Blank_Bid_Proposal-Athletic_Apparel.pdf

CITY OF NEWARK

BID SPECIFICATIONS AND

CONTRACT DOCUMENTS

DIVISION OF CENTRAL PURCHASING

47-63 GREEN STREET , NEWARK, NEW JERSEY 07102

CONTRACT FOR:

Bid Proposal Title: Athletic Apparel

Bid #2021-11

BID DUE DATE: July 15, 2021 at 10:15AM

PREPARED BY:

Division of Central Purchasing

City of Newark, New Jersey

NOTICE TO BIDDERS

NOTICE IS HEREBY GIVEN that sealed bids will be received via the City’s e-Procurement Portal, ProcureNow (https://secure.procurenow.com/portal/newarknj) on July 15, 2021 at 10:15AM local prevailing time, at which time and place bids will be opened and read in public for:

Athletic Apparel

Specifications and other bid information may be obtained via the City’s e-Procurement Portal Bids must be made on the forms provided in the bid package.

Bidders are required to comply with the requirements of N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 et seq.

Jerome Wakefield, JD, QPA

Purchasing Agent

(973) 733-5461

Publication date: June 30, 2021

DEPARTMENT OF ADMINISTRATION

DISIVISION OF CENTRAL PURCHASING

47-63 GREEN STREET

NEWARK, NEW JERSEY 07102

Jerome Wakefield, JD, QPA Purchasing Agent

BID PROPOSAL (2021-11)

ALL BIDS MUST BE SUBMITTED VIA THE CITY’S e-PROCUREMENT PORTAL ON OR BEFORE 10:15 A.M. ON THE

DATE SPECIFIED, AT WHICH TIME BIDS WILL BE OPENED AND PUBLICLY READ.

Point of Contact Phone Number Term of Contract

Name: Phyllis Glanton Email: glantonp@ci.newark.nj.us

(973) 733-3821 Not to exceed twenty-four

(24) consecutive months.

THIS BID PROPOSAL MUST BE UPON THIS FORM AND SUBMITTED VIA THE e-PROCUREMENT

PORTAL .

If the Business Administrator has authorized the Purchasing Agent, in writing, to eliminate or modify the Bonding requirements they are as follows:

1. The Bid Bond (certified check/cashier’s check), in the amount of 10% of the total bid not to exceed $20,000.00 IS [ X ] Waived [ ] Required

2. The Performance Bond: IS [ X ] Waived [ ] Required [ ] Reduced to the sum of $ or % of total bid.

a. All pertinent papers including a copy of Bid Bond or Certified Check (if not covered by an Annual Bid Bond) must be submitted as part of the proposal, with an original copy being submitted to the Office of the Division of Central Purchasing, 47-63 Green Street, Newark, NJ 07102.

b. If an Annual Bid Bond is on file with the Office of the Division of Central Purchasing, 47-63 Green Street, Newark, NJ 07102, covering the CURRENT YEAR, no Bid Bond or Certified Check is required with the bid.

Note: All Annual Bid Bonds expire on December 31st of each calendar year, regardless of the date filed.

c. If the total amount of your bid is UNDER $44,000.00 a Bid Bond or Certified Check is not required.

d. On bids that are RE-ADVERTISED, a new Bid Bond or Certified Check is not required.

e. No bid will be allowed to be withdrawn for any reason after having been deposited or delivered to the Division of Central Purchasing, up to and at the time and date for receiving bids.

f. OTHER REQUIREMENTS: See “Bid Document Checklist” for required documents. A bidder may request the withdrawal of a bid within five business days after a bid opening due to a mistake, pursuant to N.J.S.A. 40A:11-23.3(a).

g. Until further notice, IN-PERSON ATTENDANCE AT BID OPENINGS IS PROHIBITED due to restrictions on public gatherings under the State of Emergency. We are not conducting in person bid/RFP openings during the competitive bidding process.

h. The City of Newark will conduct and broadcast the bid opening in real time at the Division of Central Purchasing at 10:15 a.m. EST. Bidders and the public have the option of remotely accessing and viewing the bid opening in real time through Zoom conference call with visual and

Bid Proposal: Athletic Apparel

Due Date: Thursday, July 15, 2021 audio capability. Bidders can view the bid opening on July 15, 2021 at 10:15 AM Eastern Time on zoom. The information is below:

Join Zoom Meeting https://NewarkNJ.zoom.us/j/7275937622

Meeting ID: 727 593 7622 One tap mobile +13126266799,,7275937622# US (Chicago)

+16465588656,,7275937622# US (New York)

Meeting ID: 727 593 7622 i.

Business Registration Certificate must be on file prior to award of the contract if not submitted with the Bid Proposal.

BIDDER MUST FILL IN THE FOLLOWING INFORMATION

Firm of Bidder Signature Email Address

Address (Print or Type) City State Zip Code Phone Number

FID# _____________________ or S.S.# ____________________________ _________________________ Social Security Number Date https://newarknj.zoom.us/j/7275937622

BID DOCUMENT CHECKLIST

Required Required with Bid Submission

(when marked with “X”)

Bidder initial each required entry and if required, submit the item

☒ Statement of Ownership Disclosure

☒ Non-Collusion Affidavit (form must be signed and notarized (certificate in lieu of affidavit is permitted during pandemic period but certification must be signed)

☒ Bid Proposal Form

☒ Evidence of Affirmative Action Compliance*- Bidder must submit one of the following three documents:

(1) Letter of Federal Affirmative Action Plan Approval;

(2) Certificate of Employee Information Report (CEIR); or

(3) Employee Information Report Form AA302-if no CEIR

☒ Business Registration Certificate (BRC)*

☒ NJ BRC- Designated subcontractor (prior to award)

☒ Record Retention Compliance Notification

☒ Disclosure of Investment Activities in Iran Certification must be submitted with bid

☒ Americans with Disabilities Act of 1996

☒ Sweatshop Compliance Certification

☒ Bidder Qualification Questionnaire and Criminal Conviction Form

☒ Republic of Sudan Compliance Certification

☐ NJ Public Works Contractor Registration Certificate (prior to award but effective at time of bid opening)

NJSA: 34:4-56.51

☐ NJ Public Works Contractor Registration Certificate for subcontractors (prior to award but effective at time of bid opening)

☐ Notice of Intent to subcontract(Mandatory)-Failure to submit with bid is an automatic fatal defect

☐ Subcontractor Listing

☐ Performance Bond and Labor and Material bond (Required from Awarded subcontractor)

☐ Prevailing Wage Statement

☒ Consent to Hold Bid

☐ License(s) and Certification(s) from contractors and subcontractors required from project

☐ Indemnity and Insurance Requirements

☐ Hazardous Communication Certification

☐ Equipment Certification

☐ Bid Guarantee (with Power of Attorney for full amount of Bid Bond)

☐ Consent of Surety for Performance Bond (with Power of Attorney for full amount of Bid Price)

☒ Debarment Form

☒ Certification of Non-disclosure of Protected Information

*Statutorily allowed to be provided with bid OR prior to the execution of contract.

Full Name (Print):

Title:

Signature:

Date:

STATEMENT OF OWNERSHIP DISCLOSURE

N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43)

This statement shall be completed, certified to, and included with all bid and proposal submissions.

Failure to submit the required information is cause for automatic rejection of the bid or proposal.

Name of Organization:

Organization Address:

Part I Check the box that represents the type of business organization

☐ Sole Proprietorship (skip Parts II and III, execute certification in Part IV)

☐ Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)

☐ For-Profit Corporation (any type) ☐ Limited Liability Company (LLC)

☐ Partnership ☐ Limited Partnership ☐ Limited Liability Partnership (LLP)

☐ Other (be specific): _________________________________________________

Part II

☐ The list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a 10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION)

OR

☐ No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV)

(Please attach additional sheets if more space is needed):

Name of Individual or Business Entity Home Address (for individuals) or Business Address

Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II

If a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed.

Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #’s

Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part II other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed.

Stockholder/Partner/Member and

Corresponding Entity Listed in Part II Home Address (for Individuals) or Business Address

Part IV CERTIFICATION

I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachment thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the bidder/proposer; that the City of Newark, Division of Central Purchasing, is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the completion of any contracts with the City of Newark, Division of Central Purchasing, to notify the Division of Central Purchasing in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the City of Newark, permitting the Division of Central Purchasing to declare any contract(s) resulting from this certification void and unenforceable.

EXHIBIT A

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

N.J.S.A. 10:5-31 et seq. (P.L. 1975, C.127) and N.J.A.C. 17:27 et seq.

GOODS, GENERAL SERVICES, AND PROFESSIONAL SERVICES CONTRACTS

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

The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, 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 subcontract, where applicable, will in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.

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

The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act.

The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. l7:27-5.2.

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

The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New Jersey and as established by applicable Federal law and applicable Federal court decisions.

EXHIBIT A (Cont.)

In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.

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

Letter of Federal Affirmative Action Plan Approval;

Certificate of Employee Information Report; and

Employee Information Report Form AA-302

The contractor and its subcontractors shall furnish such reports or other documents to the Division of

Purchase & Property, CCAU, EEO Monitoring Program, as may be requested by the office from time to time, in order to carry out the purposes of these regulations. Public agencies shall furnish such information, as may be requested by the Division of Purchase & Property, CCAU, EEO Monitoring Program, for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.

COMPANY NAME:____________________________________________

AUTHORIZED SIGNATURE____________________________________

PRINTED NAME:_____________________________________________

ATTACHMENT B

NEW JERSEY ANTI-DISCRIMINATION PROVISIONS

N.J.S.A. 10:2 et seq.

Pursuant to N.J.S.A. 10:2-1, if awarded a contract, the contractor agrees that:

a. In the hiring of persons for the performance of work under this contract or any subcontract hereunder, or for the procurement, manufacture, assembling or furnishing of any such materials, equipment, supplies or services to be acquired under this contract, no contractor, nor any person acting on behalf of such contractor or subcontractor, shall, by reason of race, creed, color, national origin, ancestry, marital status, gender identity or expression, affectional or sexual orientation or sex, discriminate against any person who is qualified and available to perform the work to which the employment relates;

b. No contractor, subcontractor, nor any person on his behalf shall, in any manner, discriminate against or intimidate any employee engaged in the performance of work under this contract or any subcontract hereunder, or engaged in the procurement, manufacture, assembling or furnishing of any such materials, equipment, supplies or services to be acquired under such contract, on account of race, creed, color, national origin, ancestry, marital status, gender identity or expression, affectional or sexual orientation or sex;

c. There may be deducted from the amount payable to the contractor by the contracting public agency, under this contract, a penalty of $50.00 for each person for each calendar day during which such person is discriminated against or intimidated in violation of the provisions of the contract; and

d. This contract may be canceled or terminated by the contracting public agency, and all money due or to become due hereunder may be forfeited, for any violation of this section of the contract occurring after notice to the contractor from the contracting public agency of any prior violation of this section of the contract.

No provision in this section shall be construed to prevent a board of education from designating that a contract, subcontract or other means of procurement of goods, services, equipment or construction shall be awarded to a small business enterprise, minority business enterprise or a women's business enterprise pursuant to P.L.1985, c.490 (C.18A:18A-51 et seq.).

ATTACHMENT C

AMERICANS WITH DISABILITIES ACT OF 1996

Equal Opportunity for Individuals with Disability

The contractor and the owner do hereby agree that the provisions of Title 11 of the Americans with Disabilities Act of 199 (the "Act") (42 U.S.C. S121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the City of Newark pursuant to this contract, the contractor agrees that the performance shall be in strict compliance with the Act. In the event that the contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the City of Newark in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the City, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner’s grievance procedure, the contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense.

The City of Newark shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, if any action or administrative proceeding is brought against the City of Newark or any of its agents, servants, and employees, the City of Newark shall expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the owner or its representatives.

It is expressly agreed and understood that any approval by the City of Newark of the services provided by the contractor pursuant to this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the City of Newark pursuant to this paragraph.

It is further agreed and understood that the City of Newark assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor’s obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the City of Newark from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.

Date Signature

REQUEST FOR CONSENT TO HOLD PRICES

Pursuant to N.J.S.A. 40A:11-24, The City of Newark and/or its Central Purchasing Division is requesting consent to hold prices from each Respondent/bidder submitting a Bid response package, in the event the contracting unit is unable to award a contract within sixty (60) days.

I, the undersigned, understand that this is a request from The City of Newark and/or its Central Purchasing Division for my company/business, submitting this Bid response package, to consent to hold prices in the event that there are any delays with the awarding of this contract and the City of Newark is unable to award the contract within sixty (60 days.

I consent/agree that the City of Newark and/or its Central Purchasing Division may hold my bid proposal for consideration until such time as an award is made, or until ____________ (Date consent expires). If no date is entered, my consent to hold prices is valid until an award is made and contract is executed.

Authorized Representative Title Date

Information to be completed by the Division of Central Purchasing

VENDOR: ____________________________________________________________________

BID PROPOSAL: ____Athletic Apparel______________________________________________

BID ADVERTISEMENT: ___6/30/21,_3/4/21_________________________________________

BID PROPOSAL DUE DATE: _7/15/21,_3/18/21______________________________________

SWEATSHOPS

Ordinance 6 PH S&FH 080499

Pursuant to Ordinance 6 PH S&FH 080499, the City of Newark shall not purchase, lease, rent or take on the consignment of goods or services produced under sweatshop conditions.

Compliance I, the undersigned, have read, understand and comply with all aspects of Ordinance 6 PH S&FH 080499. I agree that if either I or the company I represent am found to be in non-compliance with any aspect of this Ordinance, the immediate termination of any established contract will be reasonable and justified.

VENDOR: _________________________________ _________________________________

BID PROPOSAL: __ Athletic Apparel__________________ _________________________

BID ADVERTISEMENT: ___6/30/21, 3/4/21__________________________________________

BID PROPOSAL DUE DATE: _7/15/21, 3/18/21_______________________________________

Ord6phs Rev. 5/15/18

REPUBLIC OF SUDAN

Ordinance 6 PH S&F-b112007

Pursuant to Ordinance 6 PH S&F-b112007, the City of Newark shall not accept bids for any goods, materials, supplies and services required by the City of Newark from any business entity having investments, licenses or operations in the Republic of Sudan.

Compliance I, the undersigned, have read, understand and comply with all aspects of Ordinance 6 PH S&F-b112007. I agree that if either I, or the company I represent is found to be in non-compliance with any aspect of this Ordinance, the immediate termination of any established contract will be reasonable and justified.

VENDOR: _______________________________________________________________________________

BID PROPOSAL: __Athletic Apparel_____________________ _________________________

BID ADVERTISEMENT: ___6/30/21, 3/4/21_________________________________________

BID PROPOSAL DUE DATE: _7/15/21, 3/18/21_______________________________________

Ord6phs&F-b DCP-9/23/08 bjp

Disclosure of Investment Activities in Iran

Bidder Name:

Part 1: Certification

BIDDERS ARE TO COMPLETE PART 1 BY CHECKING EITHER BOX.

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 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 www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf. Bidders must review this list prior to completing the below certification. Failure to complete the certification may render a bidder's proposal nonresponsive. If the Director finds a person or entity to be in violation of law, s/he 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.

CHECK THE APPROPRIATE BOX:

☐ I certify, pursuant to Public Law 2012, c. 25, that neither the bidder listed above nor any of the bidder'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 bidder 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 sign and complete the Certification below. Failure to provide such will result in the proposal being rendered as nonresponsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law.

Part 2 – Additional Information

PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN. You must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activates in Iran on additional sheets provided by you.

Part 3 – Certification

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

STATE REQUIRED RECORD RETENTION

N.J.S.A. 52:15c-14(d) and N.J.A.C. 17:44-2.2

I, THE UNDERSIGNED HAVE READ, UNDERSTAND AND COMPLY WITH ALL ASPECTS OF N.J.S.A.

52:15C-14(d) and N.J.A.C. 17:44-2.2.

I shall maintain all documentation related to products, transactions or services under this contract for a period of five years from the date of final payment. Such records shall be made available to the New Jersey Office of the State Comptroller upon request. Refusal by the company, as named below, and/or any legal change to the name, to provide information upon request by the State Comptroller, or otherwise impede or fail to cooperate with any audit or performance review, the State Comptroller may recommend to the City of Newark that the person be subject to termination of their contract, or temporarily or permanently debarred from contracting with the City of Newark.

Company Name :

Company Address:

Bid Proposal Title: __Athletic Apparel_________________________________

Bid Advertisement Date: ___6/30/21, 3/4/21_____________________________

Bid Proposal Due Date: ____7/15/21, 3/18/21__________________ _________

5/18

NON-COLLUSION AFFIDAVIT/CERTIFICATION

State of _______________________________

County of _____________________________ ss:

I, ____________________ residing in ______________________ in the County of ____________________ (name of affiant) (name of municipality) and the State of _____________________, of full age, being duly sworn according to law on my oath depose and say that:

(1) I, _____________________ of ______________________________, the Bidder that has submitted the Title Name of Firm attached Bid;

(2) I am fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;

(3) Such Bid is genuine and is not a collusive or sham bid;

(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affidavit has in any way colluded, conspired, connived or agreed, directly or indirectly with any other

Bidder, firm or person to submit a collusive or sham bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder or to fix any overhead, profit or cost element of the bid price of any other bidder or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Newark or any person interested in the proposed Contract; and

(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affidavit.

Signature

Subscribed and sworn to before me Certification in lieu of notary:

this ______ day of _______________, 20 ______ “I certify that I am the signatory and am duly authorized to execute this certification/document and that the ________________________________________ foregoing is true and I am aware that if any of the foregoing is willfully false, I am subject to punishment and penalty.”

Title Signature

My Commission Expires ___________________

Certification in lieu of notary is authorized until further notice.

DIVISION OF CENTRAL PURCHASING

BIDDER QUALIFICATION QUESTIONNAIRE

AND

CRIMINAL CONVICTION FORM

This questionnaire must be completed by the bidder. Please complete it thoroughly.

1. Company Name: ______________________________________________________________________________

2. Business Address: _____________________________________________________________________________

3. Length of time bidder has conducted business from this address: ________________________________________

4. Number of years in business: _____________________________________________________________________

5. Type of Business: ______________________________________________________________________________

6. Number of Employees: ___________ Full-time: ___________ Part-time: _______________________

7. Name and branch of the bank used in your financial business affairs:

8. Provide three (3) references below of your most recent contractual projects. Complete All blanks.

A. Name: _____________________________ Address: ___________________________________________

Start Date: ___________ Completion: _______________ No. of Employees: ________________

Contact Person: _________________________ Telephone No.: _______________________________

Total Amount of Contract: _________________

Type of Commodity/Service: ________________________________________________________________

B. Name: _____________________________ Address: ____________________________________________

Start Date: ___________ Completion: _______________ No. of Employees: _________________

Contact Person: _________________________ Telephone No.: ________________________________

C. Name: _____________________________ Address: ____________________________________________

Start Date: ___________ Completion: _______________ No. of Employees: _________________

Contact Person: _________________________ Telephone No.: ________________________________

9. CRIMINAL CONVICTION. Pursuant to Newark Municipal Code §2:4-17.2, Bidder must disclose any criminal conviction(s) in this state or any other jurisdiction.

Has the Bidder ever been convicted of a criminal offense in this state or any other jurisdiction? ☐ YES ☐ NO

Any rejection by the City, based on prior conviction, shall not take place unless and until there has been a responsibility hearing held by the City. Any conviction of any person(s) named above, in this state or any other jurisdiction, during this contract or agreement period must be reported to the Corporation Counsel of the City of Newark. (R.O. §2:4-17.2)

Name of Person Completing Form: _________________________________ Date: __________________________ Signature: ________________________________________________ Title: __________________________

Ras J. Baraka

Mayor

Newark____________________________

TO: THE PRESIDENT OF THE COMPANY

RE: AFFIRMATIVE ACTION REGULATIONS PL. 2010.C.482

Pursuant to New Jersey Public Law 2010 c. 482, the following procedures for entering into contracts with the City of Newark are in effect.

PROCUREMENT CONTRACTORS are required to do one of the following within 10 days of being notified that you are the successful bidder.

a. Submit an existing Federally approved or sanctioned Affirmative Action Plan.

b. Submit a Certificate of Employee Information Approval.

c. If your company cannot present “a” or “b” you are required to submit a complete Employee

Information Report (Form AA302) which is available from the Office of Affirmative Action.

The City of Newark’s Affirmative Action office is located at the address given below if you need additional information.

920 Broad Street, Room B-25

City Hall

Newark, N.J. 07102

Certificates of Employment should be submitted with your bid. Successful bidders failing to submit this certificate with their bid will be required to provide this information with their signed contracts.

Thank you,