hopewell 26-12 Brush Grinding Bid.pdf

PROJECT MANUAL

for

Bid #26-12

BRUSH GRINDING BID SERVICES BID

October 20, 2026 at 10:00am

Hopewell Township, Mercer County

New Jersey

Hopewell Township

201 Washington Crossing Pennington Road

Titusville, NJ 08560

INVITATION FOR PUBLIC BID

Notice is hereby given by the Township of Hopewell that a Bid in accord with

N.J.S.A. 40A:11-1 et. Seq. will be received by the Township on October 20, 2026 at 10:00am prevailing time publicly broadcast and recorded on Zoom and conducted on an electronic platform, in accord with N.J.A.C. 5:34-1 et.

Seq., on BIDNET at www.bidnetdirect.com//townshipofhopewell:

Bid # 26-12 Brush Grinding Services Bid

NOTE:

It is the bidder’s responsibility to ensure that the bid package is uploaded to 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.

For information on attending the publicly broadcast opening, contact the Qualified

Purchasing Agent at scanning@TheCanningGroup.org.

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., The Township of Hopewell will award this bid to the lowest responsible bidder in accord with the New Jersey Local Public Contracts Law.

This procurement has been advertised in accordance with the “Fair and Open Basis,” and nothing further shall be required under the Pay-to-Play Legislation (N.J.S.A. 19:44A-

20.5).

Date: September 11, 2026 George Snyder

Business Administrator

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

Acknowledgment 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 Subcontractors

Prior to Award, but effective at time of bid

X Business Registration Certificate – Bidder and all Subcontractors

Prior to

Contract

Award

Non-Collusion Affidavit

Prior to

Contract

Award

X Experience and Qualifications

Prior to

Contract

Award

X Insurance and Indemnification Certificate

Prior to

Contract

Award

X Disclosure of Investment Activities in Russia Form

Prior to

Contract

Award

X Disclosure of Investment Activities in Iran Form

Prior to

Contract

Award

Federal Debarment Form

Prior to

Contract

Award

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

X Bidder’s Checklist

Prior to

Award

This checklist is provided for bidder’s use in assuring compliance with required documentation; however, it does not include all specification 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:

TOWNSHIP OF HOPEWELL

BRUSH GRINDING, PROCESSING AND REMOVAL SERVICES

SCOPE OF WORK

1. GENERAL

The Township of Hopewell (“Township”) seeks bids for brush grinding, processing, removal and disposal services for an initial contract term of two (2) years, with an option, at the sole discretion of the Township, to extend the contract for one additional two (2) year period, or two additional, one (1) year periods, to the extent permitted by N.J.S.A.

40A:11-15.

Any extension shall be subject to satisfactory vendor performance, mutual agreement as to pricing where required by law, availability and appropriation of funds, and all applicable provisions of the New Jersey Local Public Contracts Law.

The Township makes no representation or guarantee regarding the minimum or maximum quantity of material that will require processing during any contract year. All quantities provided in these specifications are estimates and historical information only.

2. LOCATION OF WORK

All work shall be performed at the Township of Hopewell Public Works Debris Management Area located at:

201 Washington Crossing-Pennington Road

Hopewell Township, New Jersey

The brush processing area is located at the existing leaf compost/debris management facility on the north side of the

Municipal Athletic Complex and is accessed from the second driveway on Scotch Road north of Washington Crossing-

Pennington Road.

3. TOWNSHIP RESPONSIBILITIES

The Township shall:

1. Collect brush and vegetative debris generated or collected by the Township and deliver the material to the designated processing site.

2. Stockpile the material at the site pending processing.

3. Measure the quantity of unprocessed brush in cubic yards (CY) for purposes of payment.

4. Provide reasonable access to the site for the successful bidder's personnel and equipment.

5. Designate the dates upon which grinding operations are to commence.

Prior to each scheduled grinding operation, the Director of Public Works or designee and a representative of the successful bidder shall meet at the site and review the quantity of material to be processed.

The Township's determination of the quantity of unprocessed brush, expressed in cubic yards, shall be documented prior to commencement of grinding.

4. ANTICIPATED WORK SCHEDULE

The Township presently anticipates conducting brush grinding operations approximately two times per calendar year.

Grinding operations are anticipated to commence:

• On or about June 15 of each year; and

• On or about November 15 of each year.

These dates are estimates only.

The actual commencement date for each grinding operation shall be established by the Director of Public Works or his/her designee.

The Township reserves the right to modify, postpone, cancel or add grinding events based upon the quantity of material accumulated, weather conditions, storm events, operational requirements, emergencies or other circumstances.

The successful bidder shall commence operations on the date directed by the Township.

5. GRINDING AND PROCESSING REQUIREMENTS

The successful bidder shall furnish all labor, supervision, equipment, machinery, transportation, fuel, lubricants, tools and other materials necessary to perform the work.

The successful bidder shall:

1. Grind and process all brush, logs, limbs, stumps and other acceptable vegetative material designated by the

Township.

2. Furnish a commercial-grade tub grinder, horizontal grinder or equivalent equipment of sufficient size and capacity to perform the work efficiently.

3. Furnish excavators, loaders or other equipment of sufficient size to safely load brush, logs and other material into the grinder.

4. Furnish all trucks and transportation equipment necessary to remove processed material from the site.

5. Process all designated material unless otherwise directed by the Director of Public Works.

6. Complete each scheduled grinding operation within seven (7) calendar days following commencement of grinding unless an extension is authorized by the Director of Public Works.

7. Remove all ground material required to be removed under the contract within seven (7) calendar days following completion of grinding operations.

8. Remove stumps and other materials designated for removal by the Township.

9. Maintain the site in a safe, orderly and workmanlike condition throughout the operation.

10. Restore areas disturbed by the vendor's equipment, including the correction of excessive ruts, tire tracks and similar damage caused by the grinding and removal operation.

6. EQUIPMENT CAPACITY

The grinder furnished by the successful bidder shall be appropriately sized for the volume and nature of material anticipated under this contract.

The grinding operation shall be capable of producing approximately 25 to 100 tons of processed wood material per hour, depending upon the type, size, moisture content and condition of the incoming material.

The stated production range is intended to establish the minimum commercial capacity of the equipment and shall not constitute a guarantee by the Township concerning actual hourly production.

7. EQUIPMENT LIST

Each bidder shall submit with its bid a list identifying the principal equipment proposed for use under the contract, including, as applicable:

• Grinder(s);

• Excavator(s);

• Front-end loader(s);

• Material handler(s);

• Transport vehicles;

• Tractor trailers;

• Dump trucks; and

• Other major equipment proposed for performance of the work.

The Township reserves the right to require replacement or supplemental equipment when, in the reasonable judgment of the Director of Public Works, the equipment being utilized is inadequate to complete the work within the required period.

8. REMOVAL AND DISPOSAL OF PROCESSED MATERIAL

Except for material specifically retained by the Township pursuant to the optional triple-ground mulch provision, all ground and processed material shall become the responsibility of the successful bidder and shall be removed from

Township property.

The successful bidder shall be solely responsible for:

1. Loading;

2. Transportation;

3. Hauling;

4. Disposal or beneficial reuse; and

5. All costs associated with removal and lawful disposition of the material.

All material shall be transported, processed, recycled, reused or disposed of at facilities or locations authorized to receive such material and in accordance with all applicable federal, State, county and local laws, regulations and permit requirements.

No processed material may be dumped, deposited or disposed of at an unauthorized location.

Upon request, the successful bidder shall provide the Township with documentation identifying the destination of material removed from the site.

9. OPTIONAL TRIPLE-GROUND MULCH

At the direction of the Township, the successful bidder shall process and leave at the Township site approximately 200 cubic yards per year of triple-ground mulch for Township use.

The actual quantity shall be determined by the Director of Public Works.

The Township shall pay for triple grinding in accordance with the applicable unit price contained in the Schedule of

Prices.

The Township does not guarantee that it will order any minimum quantity of triple-ground mulch.

All mulch not specifically directed to remain at the site shall be removed by the successful bidder as part of the base grinding and removal operation.

10. SITE MAINTENANCE AND CLEANUP

The successful bidder shall be responsible for maintaining those portions of the site affected by its operations.

The vendor shall:

1. Prevent unreasonable tracking of mud, sediment, wood debris and other material onto Township or public roadways.

2. Promptly clean material tracked or deposited as a result of its operations.

3. Maintain safe access through the work area.

4. Remove debris generated by its activities.

5. Repair or grade excessive ruts and tire tracks caused by its equipment.

6. Leave the work area in a neat and orderly condition upon completion.

Any damage to Township property resulting from negligent operation of the vendor's equipment shall be repaired by the successful bidder at no additional cost to the Township.

11. HOURS OF OPERATION

Unless otherwise authorized by the Director of Public Works, work shall be performed between:

7:00 A.M. and 4:30 P.M., Monday through Friday

No work shall be performed on Township-observed municipal holidays unless specifically authorized by the Township.

The Director of Public Works may authorize alternate or extended working hours when necessary due to weather, emergencies, storm response, operational requirements or other circumstances.

12. MEASUREMENT FOR PAYMENT

Payment for the base grinding and removal service shall be based upon the cubic yards of unprocessed brush measured prior to grinding.

Prior to commencement of each grinding event, representatives of the Township and successful bidder shall inspect the stockpile.

The Township shall determine the estimated volume of material in cubic yards using a reasonable and consistently applied measurement methodology.

The agreed or Township-determined quantity shall be documented prior to processing and shall constitute the quantity used for invoicing.

The successful bidder shall not be entitled to additional payment because the processed material expands, contracts, settles or otherwise differs in volume or weight after grinding.

13. BASIS OF BID

Bidders shall submit a unit price per cubic yard of unprocessed brush for each contract year.

The unit price shall include all costs necessary to complete the work, including but not limited to:

• Mobilization and demobilization;

• Labor and supervision;

• Grinder and grinding equipment;

• Excavators and loaders;

• Trucks and hauling equipment;

• Fuel and lubricants;

• Maintenance and repairs;

• Transportation;

• Loading;

• Removal;

• Disposal or beneficial reuse;

• Site cleanup;

• Insurance;

• Overhead;

• Profit; and

• All other incidental expenses required to complete the work.

No separate mobilization, fuel surcharge, transportation, tipping, disposal, environmental or other miscellaneous charge shall be permitted unless expressly identified as a separate bid item in the Schedule of Prices.

14. ESTIMATED/HISTORICAL QUANTITIES

The following information is provided solely to assist bidders in evaluating the approximate historical volume of material generated by the Township.

Year Approximate Cubic Yards Approximate Tonnage

2022 7,226 2,168.00

2023 8,146 2,444.00

2024 7,435 2,231.00

2025 6,700 2,010.00

2026 5,700 * 1,710.00

Totals 29,507 10,563.00

*Spring 2026 only

These quantities are historical only and shall not constitute a guarantee of future quantities.

The Township may generate substantially more or less material during the contract term due to weather events, storms, changes in collection practices, operational requirements or other conditions.

15. REFERENCES

Each bidder shall provide three (3) references for contracts involving similar brush grinding, vegetative debris processing, wood waste processing or comparable services.

For each reference, the bidder shall provide:

• Public agency or customer name;

• Contact person;

• Telephone number;

• Email address;

• Description of work; and

• Approximate contract period.

16. CONTRACT QUANTITIES

This shall be a unit-price, requirements-type contract.

Quantities stated in the specifications, proposal form or historical usage information are estimates only.

The Township:

• Does not guarantee any minimum quantity of work;

• Does not guarantee any minimum payment to the successful bidder;

• May increase or decrease the amount of work based upon actual need; and

• Shall pay only for services actually authorized and satisfactorily performed.

SCHEDULE OF PRICES

BASE BID – BRUSH GRINDING, REMOVAL AND DISPOSAL

Price per cubic yard based upon the measured volume of unprocessed brush prior to grinding:

Contract Year Price in Words Unit Price

Year 1 __________________________ per cubic yard $________ / CY

Year 2 __________________________ per cubic yard $________ / CY

OPTIONAL ITEM – TRIPLE-GROUND MULCH

Additional unit price for processing material into triple-ground mulch and leaving the finished mulch at the Township site, when specifically ordered by the Township:

Contract Year Price in Words Unit Price

Year 1 __________________________ per cubic yard $________ / CY

Year 2 __________________________ per cubic yard $________ / CY

Estimated quantity: Approximately 200 CY annually.

The estimated quantity is provided for bidding purposes only and is not guaranteed.

CONTRACT EXTENSION

If the Township exercises its option to extend the contract, pricing for the extension period shall be established and administered in accordance with the extension provisions contained in the bid specifications and applicable requirements of N.J.S.A. 40A:11-15.

QUESTIONS AND BID SUBMITTALS

All questions and responses are to be conducted electronically on bidnetdirect. Do not send physical responses in any fashion, none will be accepted

Company Name

Security #

Federal ID # or Social

Address

Signature of Authorized Agent Type or Print Name

Telephone Number Date

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 ensure 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

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

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.

New Jersey Business Registration Certification

Pursuant to N.J.S.A. 52:32-44, The Township of HOPEWELL (“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.

SAMPLE BUSINESS REGISTRATION CERTIFICATE

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.

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

Full Name (Print):

Signature:

Date:

CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED

ACTIVITIES IN RUSSIA OR BELARUS

Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendori”) that seeks to enter into or renew a contract with a State agency for the provision of goods or services, or the purchase of bonds or other obligations, must complete the certification below indicating whether or not the Vendor is identified on the Office of Foreign Assets Control

(OFAC) Specially Designated Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall take any 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.

I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the Office of Foreign Assets

Control (OFAC) Specially Designated Nationals and Blocked Persons list, and having done so certify:

(Check the Appropriate Box)

A.

That the Vendor is not identified on the OFAC Specially Designated Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus.

B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially Designated

Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus.

C.

That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially Designated

Nationals and Blocked Persons list. However, the Vendor is engaged in activity related to Russia and/or Belarus consistent with federal law, regulation, license or exemption. A detailed description of how the Vendor’s activity related to Russia and/or Belarus is consistent with federal law is set forth below.

(Attach Additional Sheets If Necessary.)

Signature of Vendor’s Authorized Representative Date

Print Name and Title of Vendor’s Authorized Representative Vendor’s FEIN

Vendor’s Name Vendor’s Phone Number

Vendor’s Address (Street Address) Vendor’s Fax Number

Vendor’s Address (City/State/Zip Code) Vendor’s Email Address i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company, business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or group;

(2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in Section

1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).

NJ Rev. 1.22.2024

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN

FORM

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND

PROPERTY 33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW

JERSEY 08625-0230

BID SOLICITATION # AND TITLE:

VENDOR NAME:

Pursuant to N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4) any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must certify that neither the person nor entity, nor any of its parents, subsidiaries, or affiliates, is identified on the New Jersey Department of the

Treasury’s Chapter

25 List as a person or entity engaged in investment activities in Iran. The Chapter 25 list is found on the

Division’s website at https://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf. Vendors/Bidders must review this list prior to completing the below certification. If the Director of the Division of Purchase and Property finds a person or entity to be in violation of the 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 N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4), that neither the Vendor/Bidder listed above nor any of its parents, subsidiaries, or affiliates is listed on the New Jersey Department of the Treasury’s Chapter 25 List of entities determined to be engaged in prohibited activities in Iran.

OR

I am unable to certify as above because the Vendor/Bidder and/or one or more of its parents, subsidiaries, or affiliates is listed on the New Jersey Department of the Treasury’s Chapter 25 List. I will provide a detailed, accurate and precise description of the activities of the Vendor/Bidder, or one of its parents, subsidiaries or affiliates, has engaged in regarding investment activities in Iran by completing the information requested below.

CERTIFICATION

I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor, that the foregoing information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the State of New Jersey is relying on the information contained herein, and that the

Vendor is under a continuing obligation from the date of this certification through the completion of any contract(s) with the State to notify the State 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. If I do so, I may be subject to criminal prosecution under the law, and it will constitute a material breach of my contract(s) with the State, permitting the State to declare any contract(s) resulting from this

Entity Engaged in Investment Activities Relationship to Vendor/ Bidder

Description of Activities

Duration of Engagement

Anticipated Cessation Date

*Attach Additional Sheets If Necessary.

certification void and unenforceable.

Signature Date

Print Name and Title

DPP Rev. 12.13.2021

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:

Please provide at least 3 references below:

Name: Phone:

Address:

Equipment/Service Provided:

Contract Amount: