CC# 23-14 Parking Management Comp contract.pdf

PROJECT MANUAL

for

CC# 23-14

COMPETITIVE CONTRACT

PARKING MANAGEMENT SYSTEMS

City of Cape May, Cape May County, N.J.

January 24, 2024 at 11:00A.M.

MAYOR & COUNCIL

Mayor Zachary Mullock

Councilmember Lorraine Baldwin

Councilmember Shaine P. Meier

Councilmember Michael Yeager

Councilmember Maureen K. McDade

Erin C. Burke, RMC, City Clerk

Michael Voll, City Manager

Competitive Contract Request for Proposals

Notice is hereby given by the City of Cape May that a Competitive Contract in accord with N.J.S.A. 40A:11-4.1 will be received by the City on January 24, 2024 at 11:00am prevailing time conducted on electronic platform, in accord with N.J.A.C. 5:34-1 et. Seq., on

BIDNET at www.bidnetdirect.com//capemaycity

CC #23-14 PARKING MANAGEMENT SYSTEMS

NOTE:

It is the bidder’s responsibility to ensure that the bid package is uploaded onto the e-procurement site by the bid opening date and time. Any bid document received after the deadline established by the Department of Purchasing will not be accepted, regardless of the method of delivery.

Bidders must comply with the requirements of N.J.S.A. 10:5-31 et seq., and

N.J.A.C. 17:27 et. Seq., For zoom opening information, contact the Qualified Purchasing Agent at scanning@TheCanningGroup.org

The City of Cape May will award this Competitive Contract in accord with Price and

Other Factors as outlined within N.J.S.A 40A:11-4.1 et. Seq., and N.J.A.C. 5:34-4.1 et. Seq., Report of Competitive Contract:

In accord with N.J.S.A. 40A:11-4.4(d) the summary report will be posted on the City procurement website at www.bidnetdirect.com//capemaycity at least 48 hours prior to the governing body taking action on award.

This procurement has been advertised in accordance with the “Fair and Open Basis”

(N.J.S.A. 19:44A-20.5).

Ordered By: Erin C. Burke

City Clerk http://www.bidnetdirect.com/capemaycity mailto:scanning@TheCanningGroup.org

Applicable to Bid if marked “X”

DOCUMENTATION REQUIRED OR REVIEWED

Initials When Due

Bid Guarantee (Bid Bond or Certified/Cashier’s Check) (with

POA for full amount of Bid Bond)

With Bid

Submission

Consent of Surety (Certificate from Surety company)

Performance Bond and Labor and Material Payment Bond

(Required from the Awarded Contractor)

At signing of contract

Maintenance Bond in the Amount of 100 % for a period indicated in “General Conditions” Required from the Awarded

Contractor Upon Acceptance of Project

Upon

Acceptance of

Project

Acknowledgement of Receipt of Addenda (To be Completed if Addenda are Issued)

X Ownership Disclosure Form With Bid

Submission

Named Subcontractors in Bid for Listed Specialty Trades

Public Works Contractor Registration Certificate(s) for the

Bidder and all Sub Contractors

Prior to Award, but effective at time of bid

X Business Registration Certificate – Bidder and all Sub

Contractors

Prior to

Contract

Award

Non-Collusion Affidavit With Bid

Submission

X Experience and Qualifications With Bid

Submission

X Insurance and Indemnification Certificate

Prior to

Contract

Award

X Disclosure of Investment Activities in Iran Form

Prior to

Contract

Award

Federal debarment Form

Prior to

Contract

Award

Prevailing Wage Certification (PL 2021, C301)

Prior to

Contract

Award

Equipment Certification

EEO/AA Form AA-201

After Notice of

Award, Prior to

Signing

Contract

X EEO/AA Form AA-302 or Letter of Federal Approval or

Certificate of Employee Information Report

After Notice of

Award, Prior to

Signing

Contract

X Bidder’s Checklist

This checklist is provided for bidder’s use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications.

Bidder

Name:

Date:

Authorized

Representative:

Signature:

Print Name &

Title:

COMPETITIVE CONTRACT DIGITAL ARCHIVE

CITYOF CAPE MAY

1.0 SCOPE AND PURPOSE

A. The City of Cape May intends on hiring a qualified firm to provide for electronic based parking meter and management systems for the City’s parking management.

B. The City is conducting this procurement as a competitive contract concession in accord with N.J.S.A. 40A:11-4.1 et seq.

C. As such the vendor will be awarded based upon the most advantageous vendor price and other factors considered.

i. Technical _______%

ii. Manager________%

iii. Cost_____________%

iv. Weights will be announced at the time of opening.

D. Term of contract in accord with N.J.S.A. 40A:11-4.1 et. Seq. shall be for a period not to exceed five (5) years.

2.0 SUBMITTALS AND QUESTIONS

A. All responses shall be made on the procurement platform for the City at:

www.bidnetdirect.com//capemaycity

B. All questions shall be through the e-procurement portal.

C. No physical or emailed responses will be honored or received.

3.0 INTRODUCTION AND OVERVIEW

A. The City of Cape May, N.J. (City) intends to modernize the operations of its entire on-street parking system. Currently the City’s existing on-street parking system is comprised of approximately 1,300 single-space parking meters, 26 solar powered multi-space

(Parkeon) smart meter kiosks. The Department of Public Works (DPW), is tasked with the installation, repair, maintenance, collection and enforcement of the on-street meter system. The vendor proposal shall include signage to be placed throughout the City’s http://www.bidnetdirect.com/capemaycity various parking areas to include instructions as to how to pay and utilize the system. The signage shall be clear and comprehensible to the end user.

B. Following the specifications outlined in this document and deliverable services related to implementation must include solutions that will meet the functional and technical requirements as defined in the RFP.

C. The successful vendor(s) will also be required to develop and implement such system(s) to the extent described, and provide the access, integrations to system operating and management platforms and sites and provide information and analytical reports as described in this RFP. All costs for these products, services, and warranties must be provided in the manner specified and presented herein.

4.0 Background

A. The City’s of Cape May ordinance #491-2023 governs location and fees associated with parking within the City of Cape May, New Jersey.

B. With a permanent population of 3,800 residents, Cape May plays host to 45,000 vacationers during the summer weekends without compromising its tranquil, slow-paced, and relaxing atmosphere. In addition, based upon seasonally warm weather in the spring and fall, the City has evolved into a town for all seasons with a presentation of a comprehensive selection of themed festivals and diversified events reflecting the embracing of the arts, culture, and history into our fabric.

5.0 Vendor response

A. All equipment, devices, systems, and software platforms associated with the provision of hardware, software and services, to be provided by responding vendors, shall be capable of being appropriately connected and integrated as required.

B. All vendors shall be obligated to work with and provide the same systems and levels of connectivity and integration, at no charge to the City, to any other back-office parking ticket processing and management entity the City may choose to engage in the future to replace Conduent and the services it provides.

C. As part of its overall plan to modernize the on-street parking management system, the

City intends to transition to a format for accepting on-street parking transaction payments at pay stations and via mobile payment app.

D. The selected vendors shall be required to work with the city and other vendors, as appropriate, to deliver, operationalize and provide on-going service and support to achieve a seamless multi-faceted on-street parking management and enforcement system solution to the City of Cape May.

E. Vendors are allowed to submit a proposal that will deliver one, two or all three of the fundament elements of this RFP (i.e., a network of smart meters, a full-featured mobile payment solution.

F. The successful vendor(s) must present their capabilities and qualifications to provide all materials, labor, equipment, on-going service/support, warranties, and training necessary to install and operationalize these sought-after procurement elements as described below:

G. Delivery, installation, and service support for new network of smart credit card enabled

Multi- Space Parking Meters (MSPM), and smart credit card enabled Single-Space

Parking Meters (SSPM), H. Setup and on-going operations of Mobile Payment Solution platform that will allow parking customers to either pay transaction charges using a PbC application or a dial-up Interactive Voice Response (IVR) payment platform.

I. Provide, install, and operationalize Mobile ALPR equipment (i.e., ALPR cameras, tablets, servers. etc.) for several City DPW vehicles.

J. The City will only accept SSMP hardware and software proposals from vendors that are able to provide both MSPM and SSMP unit models which can be monitored and managed by the same back-office smart meter system management software platform

– separate proposals by vendors who seek to only provide SSPMs accompanying standalone software will not be accepted.

K. The SSPM system must possess the capacity to interface with all the industry-leading mobile payment service platforms.

L. Is found in attached documents to this procurement.

M. Warranties, services, support, spare parts for necessary hardware and software system for the complete installation and continued operations of a fully functioning turnkey

Smart Parking Meter System Network are further defined in Functional and Technical

Requirements section of this RFP.

N. The Mobile Payment Solution must offer a comprehensive User Account Registration and

Management platform that supports a diverse range of contactless payment options

(i.e., Mobile Application, Pay by Web, Interactive Voice Response (IVR), QR Code, SMS text and direct pay using Apple Pay and Google Pay apps).

O. The Mobile Payment Solution must have the capacity to be fully integrated with the

Smart Meter system network.

P. The VENDER MUST AS PART OF ITS PROPOSAL provide signage for the City’s various parking areas to indicate the payment options and/or instructions to utilize the system.

Q. The VENDOR MUST AS PART OF ITS PROPOSAL, retain and charge their charge per parking cost and remit to the City the fees associated with parking. In other words, the charges for the vendor services must be applied and be payable by the end user, the net impact of which being the City receiving 100% of the applicable rate for parking.

R. At no point in the proposal shall a vendor propose the city to remit the recompense portion of the parking service from the city.

S. Such a proposal will render the proposal as non-responsive to this procurement.

6.0 USER ACCEPTANCE TESTING AND TRAINING REQUIREMENTS

A. The City will perform functional user acceptance testing after all aspects of the meter system enhancement project has been operationalized. After this testing, the proposer shall correct any identified deficiencies/issues prior to final acceptance. This testing will focus on the performance of the principal hardware and device units and the associated software platforms and each platform’s integration with other related software platforms, for the mobile payment solution.

B. The proposer will be required to train all immediate supervisory staff on the utilization of this equipment, systems and software.

C. Vendor Client Reference

D. Each Vendor proposing as a Primary Contractor must provide the names and contact information of at least three different client references currently representing public sector municipality or public parking authority that the vendor has provided, installed, and is currently supporting the same types of products and services described in this

RFP.

7.0 Proposed Project Resources and Staffing

A. For this section, the Vendor must define the resources, and the type and level of service to be provided to deliver and operationalize each of the fundamental elements to satisfy the City’s requirements concerning implementing and deploying an enhanced on-street parking system management and enforcement system. At minimum, the

Vendor must define:

B. Expertise required to complete tasks and deliverables.

C. Number of technical and non-technical resources (Vendor and City) that will be required to complete tasks.

D. The proposed project staffing must include the Vendor’s project team leader, and all key staff (i.e., those persons dedicated for at least 50% of their time) employed by the

Vendor or the vendor’s sub-contractor(s) to be assigned to this project. The staffing plan should show all proposed individuals, including their major areas of responsibility during the project, and percent of the time to be dedicated to the project.

8.0 Historical Parking Revenue

A. 2020: $828,707

B. 2021: $1,288,710

C. 2022: $1,562,448

D. 2023 to Date: $1,825,754

Note: The above figures reflect the gross parking revenue generated through the City’s implementation of the ParkMobile application.

Technical criteria: RATER NAME:

(Max Points _) 1 Pt = Poor Response, 3 Points = Average Response, 5 Pts =

Concise and Superior Response

Vendor Name:

(1) Does the vendor's proposal demonstrate a clear understanding of the scope as listed in the minimum qualifications?

(2) Is the vendor's proposal complete and responsive to the specific requirements for service as requested?

(3) Has the past performance of the vendor's experience and qualifications been documented and proposed?

(4) Does the vendor's proposal use innovative technology and techniques that set them apart from other proposals?

Sub Total Technical 0

Management criteria:

(Max Points __) 1 Pt = Poor Response, 3 Points = Average Response, 5 Pts =

Concise and Superior Response

Vendor Name:

(1)How well does the proposed scheduling timeline meet the contracting unit's needs?

(2)Is there a project management plan?

(3)Does the vendor document the qualifications of its personnel to a greater degree of expertise than other proposals?

Sub Total Managerial 0

Cost criteria:

(Max Points __) 1 Pt = Poor Response, 3 Points = Average Response, 5 Pts =

Concise and Superior Response

Vendor Name:

(1)How well does the proposed scheduling timeline meet the contracting unit's needs?

(2)Is there a project management plan?

(3)Does the vendor document the qualifications of its personnel to a greater degree of expertise than other proposals?

(4) Yearly maintenance cost of software & data storage

SUB TOTAL COST 0

Final Rater Score 0

EXHIBIT A

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127)

N.J.A.C. 17:27 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 subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.

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

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

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

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

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

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

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

Letter of Federal Affirmative Action Plan Approval;

Certificate of Employee Information Report; or

Employee Information Report Form AA-302 (electronically provided by the Division and distributed to the public agency through the Division’s website at: http:// www.state.nj.us/treasury/contract_compliance.

The contractor and its subcontractors shall furnish such reports or other documents to the Division of Purchase & Property, CCAU, EEO Monitoring Program as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Purchase & Property, CCAU, EEO Monitoring Program for conducting a compliance investigation pursuant to N.J.A.C. 17:27-1.1 et seq http://www.state.nj.us/treasury/contract_compliance

NEW JERSEY ANTI-DISCRIMINATION PROVISIONS

N.J.S.A. 10:2-1 ET SEQ.

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

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

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

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

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

SAMPLE CERTIFICATE OF EMPLOYEE INFORMATION REPORT

New Jersey Business Registration Certification

Pursuant to N.J.S.A. 52:32-44, The City of Cape May (“Contracting

Agency”) is prohibited from entering into a contract with an entity unless the bidder/proposer/contractor, and each subcontractor that is required by law to be named in a bid/proposal/contract has a valid Business Registration

Certificate on file with the Division of Revenue and Enterprise Services within the

Department of the Treasury.

Prior to contract award or authorization, the contractor shall provide the

Contracting Agency with its proof of business registration and that of any named subcontractor(s).

Subcontractors named in a bid or other proposal shall provide proof of business registration to the bidder, who in turn, shall provide it to the Contracting Agency prior to the time a contract, purchase order, or other contracting document is awarded or authorized.

During the course of contract performance:

(1) the contractor shall not enter into a contract with a subcontractor unless the subcontractor first provides the contractor with a valid proof of business registration.

(2) the contractor shall maintain and submit to the Contracting Agency a list of subcontractors and their addresses that may be updated from time to time.

(3) the contractor and any subcontractor providing goods or performing services under the contract, and each of their affiliates, shall collect and remit to the Director of the Division of Taxation in the Department of the

Treasury, the use tax due pursuant to the Sales and Use Tax Act, (N.J.S.A.

54:32B-1 et seq.) on all sales of tangible personal property delivered into the State. Any questions in this regard can be directed to the Division of

Taxation at (609)292-6400. Form NJ-REG can be filed online at http://www.state.nj.us/treasury/revenue/busregcert.shtml.

Before final payment is made under the contract, the contractor shall submit to the Contracting Agency a complete and accurate list of all subcontractors used and their addresses.

Pursuant to N.J.S.A. 54:49-4.1, a business organization that fails to provide a copy of a business registration as required, or that provides false business registration information, shall be liable for a penalty of $25 for each day of violation, not to exceed $50,000, for each proof of business registration not properly provided under a contract with a contracting agency.

Emergency Purchases or Contracts

For purchases of an emergent nature, the contractor shall provide its Business

Registration Certificate within two weeks from the date of purchase or execution of the contract or prior to payment for goods or services, whichever is earlier.

http://www.state.nj.us/treasury/revenue/busregcert.shtml

SAMPLE BUSINESS REGISTRATION CERTIFICATE

FormAA302

Rev. 11/11

STATE OF NEW JERSEY

Division of Purchase & Property

Contract Compliance Audit Unit

EEO Monitoring Program

EMPLOYEE INFORMATION REPORT

IMPORTANT-READ INSTRUCTIONS CAREFULLYBEFORECOMPLETING FORM . FAILURE TO PROPERLY COMPLETE THE ENTIRE FORM AND TO SUBMIT THE REQUIRED

$150.00 FEE MA Y DELAY ISSUANCE OF YOUR CERTI FICATE. DO NOT SUBMIT EEO-1 REPORT FOR SECTION B, ITEM 11. For Instructio ns on completing the form, go to:

http://www.state.nj.us/treasury / contract comp lia nce/pdf/aa302 ins.pdf

SECTION A- COMPANY IDENTIFICATION

I. FID. NO. OR SOCIAL

SECURITY

2. TYPE OF BUSINESS

0 I. MFG O 2. SERVICE

0 4. RETAIL O 5. OTHER

O

3. WHOLESALE

3. TOTAL NO. EMPLOYEES IN THE ENTIRE

COMPANY

4. COMPANY NAME

5. STREET CITY COUNTY STATE ZIP CODE

6. NAME OF PARENT OR AFFlLIATED COMPANY (IF NON, E SO INDICATE) CITY STATE ZIP CODE

7. CHECK ONE: IS THE COMPANY: 0 SINGLE-ESTABLISHMENT EMPLOYER 0 MULTI-ESTABLISHMENT EMPLOYER

I I

9. T O TAL NUMBER OF EMPLOYEES AT ESTABLISHMENT WHICH HAS BEEN AWARDED THE CONTRACT

10. PUBLIC AGENCY AWARDING CONTRACT

CITY COUNTY STATE ZIP CODE

Official Use Onl DATE RECEIVED NAUG.DATE ASSIGNED CERTIFICATION NUMBER

SECTION B - EMPI OYMENJ DATA

11 . Reportall petmanent, temporary and part. time employees ON YOUR OWN PAYROLL. Enterthe appropriate figures on all lines and in all columns. Where there are no employees in a particular category, enter a zero. Include ALL employees, notjust those in minority/non-minority categories, in columns 1, 2, & 3. DONOTSUBMIT

AN EE0-1REPORT.

I

SECTION C - SIG NA TUREAND IDENTI FICATION

17. ADDRESS NO. & STREET CITY COUNTY STATE ZIP CODE PHONE (AREA CODE, NO.,EXTENSION)

JOB

CATEGORIES

ALL EMPLOYEES - M IN O RITY caaD 1 nvcc .- • •1 ~ - ••n •

COL . I

TOTAL

(Cols.2 &3)

COL. 2

MALE

COL. 3

FEMALE

*** ***** MALE* *** * * ********* ** ***** *** * *********FEMAL!=******* ***************

'3LACK

HISPANIC

AMER.

NDIA}

ASIAN

NON

MIN.

BLACK

HISPANIC

AMER.

INDIAN

ASI AN

NON

MIN .

Officials/ Ma nag ers

Profess ionals

Technicia ns

Sales Workers

Office& Cle rical

Craftw o rke rs

(Skilled)

Operatives

(Semi-s killed)

Laborers

(Unskilled)

Service Workers

TOTAL

To tal emplo yme nt

Fro m previo us Re o o rt ( If anv)

Temporary & Part-

Time Emp lo yees The data belowshall NOT be included in the figmes for the appropriate categories above.

1 2□. H OW WAS I NFORM□AT IO N AS TO RACE OR ETHNIC GROUP IN SECTION B OBTAINED

1. Visual Survey 2. Employment Record D 3- Other (Specify)

14 . IS THIS THE FIRST

Employee lnfonnation

Report Subm itted?

I. YES! 2.NOI

15. IF NO, DATE LAST

REPORT SUBMITTED

MO I DAY I YEAR

13. DATES OF PAYROLL PERIOD USED

From:

To:

http://www.state.nj.us/treasury/contractcompliance/pdf/aa302ins.pdf

PAY TO PLAY ADVISORY

Disclosure Requirement

P.L. 2005, Chapter 271, Section 3 Reporting

(N.J.S.A. 19:44A – 20.27)

Any business entity that has received $50,000 or more in contracts from government entities in a calendar year will be required to file an annual disclosure report with ELEC.

The report will include certain contributions and contract information for the current calendar year.

At a minimum, a list of all business entities that file an annual disclosure report will be listed on ELEC’s website at www.elec.state.nj.us.

If you have any questions please contact ELEC at:

1-888-313-ELEC (toll free in NJ) or

609-292-8700

An analyst from ELEC’s Special Programs Section will assist you.

Initials http://www.elec.state.nj.us/

Experience & Qualifications Questionnaire

This questionnaire must be filled out and submitted as a part of the Proposal.

Failure to complete this form or to provide any of the requested information will be grounds for the rejection of the bid proposal. If additional space is required, the respondent shall add additional sheets, which identify the question being answered.

Number of years in business under present name & address:

If less than 5 years, list previous names and address:

Within the last 5 years has the business or any officer/partner failed to complete a contract awarded to them: . If yes, provide the details in on a separate page.

Have any liens and lawsuits been filed against the company in the past 5 years:

If yes, please provide details:

List similar services you are now providing for which you have signed contract, but not yet started work:

List all major subcontractors to be used to complete the service and the area of their responsibility:

Experience & Qualifications Questionnaire

Please provide at least 3 references below:

Name: Phone:

Address:

Equipment/Service Provided:

Contract Amount:

Americans with Disabilities Act of 1990

The CONTRACTOR and the OWNER do hereby agree that the provisions of Title 11 of the Americans With

Disabilities Act of 1990 (the "ACT") (42 U.S.C~ S12101 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant thereunto, are made a part of this contract. In providing any act benefit, or service on behalf of the OWNER pursuant to this contract, the CONTRACTOR agrees that the performance shall be in strict compliance with the Act. In the event that the Contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the CONTRACTOR shall defend the OWNER in any action or administrative proceeding commenced pursuant to this Act. The Contractor shall indemnify, protect, and save harmless the OWNER, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The CONTRACTOR shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the OWNER grievance procedure, the CONTRACTOR agrees to abide by any decision of the OWNER which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the OWNER or if the OWNER must any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the CONTRACTOR shall satisfy and discharge the same at its OWN expense.

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

It is expressly agreed and understood that any approval by the OWNER of the services provided by the

CONTRACTOR pursuant to this contract will not relieve the CONTRACTOR of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the OWNER pursuant to this paragraph.

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

Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor’s obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.

Business Name (Print):

Representative’s Name (Print):

Representative’s Title:

Representative’s Signature:

Phone: Date:

CITY OF CAPE MAY

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 2021, c. 4, 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 non- responsive.

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 2021, c. 4, 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. 2021, c. 4

("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 City is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the City to notify the City in writing of any changes to the answers of information contained herein.

http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf

I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with the City and that the City at its option may declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

Signature: Date:

STATEMENT OF OWNERSHIP DISCLOSURE

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

This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or proposal.

Name of Organization:

Organization Address:

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

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

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

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

Partnership Limited Partnership Limited Liability Partnership (LLP)

Other (be specific):

Part II

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

THE LIST BELOW IN THIS SECTION)

OR

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

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

Name of Individual or Business Entity Address

Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS

OR LLC MEMBERS LISTED IN PART II

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

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

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

Stockholder/Partner/Member and Corresponding Entity Listed in Part II

Address

Part IV Certification

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

Full Name (Print):

Title:

Signature:

Date: