College.

H. Provide specific list of Engineering fields/services/disciplines that your firm provides

SECTION 3

SUBMISSION REQUIREMENTS

Section 3.1 General Requirements.

The Qualification Statement submitted by the Respondent must meet or exceed the professional, administrative and financial qualifications set forth in this Section 3 and shall incorporate the information requested below.

In addition to the information required as described below, a Respondent may submit supplemental information that it feels may be useful in evaluating its Qualification

Statement. Respondents are encouraged to be clear, factual, and concise in their presentation of information.

Section 3.2 Administrative Information Requirements.

The Respondent shall, as part of its Qualification Statement, provide the following information:

1. An executive summary (not to exceed two (2) pages) of the information contained in all the other parts of the Qualification Statement.

2. An executed Letter of Qualification (See Appendix A to this RFQ).

3. Name, address and telephone number of the individual or firm submitting the

Qualification Statement pursuant to this RFQ, and the name of the key contact person.

4. A description of the business organization (i.e., sole proprietor, corporation, partnership, joint venture, etc.) of each Respondent, its ownership, and its organizational structure.

(a) Provide the names and business addresses of all Principals of the Respondent submitting the Qualification Statement. For purposes of this RFQ, "Principals" mean persons possessing an ownership interest in the Respondent. If the Respondent is a corporation, "Principals" shall include each investor who would have any amount of operational control over the Respondent and every stockholder having an ownership interest of 10% or more in the Respondent.

(b) If a firm is a partially owned or a fully-owned subsidiary of another firm, identify the parent company and describe the nature and extent of the parents' approval rights over the activities of the firm submitting a Qualification Statement. Describe the approval process.

(c) If the Respondent is a partnership or a joint venture or similar organization, provide comparable information as required in (b) above for each member of the partnership, joint venture, or similar organization.

5. An executed Letter of Intent (See Appendix B).

6. The number of years your organization has been in business under the present name.

7. The number of years the business organization has been under the current management.

8. A statement that the Respondent is in compliance with all applicable affirmative action

(or similar) requirements with respect to its business activities, together with evidence of such compliance. EEO forms included in RFQ must be signed and returned with RFQ submission (See Forms 00810A and 00810C).

9. Any judgments within the last three (3) years in which Respondent has been adjudicated liable for professional malpractice. If yes, please explain.

10. Whether the business organization is now or has been involved in any bankruptcy or re-organization proceedings in the last ten (10) years. If yes, please explain.

11. Confirm appropriate federal and state licenses to perform activities. Include a copy of the firm’s Business Registration Certificate.

Section 3.3 Professional Information Requirements.

a. Respondent shall submit a description of its overall experience in providing the type of services sought in the RFQ. At a minimum, the following information on past experience should be included as appropriate to the RFQ:

1. Description and scope of work by Respondent.

2. Name, address and contact information of references.

3. Explanation of perceived relevance of the experience to the RFQ.

b. Describe the services, fields, and engineering disciplines that the Respondent would perform directly.

c. Describe those portions of the Respondent’s services, fields, and engineering disciplines, if any, that will be sub-contracted. Identify all subcontractors the Respondent anticipates using in connection with the services, fields, and engineering disciplines.

d. Resumes of key employees, including Principal or Principals of engineering disciplines the Respondent would perform directly.

e. A narrative statement of the Respondent’s understanding of the College’s needs and goals and the respondent’s capability to provide the required services when the college embarks, from time to time, on projects such as renovations of facilities or new building construction.

f. List all immediate relatives of Principal(s) of Respondent who are College employees or elected officials of Bergen County. For purposes of the above, “immediate relative” means a spouse, parent, stepparent, brother, sister, child, stepchild, direct-line aunt or uncle, grandparent, grandchild, and in-laws by reason of relation.

ATTACHMENT 3.4

Engineering Firm Capabilities Sheet - Disciplines & Specialties

Firm Name:

Primary Contact:

Email / Phone:

Instructions: Mark which specialties your firm provides "in-house" and which are sub-consulted.

Additional specialties can be written in at the bottom of the disciplines list.

Core Disciplines

Discipline / Specialty In-House Subconsultant Notes / Specialty Areas

Architecture

Civil Engineering

Structural Engineering

Mechanical Engineering

Electrical Engineering

Fire Protection Engineering

Environmental Engineering

Geotechnical Engineering

Surveying

Landscape Architecture

Other:

Other:

Other:

Other:

Other:

SECTION 4

INSTRUCTIONS TO RESPONDENTS

4.1 Submission of Qualification Statements.

Qualifications must be submitted through the Euna Procurement website, www.bergenbids.com (Bergen Bids) under Bergen Community College and the appropriate opportunity prior to Tuesday, October 6, 2026, by 2:00 PM.

Ms. Stephanie Weise, Director, Purchasing and Services

Bergen Community College

The College assumes no responsibility for delays in any form causing any Qualification to be received by the procurement website later than the above-mentioned scheduled deadline.

To be responsive, Qualification Statements must provide all requested information and must be in strict conformance with the instructions set forth herein. Qualification

Statements and all related information must be signed and acknowledged by the

Respondent.

SECTION 5

EVALUATION

The College’s objective in soliciting Qualification Statements is to enable it to select a firm or organization that will provide high quality and cost-effective services to the

College. The College will consider Qualification Statements only from firms or organizations that, in the College’s judgment, have demonstrated the capability and willingness to provide high quality services to the College, in the manner described in this

RFQ.

Proposals will be evaluated by the College on the basis of the most advantageous, all relevant factors considered. The evaluation will consider:

1. Experience and reputation in the field;

2. Knowledge of the College and the subject matter addressed under the contract;

3. Knowledge and demonstrated experience within the higher education industry

4. Availability to accommodate the required meetings of the College; and

5. Other factors demonstrated to be in the best interest of the College.

APPENDIX A

LETTER OF QUALIFICATION

(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)

[insert date]

Bergen Community College

Dear Ms. Weise:

The undersigned have reviewed our Qualification Statement submitted in response to the Request for Qualifications (RFQ) issued by Bergen Community College

("College"), dated Monday, September 21, 2026, in connection with the College’s need for Engineering Services.

We affirm that the contents of our Qualification Statement (which Qualification

Statement is incorporated herein by reference) are accurate, factual, and complete to the best of our knowledge and belief and that the Qualification Statement is submitted in good faith upon express understanding that any false statement may result in the disqualification of (Name of Respondent).

(Respondent shall sign and complete the spaces provided below. If a joint venture, appropriate officers of each company shall sign.)

(Signature of Chief (Signature of Chief

Executive Officer) Financial Officer)

(Typed Name and Title) (Typed name and Title)

(Type Name of Firm) * (Type Name of Firm) *

(Email Address) (Email Address)

Dated: ___________________ Dated: ______________________

* If a joint venture, partnership, or other formal organization is submitting a Qualification

Statement, each participant shall execute this Letter of Qualification.

APPENDIX B

LETTER OF INTENT

(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)

[insert date]

Bergen Community College

Dear Ms. Weise:

The undersigned, as Respondent, has (have) submitted the attached Qualification

Statement in response to a Request for Qualifications (RFQ), issued by Bergen

Community College ("College"), dated Monday, September 21, 2026, in connection with the College’s need for Engineering Services.

(Name of Respondent) HEREBY STATES:

1. The Qualification Statement contains accurate, factual, and complete information.

2. (Name of Respondent) agrees (agrees) to participate in good faith in the procurement process as described in the RFQ and to adhere to the College's procurement schedule.

3. (Name of Respondent) acknowledges (acknowledge) that all costs incurred by it (them) in connection with the preparation and submission of the Qualification Statement and any proposal prepared and submitted in response to the RFP, or any negotiation which results therefrom shall be borne exclusively by the Respondent.

4. (Name of Respondent) hereby declares (declare) that the only persons participating in this Qualification Statement as Principals are named herein and that no person other than those herein mentioned has any participation in this Qualification Statement or in any contract to be entered into with respect thereto.

Additional persons may subsequently be included as participating Principals, but only if acceptable to the College. (Name of Respondent) declares that this Qualification

Statement is made without connection with any other person, firm or parties who has submitted a Qualification Statement, except as expressly set forth below and that it has been prepared and has been submitted in good faith and without collusion or fraud.

5. (Name of Respondent) acknowledges and agrees that the College may modify, amend, suspend and/or terminate the procurement process (in its sole judgment). In any case, the College shall have any liability to the Respondent for any costs incurred by the

Respondent with respect to the procurement activities described in this RFQ.

6. (Name of Respondent) acknowledges that any contract executed with respect to the provision of [insert services] must comply with all applicable affirmative action and similar laws. Respondent hereby agrees to take such actions as are required in order to comply with such applicable laws.

(Respondent shall sign and complete the space provided below. If a joint venture, appropriate officers of each company shall sign.)

(Signature of Chief Executive Officer)

(Typed Name and Title)

(Type Name of Firm) *

(Email Address)

Dated: ________________

* If a joint venture, partnership, or other formal organization is submitting a Qualification

Statement, each participant shall execute this Letter of Intent.

400 PARAMUS ROAD

PARAMUS, NJ 07652

Request for Qualifications for Engineering Services for 2027

FIRM NAME: _______________________________

FORM 00810A

EXHIBIT A

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

N.J.S.A. 10:5-31 et seq.; N.J.A.C. 17:27-1 et seq. and Executive Order No.13672 92014)

GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS

During the performance of this contract, the contractor agrees as follows:

The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality, or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality, or sex. Such equal employment opportunity shall include, but not be limited to the following: employment, 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 contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause.

The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.

The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act. The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. 17:27-5.2.

The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universities, MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE (Continued) and labor unions, that it does not discriminate on the basis of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.

The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New Jersey, and as established by applicable Federal law and applicable Federal court decisions. In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.

The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents:

1) Letter of Federal Affirmative Action Plan Approval;

2) Certificate of Employee Information Report;

3) Employee Information Report Form AA302 (electronically provided by the

Division and distributed to the public agency through the Division’s website at www.state.nj.us/treasury/contract_compliance), The contractor and its subcontractors shall furnish such reports or other documents to the Division of Public Contracts Equal Employment Opportunity Compliance or the Federal Department of Labor as may be requested by such office from time to time in order to carry out the purposes of the state or federal regulations, and public agencies shall furnish such information as may be requested by the Division of Public Contract Equal Employment Opportunity Compliance and/or such other federal agency for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27 and any such federal regulations enacted pursuant to Executive Order No. 13672.

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE (Continued)

Submitted by: _____________________________________

Name of Firm _____________________________________

Signature _________________________________________

Title _____________________________________________

Date _____________________________________________

THIS FORM MUST BE RETURNED WITH YOUR RFQ PROPOSAL

FORM 00810C

EQUAL EMPLOYMENT OPPORTUNITIES RESPONSE SHEET

GOODS, PROFESSIONAL SERVICES AND GENERAL SERVICE CONTRACTS

IF AWARDED A CONTRACT YOUR COMPANY/FIRM WILL BE REQUIRED TO COMPLY

WITH THE REQUIREMENTS OF N.J.S.A. 10:5-31 et seq., N.J.A.C. 17:27-1 et seq., AND

EXECUTIVE ORDER NO. 13672 (2014)

The successful firm(s) shall submit to Bergen Community College, after notification of award, but prior to execution of this contract one of the following three documents as forms of evidence:

1. A photocopy of a valid letter that the firm is operating under an existing Federally approved or sanctioned affirmative action program (good for one year from the date of the letter); or

2. A photocopy of a Certificate of Employee Information Report approval, issued in accordance with N.J.A.C. 17:27-4 or

3. If the Contractor has neither of the above, Bergen Community College will provide the Contractor that will be awarded the contract, with an A.A.302 Employee Information Report Form which is to be completed and submitted to the Division of Contract Compliance and Equal Employment Opportunity in Public Contracts, Department of Treasury of the State of New Jersey, with a copy to the College. Upon submission and review by the Department of Treasury, this report shall constitute evidence of compliance with the regulations.

The undersigned understands that the College must reject their bid as non-responsive if said firm(s) fail to comply with the requirements of N.J.S.A. 10:5-31 et seq., N.J.A.C. 17:27-1 et seq.

and Federal Executive Order 13672.

Firm Name:

Signature:

Title:

Date:

FORM 00880

SUSPENSION AND DEBARMENT CERTIFICATION

Bidder hereby certifies that neither it nor its principals are debarred, suspended, proposed for debarment, or declared ineligible by any federal or state agency.

Company Name

Address

City State

Telephone Fax

Authorized Signature_

Printed Name

Date

FORM 00890

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN

PART 1: CERTIFICATION

BIDDERS MUST COMPLETE PART 1 BY CHECKING EITHER BOX.

FAILURE TO CHECK ONE OF THE BOXES WILL RENDER THE BID NON-RESPONSIVE

Pursuant to Public Law 2012, c. 25, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract with the Authority must complete the certification below to attest, under penalty of perjury, that neither the person or entity, nor any of its parents, subsidiaries, or affiliates, is identified on the Department of Treasury’s Chapter 25 list as a person or entity engaging in investment activities in Iran. The Chapter 25 list is found on the Division’s website at http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.

Respondents must review this list prior to completing the below certification. Failure to complete the certification will render a Respondent’s proposal non-responsive. If the Authority finds a person or entity to be in violation of law, the Authority shall take action as may be appropriate and provided by law, rule or contract, including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.

PLEASE CHECK THE APPROPRIATE BOX:

I certify, pursuant to Public Law 2012, c. 25, that neither the respondent listed above nor any of the respondent’s parents, subsidiaries, or affiliates is listed on the N.J.

Department of the Treasury’s list of entities determined to be engaged in prohibited activities in Iran pursuant to P.L. 2012, c. 25 (“Chapter 25 List”). I further certify that I am the person listed above, or I am an officer or representative of the entity listed above and am authorized to make this certification on its behalf. I will skip Part 2 and sign and complete the Certification below.

OR

I am unable to certify as above because the respondent and/or one or more of its parents, subsidiaries, or affiliates is listed on the Department’s Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in Part 2 below and sign and complete the Certification below. Failure to provide such will result in the proposal being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law.

[CONTINUED ON NEXT PAGE]

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN (Continued)

PART 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT

ACTIVITIES IN IRAN

You must provide a detailed, accurate and precise description of the activities of the responding person/entity, or one of its parents, subsidiaries, or affiliates, engaging in the investment activities in Iran outlined above by completing the boxes below.

EACH BOX WILL PROMPT YOU TO PROVIDE INFORMATION RELATIVE TO THE ABOVE

QUESTIONS, PLEASE PROVIDE THOROUGH ANSWERS TO EACH QUESTION. IF YOU

NEED TO MAKE ADDITIONAL ENTRIES, PLEASE PROVIDE ON A SEPARATE ATTACHED

PAGE.

Name _________________________

Relationship to Bidder________________________________

Description of Activities_________________________________________________________

Duration of Engagement __________________ Anticipated Cessation Date _______________

Respondent’s Contact Person ______________________

Contact Phone Number ___________

Certification: I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the above-referenced person or entity. I acknowledge that the College is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the College to notify the College in writing of any changes to the answers or information contained herein. I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my contract(s) with the College which, at its option, may declare any contract(s) resulting from this certification void and unenforceable.

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN (Continued)

Full Name (Print): __________________ Signature: ________________________ Title: ____________________________ Date: ________________________

FORM 00900

CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED ACTIVITIES

IN RUSSIA OR BELARUS PURSUANT TO P.L.2022, c.3

CHECK THE APPROPRIATE BOX

☐ I, the undersigned , am authorized by the person or entity seeking to enter into or renew the contract identified above, to certify that the Vendor/Bidder is not engaged in prohibited activities in Russia or Belarus as such term is defined in P.L.2022, c.3,1 section 1.e, except as permitted by federal law.

I understand that if this statement is willfully false, I may be subject to penalty, as set forth in P.L.2022, c.3, section 1.d.

OR

☐ I, the undersigned am unable to certify above because the person or entity seeking to enter into or renew the contract identified above, or one of its parents, subsidiaries, or affiliates may have engaged in prohibited activities in Russia or Belarus. A detailed, accurate and precise description of the activities is provided below.

Failure to provide such description will result in the Quote being rendered as non-responsive, and the Department/Division will not be permitted to contract with such person or entity, and if a Quote is accepted or contract is entered into without delivery of the certification, appropriate penalties, fines and/or sanctions will be assessed as provided by law.

Description of Prohibited Activity

Attach Additional Sheets If Necessary.

If you certify that the bidder is engaged in activities prohibited by P.L. 2022, c. 3, the bidder shall have 90 days to cease engaging in any prohibited activities and on or before the 90th day after this certification, shall provide an updated certification. If the bidder does not provide the updated certification or at that time cannot certify on behalf of the entity that it is not engaged in prohibited activities, the State shall not award the business entity any contracts, renew any contracts, and shall be required to terminate any contract(s) the business entity holds with the State that were issued on or after the effective date of P.L. 2022, c. 3.

FORM 00900

CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED ACTIVITIES

IN RUSSIA OR BELARUS PURSUANT TO P.L.2022, c.3 (Continued)

Signature of Authorized Representative Date

Print Name and Title of Authorized Representative

1 Engaged in prohibited activities in Russia or Belarus” means (1) companies in which the Government of Russia or Belarus has any direct equity share; (2) having any business operations commencing after the effective date of this act that involve contracts with or the provision of goods or services to the Government of Russia or Belarus; (3) being headquartered in Russia or having its principal place of business in Russia or Belarus, or (4) supporting, assisting or facilitating the Government of Russia or Belarus in their campaigns to invade the sovereign country of Ukraine, either through in-kind support or for profit.

FORM 00920

ANTI-LOBBYING FORM

CERTIFICATION OF RESTRICTIONS ON LOBBYING

I ________________________________________ hereby certify on

(name and title of bidder's official) behalf of that:

(name of bidder)

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit standard Form-LLL, "Disclosure Form to Report Lobbying, " in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all sub awards at all tiers (including subcontracts, sub grants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance is placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

[CONTINUED ON NEXT PAGE]

FORM 00920

ANTI-LOBBYING FORM

CERTIFICATION OF RESTRICTIONS ON LOBBYING (Continued)

Executed this _________ day of ___________________________ 2026

BY

(signature of authorized official)

(title of authorized official)