NOTIFICATION

Every bid must be enclosed in a sealed envelope with the following information clearly written on the face of the envelopе:

이

Bid Number;

Title of Bid;

Date of Bid Opening;

and Opening Time of Bid.

The County of Essex disclaims any responsibility for bids forwarded by regular or overnight mail, or courier service. If the bid is sent by courier service, the designation above must also appear on the outside of the courier service company envelope or package. Bids received after the time of the scheduled opening will be returned unopened.

NO DOUBLE-SIDED BID PACKETS WILL

BE ACCEPTED

BIDDER MUST SUBMIT ONE (1)

ORIGINAL AND TWO (2) COPIES

BIDS WILL BE OPENED AT THE OLD

CAFETERIA IN THE HALL OF RECORDS

ACROSS FROM THE OFFICE OF

PURCHASING ROOM 335

Revised 2/4/26 BР

OF ESSEXCO

UN

TY

NEW JERSEY

BID REQUEST

SUPPLEMENTAL REQUEST- INSPECTION, TESTING AND

MAINTENANCE OF FIRE PROTECTION SYSTEMS

BID NUMBER: 26-181

REQUESTING AGENCY: Essex County Department of Parks

CONTACT PERSON: Julius N. Coltre Purchasing Agent

Office of Purchasing/jc Phone # 973-621-5100 Fax#: 973-621-5109

BID SUBMISSION DEADLINE (DATE AND TIME): September 15, 2026 at 11:00 AM

NOTE: All questions are to be submitted in writing to the Office of Purchasing (via fax #973-

621-5109 or email at procurequestions@admin.essexcountynj.org) no later than 4:30 PM at the end of business day, eight (8) business days prior to the deadline for submission of bids. The specific bid number with the title must be in the email subject line. Only questions received by the Office of Purchasing will be answered and be considered official.

BEFORE YOU SUBMIT YOUR PROPOSAL/BID BE SURE TO CHECK (Initial Each box):

1. That the Bid is signed by the President, Vice President, or Authorized Representative.

2. That the Following Required Documents are properly executed and included as directed.

DOCUMENT CHECKLIST

Page

Bidder

Initial Each Box

Σ Bid Compliance Form - Sign

Π General Conditions and Instructions- read

Mandatory Equal Employment Opportunity Language - read

Σ Business Registration Certificate (must be delivered prior to award)

Σ Disclosure Statement- Sign

Σ Statement of Ownership Disclosure - Sign and Notarize 14-16

Σ Non-Collusion Affidavit Form - Sign and Notarize

Σ Affirmative Action Language Acknowledgement Form - Sign

Σ Consent of Insurance Coverage - Sign and Notarize 21-22

Σ Hold Harmless Agreement - Sign

Statement of Certain Political Contributions Form - Sign

Σ Americans with Disabilities Act of 1990 Language - read and Sign

Σ Vendor's Information Sheet - Complete

Σ Authorization and Release - Sign

☑ Disclosure of Investment Activities in Iran - Complete and Sign

N Non-Involvement in Prohibited Russia-Belarus Activities

Complete and Sign 29

Σ Addenda Acknowledgement Form - Sign

Π Specifications Technical/Price Pages- 2nd Section- Read in Entirety

-Means Bidder to read the item(s)

- Means Bidder to provide the required form(s) fully executed

NOTE: The required forms when not properly executed and returned can result in rejection of this bid

Bid to: The County of Essex

465 Dr. Martin Luther King Jr. Blvd.

Room 335

Newark, N.J. 07102

Bid No. 26-181

Advertised Date: September 1, 2026

Bid Opening Date: September 15, 2026

Time: 11:00 a.m.

BID/RFP COMPLIANCE FORM

Pursuant to public advertisement, we, the undersigned, hereby declare that we have carefully examined the attached bid, specifications and all bid form sheets attached hereto, dated September 1, 2026 for:

SUPPLEMENTAL REQUEST- INSPECTION, TESTING AND MAINTENANCE

OF FIRE PROTECTION SYSTEMS

This bid submitted is for the above advertised bid at firm prices, excluding all taxes and including all transportation, delivery charges fully prepaid F.O.B. destination, inside delivery, debris removed, in accordance with the General Specifications, Requirements, and Schedules specified herein.

It is understood that the attached general specifications are an integral part of the Bid and that the County reserves the right to reject any or all bid Bids pursuant to Local Public Contracts Law, N.J.S.A. 40A:11-1 et seq. and to waive immaterial defects. Bidders are required to comply with the requirement of N.J.S.A.

10:5-31, et seq. and the Americans with Disabilities Act and N.J.A.C. 17:27.

Respectfully submitted by:

Company Name:

Signature: Date:

(President, Vice President or Authorized Rep.)

Print Name Title:

Address

Phone:

Tax ID or Social Security Number:

Fax:

NOTE: BIDDER MUST SUBMIT ONE (1) ORIGINAL AND TWO (2) COPIES OF THIS BID

NOTE: IF NOTIFIED BIDDER MUST ATTEND GOVERNING BODY AWARD MEETING

NOTE: BIDS WILL BE OPENED AT THE ABOVE DATE IN THE COUNTY BID ROOM #335

NOTE: N.J.A.C. 17:44-2.2 AUTHORITY TO AUDIT OR REVIEW CONTRACT RECORDS

(a) Relevant records of private vendors or other persons entering into contracts with covered entities are subject to audit or review by OSC pursuant to N.J.S.A. 52:15C-14(d).

(b) As of November 15, 2010, all covered entities shall insert the following language in any new contract:

"(The contract partner) 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."

SIGNATURE REQUIREMENTS FOR BID FORM

SOLE PROPRIETOR - Owner must sign bid document.

PARTNERSHIPS - If the firm bidding is a Partnership, this bid must be signed by at least one (1) general partner. If the "POSITION” of signatory on the BID FORM does not state "Partner", this bid will be rejected.

CORPORATIONS - If the firm bidding is a Corporation, this bid must be signed by its President or other executive officer, i.e., Vice President or Treasurer. This bid may be executed by other than the aforesaid corporate officer, if they have been duly authorized to so act on behalf of the corporate officers, pursuant to a resolution of the corporate Board of Directors. In that event, a certified copy of said Resolution or Authorization should be attached to this Bid.

c.

LIMITED LIABILITY COMPANY (LLC) - If the firm bidding is a LLC, under the provisions of P.L. 2012, 50, section 95 (effective March 1, 2014). The Revised Uniform Limited Liability Act is N.J.S.A. 42:2C-1.

This bid may be executed by other than the aforesaid Member or Manager, if they have been duly authorized to so act on behalf of the LLC, pursuant to a resolution by the LLC. In that event, a certified copy of said Resolution or Authorization should be attached to this Bid.

Bids will be received on the bid forms provided in the manner designated therein, and clearly marked on the outside of the envelope "SEALED BID" with the BID NUMBER and SUBJECT noted. Bid Bids must be addressed to:

PURCHASING AGENT

COUNTY OF ESSEX

OFFICE OF PURCHASING ROOM 335

465 DR. MARTIN LUTHER KING JR., BLVD.

NEWARK, NEW JERSEY 07102

Bids will be accepted by mail or in person before the hour designated but none will be accepted after the specified time. The County will not be responsible for late delivery by the United States Postal Service or any other carrier.

NOTE: PLEASE BE ADVISED THAT YOUR BUSINESS OR ORGANIZATION MAY HAVE TO

ATTEND AN ESSEX COUNTY BOARD OF COUNTY COMMISSIONERS' MEETING

FOR AN AWARD OF YOUR CONTRACСТ.

GENERAL CONDITIONS AND INSTRUCTIONS

These General Conditions shall become part of this Bid.

Bid must be delivered to the Essex County Office of Purchasing, Hall of Records, 465 Dr. Martin Luther

King, Jr. Blvd., Room 335, Newark, NJ 07102, before the date and time specified in this document ("Bid Opening").

1. Whether mailed or delivered by hand, every bid must be enclosed in a sealed envelope with the following information clearly written on the face of the envelope: Bid Number; Title of Bid; Date of Bid; and Opening Time of Bid. The County is not responsible for any bid not received in the Office of Purchasing. The County of Essex disclaims any responsibility for bid Bids forwarded by regular or overnight mail, or courier service.

Bid Bids received after the time of the scheduled opening, will be returned unopened.

2. Bidders are required to comply with Title 40A of the New Jersey Statutes Annotated, Public Law 1971, c. 198, "Local Public Contracts Law" (N.J.S.A. 40A:11-1, et seq.)

3. Award(s) of contract shall be by Resolution of the Essex County Board of County Commissioners.

4. Award(s) of contract and all subsequent orders issued pursuant to and against said contract shall be contingent upon a sufficiency of funds appropriated by the Essex County Board of County Commissioners.

5. Bids must be prepared with typewriter or pen. Bids prepared in pencil will not be accepted. Each bid must be signed in ink only by a person authorized to do so. Bids showing any corrections must be initialed by bidder in ink. Corrected items not initialed will not be considered for award. Fax, telegraphic or facsimile signatures will not be considered.

6. Bids must be submitted only on forms provided for that purpose. The Bids must be filled in completely.

Failure to comply with any requirement herein may result in rejection of the bid.

7. Contract(s) will be awarded to the lowest responsive/responsible bidder(s) meeting specifications. The County alone reserves the right to reject all bids, in compliance with the Local Public Contracts Law, to waive informalities, irregularities, minor defects, or non-material defects, and make awards and/or partial awards on the basis of firm net unit prices, category price or on a lump sum basis (Unit price prevails), whichever is deemed by the County to be in its best interest.

8. Purchases made by the County of items listed in this bid are not subject to state or local sales taxes; use taxes;

or federal excise taxes. The Federal Employer's Identification for the County of Essex is

IRS #22-6002433/0000.

9. Prices quoted shall be firm, net exclusive of all taxes and must include all transportation, delivery, and unloading costs, fully prepaid F.O.B. destination, inside delivery, installation and debris removed. Prices should be stated in units of the quantity specified. Only one bid price per line item will be acceptable. Multiple product choices and prices per item will be rejected.

10. Quantities shown are approximates; the County reserves the right to increase or decrease quantities as deemed by the County in its best interest at the unit bid price. In the event of a manufacturer's price decrease during the contract period, the County shall receive the full benefit of such price reduction on any undelivered purchase order and on any subsequent order placed during the contract period. The Purchasing Agent must be notified in writing of any price reduction within five (5) days of the effective date. The prices stated in this bid, by mutual consent of the County of Essex and the successful bidder may be extended for such reasonable time as may be agreed upon until such time as new bids are received, accepted and awarded (N.J.S.A. 40A:11-15, last paragraph).

11. Bidders submitting bids will be held to have accepted the terms and conditions of the specifications." Please be cognizant of N.J.S.A. 40A:11-23.3 pertaining to withdrawals of public works bids that became effective on

March 5, 2011. It provides the process wherein a bidder may request a withdrawal of a bid due to a mistake on the part of the bidder (mistake as defined by N.J.S.A. 40A:11-2, i.e. a clerical error that is an unintentional and substantial computational error or an unintentional omission of a substantial quantity of labor, material, or both, from the final bid computation.)

A bidder's request for withdrawal shall include evidence, including any pertinent documents, demonstrating that a mistake was made and was of so great a consequence that:

(1) the enforcement of the contract, if actually made, would be unconscionable; (2) the mistake relates to a material feature of the bid; (3) the mistake occurred notwithstanding the fact that the bidder exercised reasonable care in preparation of the bid; and (4) the bidder making the mistake is able to get relief by way of withdrawing the bid without serious prejudice to the contracting unit, except for the loss of the bargain to the contracting unit. The purchasing agent, legal counsel, or chief administrative officer responsible for reviewing the request shall act in good faith in reviewing the request and in making a recommendation to the governing body concerning the disposition of a request to withdraw a bid.

12. "The New Jersey Prevailing Wage Act" (P.L 1963, Chapter 150 as amended through July 3, 1974 P.L. 1979, c.

303, effective January 17, 1980) is hereby made part of every contract entered into by the County of Essex except those contracts which are not within the contemplation of the Act, and the Bidder's signature on the Bid is the Bidder's guarantee that neither the Bidder nor any subcontractors that the Bidder might employ to perform the work covered by this Bid are listed or are on record in the Office of the Commissioner of the New

Jersey State Department of Labor as one who has failed to pay prevailing wages in accordance with the provisions of this Act.

The Contractor shall pay (and shall cause all Subcontractors to pay) to their workers, laborers, and mechanics employed by him or them to work on an hourly or daily basis at any trade or occupation at or about the construction sites, at a minimum the prevailing rate of wage for others engaged in the same trade or occupation in the locality in which work is being performed, as set forth under New Jersey Prevailing Wage Act, N.J.S.A.

34:11-56.25 et seq. and if such workers, labors or mechanics are employed for more than eight hours in any calendar day, they shall be paid at an increased rate for overtime.

theThe prevailing wage rates are determined by the New Jersey State Department of Labor. A copy of applicable prevailing wage rates to be paid under contract may be obtained from the Department of Labor (www.state.nj.us/labor/lsse/wagerate.htm). The State Wage Rates in effect at the time of award will be made a part of this contract pursuant to Chapter 150, Laws of 1963 N.J.S.A. 34:11-56.25 et seq. The provisions of this clause are inserted for the benefit of such workers, laborers, and mechanics, as well as for the benefit of the

County of Essex; and if the Contractor or any Subcontractor shall pay any such worker, laborer or mechanic less than the rates of wages described above, such worker, laborer or mechanic shall have a direct right of action against the Contractor or such Subcontractor for the difference between the wages actually paid those to which he/she is entitled under this clause.

and a If such worker, laborer, or mechanic is employed by any Subcontractor whose subcontract does not contain provision substantially similar to the provisions of this clause (requiring the payment of at least the above minimum wages, and providing for a cause of action in the event of the Subcontractor's failure to pay such wages), such worker, laborer, and mechanic shall have a direct right of action against the Contractor. The

County of Essex shall not have a direct right of action against the Contractor. The County of Essex shall not be a necessary party to any action brought by any worker, laborer, or mechanic to obtain a money judgment against the contractor, or any subcontractor, pursuant to this clause. However, in the event it is found that any worker employed by the Contractor or any subcontractor covered by the contract has been paid a rate of wages less than the prevailing wages required to be paid by the contract, the County of Essex may terminate the

Contractor's or Subcontractor's right to proceed with the work, or such part of the work, to which there has been a failure to pay required wages and to prosecute the work to completion or otherwise. The Contractor and his/her sureties shall be liable to the County of Essex for any excess costs occasioned thereby. Nothing herein contained shall be construed to prevent the Contractor or any Subcontractor from paying higher rates of wages than the minimum rates prescribed herein; and nothing herein contained shall be construed to constitute а representation or guarantee that the Contractor or any Subcontractor can obtain workers, laborers, and mechanics for the minimum rates or wages prescribed herein.

13. The vendor must comply with all local, county, state and federal laws, rules and regulations applicable to this contract and to the work to be done hereunder.

14. BUY AMERICAN - Only manufactured and farm products of the United States, wherever available, shall be used under this contract, pursuant to N.J.S.A. 40A:11-18.

15. The contractor shall assume all risk of and responsibility for, and agrees to indemnify, defend, and save harmless the County of Essex and its employees from and against any and all liability claims, demands, suits, actions, recoveries, judgments and costs and expenses in connection therewith on account of the loss of life, property, or injury or damage to the person, body or property of any person or persons whatsoever, which shall arise from or result directly or indirectly from the work and /or materials supplied under this contract.

16. Stockholder Disclosure - Chapter 33 of the Public Laws of 1977 provides that no corporation or partnership shall be awarded any contract nor shall any agreement be entered into for the performance of any work or the furnishing of any materials or supplies, the cost of which is to be paid with or out of any public funds, by the

State, or any county, municipality or school district, or any subsidiary or agency of the State, or of any county, municipality or school district, or by any authority, board, or commission which exercises governmental functions, unless prior to the receipt of the bid or accompanying the bid, of said corporation or said partnership, there is submitted a statement setting forth the names and addresses of all stockholders in the corporation or partnership who own 10% or more of its stock, of any class or of all individual partners in the partnership who own a 10% or greater interest therein, as the case may be. If one or more such stockholder or partner is itself a corporation or partnership, the stockholders holding 10% or more of that corporation's stock, or the individual partners owning 10% or greater interest in that partnership, as the case may be, shall also be listed.

The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner, exceeding the 10% ownership criteria established in this act, has been listed.

17. The County of Essex shall award the contract or reject all bids within such time as may be specified in the invitation to bid, but in no case more than sixty (60) days, except that the bids of any bidders who consent thereto may, at the request of the County, be held for consideration for such longer period as may be agreed

(N.J.S.A. 40A:11-24).

18. Equal or Tie Bids. The County reserves the right to award at its discretion the contract to any one of the tie bidders.

19. Where circumstances and/or the needs of the County significantly change, or the contract is otherwise deemed no longer to be in the public interest, the County of Essex may modify quantities or terminate a contract entered into as a result of this bid, upon no less than thirty (30) days notice to the vendor.

20. Where a vendor is in breach of any material term or condition of this contract, the County may terminate the contract upon five (5) days written notice by the County. If Vendor has not remedied such breach within ten

(10) days after the giving of written notice thereof.

21. Bidders will deliver their goods and services to the location(s) and on date(s) specified in the bid. If the County has not specified a delivery date, the bidder, may be requested to state their proposed delivery date on the price

22.

sheet.

Deliveries shall be made at such time and in such quantities as ordered in strict accordance with conditions contained in the bid specifications.

23. All contracts for the provision of goods and services to the County shall be performed in strict and full compliance with the specifications. Payment to vendors for services will not be made until the County's using agency approval is given. The County of Essex shall pay for receipt of goods and/or rendering of services after receiving a signed County Voucher Form and the contract has been fully executed.

24. In case of failure to furnish any or all of the goods or services herein specified, in addition to all othér remedies, the County may purchase goods and services elsewhere and, if it does so, shall be entitled to recover costs plus damages from the bidder directly or by charging the same to Surety's account.

25. WORKER AND COMMUNITY RIGHT TO KNOW ACT: Pursuant to N.J.A.C. 8:59-1 et seq., every container of product(s) delivered under terms of this Bid must bear a label indicating the chemical name and

Chemical Abstract Service Number of all hazardous substances present in a concentration of 1% or greater, all substances in a concentration of.1% or greater that may pose a special hazard as a carcinogen, mutagen or teratogen. In addition, the five most predominant substances present must be indicated, whether hazardous or not. Finally, those containers that do not account for 99% of the contents must be marked "CONTENTS

PARTIALLY UNKNOWN". If none of the contents are listed, "CONTENTS UNKNOWN" must be on the label. Synonyms of chemical names or any name recognized by the Chemical Abstract Service may be used.

Every carton of the product must also include a copy of the Material Safety Data Sheet. PROPER

COMPLIANCE SHALL BE DEEMED A TERM AND CONDITION OF THE PURCHASE CONTRAСТ.

26. Submission of more than one bid from an individual, a firm or partnership, a corporation or association under the same or different names shall result in none of such bids being considered.

27. Samples, when required, of all articles must conform strictly to specifications and shall be submitted for inspection with the bid.

28. In those cases where a manufacturer's brand name and model number are used to describe the basic standard or quality desired by the County, equivalent alternatives may be bid. The bidder must prove to the County's designated project manager or departmental director that the substituted alternative is an equivalent. The

County reserves the right to determine equivalency. If the vendor fails to submit evidence of equivalency with the bid submittal it will be cause for rejection of the bid.

29. The contractor shall not assign, transfer, convey, subcontract, or otherwise dispose of in part or in whole, any award or any of its rights, title, or interest therein, without the prior written consent of the County of Essex.

30. The County reserves the right to inspect the bidder's establishment before making an award.

31. The bidder hereby certifies that the product(s) are standard new equipment, and is the manufacturer's latest model in production, with parts regularly used for the type of equipment offered; that such parts are all in production and not likely to be discontinued; that no attachment or part has been substituted or applied contrary to manufacturer's recommendations and standard practice. Sufficient quantities of parts necessary for proper service of equipment must be maintained at distribution points and service headquarters. All equipment supplied to the County and operated by electrical current is UL approved. All new equipment is to be guaranteed for a minimum period of one (1) year, unless otherwise stated in the technical specifications or pricing proposal form. The vendor shall be responsible for the delivery of material in first class condition, F.O.B., to the County's using agency or as directed in the bid specifications, in accordance with good commercial practice.

32. Vendor shall immediately replace any articles, which are rejected for failure to meet the requirements of the specifications.

33. Bidders wishing to file a formal challenge to the specifications of this bid must do so in writing no less than three (3) working days prior to the scheduled submission deadline of this bid.

34. After bids are opened, and the successful Bidder determined notification or equivalent will be forwarded to all Using County Agencies and the successful bidder. It is required that the bidder cooperate with Using County

Agencies to the fullest extent and that the materials supplied are delivered to each Using County Agency in strict accordance with the specifications and delivery requirements of the bid Bid. No contract or memorandum of agreement shall be final until legally approved by the Essex County Board of County Commissioners.

35. The Essex County, New Jersey, Office of Inspector General (OIG) will conduct a preliminary due diligence inquiry to assure the citizens of Essex County, its employees and all other public and private persons and/or entities that Essex County, New Jersey intends to safeguard its reputation and perform its governmental duties with integrity. Bidders may be required to comply with due diligence inquiry by providing all information requested by the OIG regarding financial condition, litigation, indictments, criminal proceedings and the like in which they are or may have been involved, if any. In the event that the lowest responsive/responsible bidder shall fail to provide the requested information promptly or if the information, in the reasonable opinion of

Essex County or its Office of Inspector General, might adversely affect the integrity and good reputation of Essex County, New Jersey with the citizens of Essex County, New Jersey and all other public and private persons or entities, then Essex County, New Jersey, shall have the right to reject this bid, and/or terminate this Agreement immediately upon written notice.

36. Open Public Records Act - Respondents should be aware that responses to this bid shall be made available, upon request, for public inspection. The County, as an instrumentality of the State of New Jersey, is subject to the New Jersey Open Public Records Act (N.J.S.A. 47:1A-1) and New Jersey Right-to-Know statutory law and relevant case law.

(REVISED 4/10)

EXHIBIT A

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

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

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 employnent 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, 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

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

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

Subchapter 10 of the Administrative Code at N.J.A.C. 17:27-1.1 et seq.

Business Registration Certificate

Revised Contract Language for BRC Compliance

Goods and Services Contracts (including purchase orders)

N.J.S.A. 52:32-44 imposes the following requirements on contractors and all subcontractors that knowingly provide goods or perform services for a contractor fulfilling this contract:

1) all bidders must be registered at or before time of bid submittal, proof of which must be submitted at or before time of award;

2) the contractor shall provide written notice to its subcontractors to submit proof of business registration to the contractor;

3) prior to receipt of final payment from a contracting agency, a contractor must submit to the contracting agency an accurate list of all subcontractors or attest that none was used;

4) during the term of this contract, the contractor and its affiliates shall collect and remit to the Director, New Jersey Division of Taxation, 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 this State.

Construction Contracts (including public works related purchase orders)

N.J.S.A. 52:32-44 imposes the following requirements on contractors and all subcontractors that knowingly provide goods or perform services for a contractor fulfilling this contract:

1) the contractor shall provide written notice to its subcontractors and suppliers to submit proof of business registration to the contractor;

2) subcontractors through all tiers of a project must provide written notice to their subcontractors and suppliers to submit proof of business registration and subcontractors shall collect such proofs of business registration and maintain them on file;

3) prior to receipt of final payment from a contracting agency, a contractor must submit to the contracting agency an accurate list of all subcontractors and suppliers or attest that none was used; and

4) during the term of this contract, the contractor and its affiliates shall collect and remit, and shall notify all subcontractors and their affiliates that they must collect and remit, to the Director, New Jersey Division of

Taxation, 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 this State.

A contractor, subcontractor or supplier who fails to provide proof of business registration or provides false business registration information shall be liable to a penalty of $25 for each day of violation, not to exceed

$50,000.00 for each business registration copy not properly provided or maintained under a contract with a contracting agency. Information on the law and its requirements are available by calling (609) 292-9292.

NOTE: Non-profit organizations are exempt - however, non-profit organizations must provide a copy of their 501C status or equivalent

To obtain a Business Registration Certificate, contact the New Jersey Division of Revenue at 1-609-292-

1730 or register online @www.nj.gov/treasury/revenue/busregcert.shtml

IT IS HIGHLY RECOMMENDED THAТ

YOU SUBMIT YOUR “BRC” WITH YOUR BID.

THESE ARE SAMPLES OF ACCEPTABLE

"BUSINESS REGISTRATION CERTIFICATES".

TAXPAYER NAME:

ADDRESS:

EFFECTIVE DATE:

Taxpayer Name:

Trade Name:

Address.

STATE OF NEW JERSEY

BUSINESS REGISTRATION CERTIFICATE

TRADE NAME:

DEPARTMENT OF TREASURY

DIVISION OF REVENUE

PO BOX 252

TRENTON, NJ 09646-0252

SEQUENCE NUMBER:

ISSUANCE DATE:

June JGine Acing Direclo New Jersey Division of Rovenue

STATE OF NEW JERSEY

BUSINESS REGISTRATION CERTIFICATE

Certificate Number:

Effective Date:

Date of Issuance:

For Office Use Only:

20080813113035127

DISCLOSURE STATEMENT

The attention of prospective bidders is drawn to the provisions of the Local Government Ethics Law

(N.J.S.A. 40A:9-22.1, et seq.) which prohibits a County Officer or employee or member of his/her immediate family from having an interest in a business organization or engaging in any business transaction, or professional activity which is in substantial conflict with the proper discharge of his/her duties in the public interest.

or

In furtherance thereof, every bidder must disclose below, being an Essex County officer or employee whether an immediate family member is an Essex County officer or employee. If the bidder is a business organization, then disclosure shall be made with respect to anyone having an interest in the business and their immediate family members.

Please answer the following:

Is the bidder or a member of the bidder's immediate family, or anyone having an interest in the bidder's business organization including their immediate family members, an officer or employee of Essex County?

NO YES

S

* Authorized Signature

Print Name

Title

If yes, provide the name of the individual and identify the position held, below, and notify in writing the Office of County Counsel, Hall of Records, 465 Dr. Martin Luther King, Jr. Blvd., Room 535, Newark, NJ 07102. (Attach a copy of the correspondence to this form).

NOTE: All terms used herein are to be construed in accordance with their meaning under the Local

Government Ethics Law, cited above.

STATEMENT OF OWNERSHIP DISCLOSURE

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

ㅁ

미

Sole Proprietorship (skip Parts Il 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)

Partnership

미 Limited Liability Company (LLC)

Limited Partnership Limited Liability Partnership (LLP)

Π 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. (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 Il 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 County of Essex 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

County of Essex to notify the County of Essex 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 County of Essex to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print):

Signature:

Subscribed and sworn to before me this day of 20

Notary Public

My Commission expires

(seal)

Title:

Date:

State of New Jersey

County of

NON-COLLUSION AFFIDAVIT

SS:

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

I am of the firm of

(title or position) (name of firm) entitled

(title of bid) the bidder making this Bid for the bid

, and that I executed the said Bid with of full authority to do so that said bidder has not, directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said Bid and in this affidavit are true and correct, and made with full knowledge that the County of Essex relies upon the truth of the statements contained in said Bid and in the statements contained in this affidavit in awarding the contract for the said project.

I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by

Subscribed and sworn to before me this day of

Notary Public

My Commission expires

(Notary Seal)

Signature

(Type or print name)

AFFIRMATIVE ACTION COMPLIANCE NOTICE

N.J.S.A. 10:5-31 et seq. and N.J.A.C.17:27

GOODS AND SERVICES CONTRACTS

(INCLUDING PROFESSIONAL SERVICES)

This form is a summary of the successful bidder's requirement to comply with the requirements of

N.J.S.A. 10:5-31 et seq. and N.J.A.C.17:27.

The successful bidder shall submit to the public agency, after notification of award but prior to execution of this contract, one of the following three documents as forms of evidencе:

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

OR

(b) A photocopy of a Certificate of Employee Information

Report approval, issued in accordance with N.J.A.C. 17:27-4;

OR

T

Sample of Certificate

REPORT

JORGENSEN

10 SHERLOCK

sample only

(c) A photocopy of an Employee Information Report (Form AA302) provided by the Division and distributed to the public agency to be completed by the contractor in accordance with N.J.A.C. 17:27-4.

The successful vendor may obtain the Affirmative Action Employee Information Report (AA302) from the contracting unit during normal business hours.

The successful vendor(s) must submit the copies of the AA302 Report to the Division of Contract

Compliance and Equal Employment Opportunity in Public Contracts (Division). The Public Agency copy is submitted to the public agency, and the vendor copy is retained by the vendor.

The undersigned vendor certifies that he/she is aware of the commitment to comply with the requirements of N.J.S.A. 10:5-31 et seq. and N.J.A.C.17:27 and agrees to furnish the required forms of evidence.

The undersigned vendor further understands that his/her bid shall be rejected as non-responsive if said contractor fails to comply with the requirements of N.J.S.A. 10:5-31 et seq. and N.J.A.C.17:27.

COMPANY:

PRINT NAME:

DATE:

SIGNATURE:

TITLE:

PLACE HERE

A COPY OF THE

CERTIFICATE OF

EMPLOYEE INFORMATION

REPORT

L

ORMATION REPORT

This is to teity that the contracteu lsted below haa submilfed ar Employee Information Report pursuant

Io N.JAC. 17:27-1.1 st seq. and tiaetato Toe as aprovod d repor. This approval witlreimain in effect for the perlod of 2010-15 FRE-2007

JORGENSEN

10 SHERLOCK

WAYNE, NJ 07470

sample only

T H E C R E

S E X

State Treasurer

PLACE AFFIRMATIVE ACTION

(Form AA302)

EMPLOYEE INFORMATION REPORT

HERE

ONLY IF YOU DO NOT HAVE THE

CERTIFICATE OF EMPLOYEE INFORMATION

TO ATTACH AT THIS TIME

STANDARD GOODS AND SERVICES AGREEMENT INSURANCE REQUIREMENTS

Provider of Goods and Services, please promptly give this to your broker

These requirements constitute the Contract Insurance requirements

Throughout the life of this Contract, the Provider of Goods and Services shall pay for and maintain in full force and effect with an insurance company(s) (Company) admitted by the New Jersey Department of Banking & Insurance to do business in the State of New Jersey and rated not less than "A- VIII" in Best

Insurance Key Rating Guide, the following policies of insurance:

REQUIRED COVERAGES - the following may be provided through a combination primary and excess policies to meet the minimum limits set forth below:

1. Workers' Compensation and Employer's Liability:

Provided in the State of New Jersey and elsewhere as may be required and shall include:

of

a. Workers' Compensation Coverage: Statutory Requirements

b. Employers Liability Limits not less than:

Bodily Injury by Accident: $1,000,000 Each Accident

Bodily Injury by Disease: $1,000,000 Each Employee

Bodily Injury by Disease: $1,000,000 Policy Limit

2. Commercial General Liability:

Occurrence Form with the following limits:

a. Each Occurrence:

b. General Aggregate

Products/Completed Operations

$1,000,000 $2,000,000

$1,000,000

$2,000,000

Personal/Advertising Injury $1,000,000

a. Each Occurrence

b. General Aggregate

C.

3. Automobile Liability:

When autos are used in conjunction with contracts/agreements with Essex County entities coverage must include All Owned, Hired and Non-Owned Vehicles.

a. Per Accident Combined Single Limit

4. Indemnification:

$1,000,000

Provider of Goods and Services shall indemnify and hold harmless, the County, and the County's respective members, elected officials, employees, agents and representatives from and against claims, damages, losses, demands, suits, actions, recoveries, judgments, and costs anp expenses, arising out of or resulting from performance of work, provided that such claim, damage, loss, or expense is attributable to bodily injury, sickness, disease, or death, or injury to or destruction of tangible property but only to the extent caused by the negligent acts or omissions of the Provider of Goods and Services, anyone directly or indirectly employed by them or anyone for whose acts they may be liable, regardless of whether or not such claim, damage, loss, expense, is caused in part by any Indemnified Parties.

5. Deductibles/Self-Insured Retentions:

Deductibles and Self-Insured Retentions must be declared. Provider of Goods and Services shall not have a Deductible or Self-Insured Retention (SIR) on any policy greater than $25,000. Higher values must be approved by the County Risk Manager.

6. Additional Insureds:

The following shall be added as ADDITIONAL INSUREDS on all liability policies (except Workers'

Compensation and Professional Liability Policy, where applicable), for ongoing operations and completed operations on a primary noncontributory basis;

The County of Essex, New Jersey, including all Departments, Boards, Committees, Commissions or Other Entities Established by Them or Operating Under Their Control and All Employees, Trustees, Commissioners, Committee Members, Aides, Advisory Board Members, Elected and Appointed Officials, Volunteers and Students While Acting Within the Scope of Their Duties on Behalf of The County of Essex, New Jersey.

7. Additional Insurance Requirements:

a.

b.

Each insurance policy required by this clause shall be endorsed to state that coverage shall not be cancelled by either party, except that after thirty (30) days' prior to written notice by certified mail, return receipt requested, has been given to the County. The Insurer shall provide the County with notification of any cancellation, non-renewal, major change, modification or reduction in coverage.

Regardless of these contract minimum insurance requirements, the Provider of Goods and

Service's and its insurer shall agree to commit the Provider of Goods and Service's full policy limits and these minimum requirements shall not restrict the Provider of Goods and Service's liability or coverage limit obligations.

c. The Provider of Goods and Services shall furnish the County of Essex with the Insurance Certificates and applicable Endorsements for all required insurance, prior to the County's execution of the Agreement and start of work. Proper Address for Certificates, Endorsements and Notices shall be:

County of Essex

Risk Management Department - Hall of Records/Room 510 465 Dr. Martin Luther King Blvd.

Newark, NJ 07102

Provider of Goods and. Services shall waive all rights of recovery against the County and all the additional insureds for loss or damage covered by any of the insurance maintained by the Provider of Goods and Services, where applicable by law.

PRINCIPAL:

Subscribed and sworn before me on this day (Bidder/Respondent's Company Name) of 20

Notary Public

(Authorized Signature on Behalf of the Principal)

(Print Name)

INSURER:

(Insurer's Company Name)

(Authorized Signature on behalf of the Insurer)

My Commission expires

(Notary Seal)

BETWEEN:

HOLD HARMLESS AGREEMENT

The County of Essex

Hall of Records

465 Dr. Martin Luther King, Jr. Blvd.

Newark, NJ 07102

AND

Contractor's Name

Address - not a post office box

Telephone Number; Fax Number; & e-mail address

It is understood and agreed the Contractor is:

1. An independent Contractor and not an employee of the County of Essex.

2.

3.

The Contractor agrees to indemnify and hold harmless the County of Essex, the Essex

County Board of County Commissioners, and all of its respective elected officials, officers, agents and employees of and from and against any and all liability for…