jersey city Final RFP Bayside Park Lighting.pdf

NOTICE TO VENDORS

To all interested parties, please be advised that the City of Jersey City, a municipal corporation of the State of New Jersey, will be accepting Proposals in response to this request for proposals for the following services:

ELECTRICAL ENGINEERING SERVICES

BAYSIDE PARK SECURITY AND LIGHTING IMPROVEMENTS

2024-010

Sealed Proposals must be received no later than 4:00 P.M. ON WEDNESDAY, AUGUST 5, 2026.

Proposals will be received and opened by the Purchasing Agent at 280 Grove Street, First Floor, Room 116, Jersey City, New Jersey 07302.

Contract Documents, Specifications, and RFP Forms may be downloaded by going on-line to www.BidnetDirect.com.

Prospective bidders must download RFP specifications and all addenda from www.BidnetDirect.com. Failure to download RFP specifications and acknowledge receipt of addenda shall result in RFP rejection.

Questions by prospective bidders concerning this RFP must be done on-line at www.BidnetDirect.com.

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

17:27. Full requirements of the Equal Employment Opportunity and Affirmative Action Programs are incorporated herein by reference and may be obtained with Proposal Form. Bidders are also required to comply with the requirements of P.L. 2004, c.57 (N.J.S.A.

52:32-44) which includes the requirement that contractors provide copies of their Business Registration Certificates issued by the New Jersey Department of the Treasury, as well as other provisions as listed in the Contract Documents.

PURCHASING LOCKBOX

All bids and proposals must be delivered to the dedicated lockbox in the Division Purchasing, 280 Grove Street, 1st Floor, Room 116, Jersey City, NJ 07302.

Bids may be sent by U.S. certified mail return receipt requested or may be sent by private courier service to the dedicated lock box located at the City Hall, Division of Purchasing, 280 Grove Street, First Floor, Room 116, Jersey City, New Jersey 07302. ATTENTION:

Raquel Tosado, Purchasing Agent, QPA.

Proposals may be sent by U.S. certified mail return receipt requested or may be sent by private courier service to the dedicated lockbox located at the Division of Purchasing, 280 Grove Street, Jersey City, 1st Floor, Room 116. Mail proposals to: Raquel Tosado, Purchasing Agent, QPA, Division of Purchasing, 280 Grove Street, Room 116, Jersey City, New Jersey 07302. Proposals forwarded by facsimile or e-mail will not be accepted. Proposals sent by mail or courier service must be received by the Purchasing Agent no later than 4:00 P.M. on the last City business day before the day of the bid reception or no later than 4:00 P.M. on the date for the receipt of proposals.

INSTRUCT MAIL/COURIER SERVICES TO HAND DELIVER PROPOSALS TO THE

DEDICATED LOCKBOX LOCATED AT THE CITY HALL PURCHASING DIVISION, LOCATED

AT 280 GROVE STREET, 1ST FLOOR, ROOM 116, JERSEY CITY, NJ 07302.

Office hours Monday through Friday from 9:00 am to 4:00 pm. THE CITY SHALL NOT BE

RESPONSIBLE FOR THE LOSS, NON-DELIVERY OR PHYSICAL CONDITION OF

PROPOSALS SENT BY MAIL OR COURIER SERVICE. Proposals must be submitted individually in a sealed envelope addressed to the Purchasing Agent. Proposals must comply with specifications. Any proposal received after the date and time specified will be returned, unopened, to the bidder.

The Purchasing Agent reserves the right to reject any and all proposals received, or portions thereof, if deemed to be in the best interest of the City to do so.

Raquel Tosado, Purchasing Agent, Director

Bidnet Go Live Date:

July 17, 2026

Link to Public Bid Notices: http://www.jerseycitynj.gov/cityhall/clerk

Link to City of Jersey City Bid Opportunities:

https://www.bidnetdirect.com/new-jersey/cityofjerseycity/solicitations/open-bids?selectedContent=BUYER

REQUEST FOR PROPOSALS:

ELECTRICAL ENGINEERING SERVICES

BAYSIDE PARK SECURITY AND LIGHTING IMPROVEMENTS

2024-010

SUBMISSION DEADLINE:

WEDNESDAY, AUGUST 5, 2026

at 4:00 p.m.

ALL PROPOSALS MUST BE ADDRESSED AND DELIVERED TO THE DEDICATED

LOCKBOX LOCATED AT:

Raquel Y. Tosado, Purchasing Agent, QPA

Division of Purchasing

280 Grove Street, 1st Floor, Room 116

Jersey City, NJ 07302

SECTION 1: GENERAL INFORMATION & SUMMARY

1.1 Organization Requesting Proposal

City of Jersey City – Department of Infrastructure - Division of Architecture 13 - 15 Linden Ave. East Jersey City, NJ 07305

1.2 Contact Person

Brian Weller, L.L.A., A.S.L.A.

Director

Department of Infrastructure

Division of Architecture

13 Linden Avenue East, Second Floor

Jersey City, NJ 07305

201.547.5900 (Office)

1.3 Procurement Process

This contract will be awarded as a professional services agreement using the fair and open process under the "New Jersey Local Unit Pay-to-Play Law, N.J.S.A. 19:44A-20.4 et seq.

The City Council will vote to approve a resolution awarding a contract to the Architectural

Contractor for a sum not to exceed the specified amount and for a term of twelve (12) months.

The contract term will be inclusive up to and including construction administration. The successful Contractor will be required to execute an agreement in a form provided by the City, which shall be understood to incorporate the terms of this RFP therein.

1.4 Contract Form

If selected to provide services, it is agreed and understood that the Architectural Contractor shall be bound by the requirements and terms contained in this Request for Proposals (RFP) with regard to services performed, payments, indemnification, insurance, termination, and applicable licensing provisions.

It is also agreed and understood that the acceptance of the final payment by Architectural

Contractor shall be considered a release in full of all claims against the City of Jersey City (City) arising out of, or by reason of, the work done and materials furnished under this Contract.

1.5 Informational Meeting

There will be no Informational Meeting for this RFP process. However, after submission of proposals, selected finalists may be required to give an in-person presentation regarding its approach, given by the actual team we would be working with.

1.6 Submission deadline

Proposals must be submitted and delivered to the dedicated lockbox located at the Division of

Purchasing, by 4:00 p.m. prevailing time on Wednesday, August 5, 2026. Proposals will not be accepted by facsimile transmission or e-mail.

1.7 Opening of proposals

All Proposals shall be reviewed by the Division of Architecture and the Department of

Infrastructure within 20 days of receipt.

1.8 Definitions

The following definitions shall apply to and are used in this Request for Proposals (RFP):

"City" - refers to the City of Jersey City.

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

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

Proposal.

AArchitectural Contractor - refers to the persons and/or firm(s) that is awarded this contract;

and that will provide Electrical Engineering and Civil Engineering Services for the Bayside Park

Security and Lighting upgrades project.

"Construction Contractor" - refers to the General Contractor (GC) awarded the construction contract from publicly bid construction documents prepared by the "Architectural Contractor" to construct the specified structural and renovation improvements.

2. INTRODUCTION

The City of Jersey City, Department of Infrastructure, is soliciting proposals from qualified engineering firms to provide design for Bayside Park Security and Lighting upgrades, located at

485 Garfield Avenue.

This RFP seeks comprehensive professional services to evaluate, design, develop construction documents (Construction Plans and Specifications in Master Spec format) in accordance with existing Jersey City CCTV and all electrical code requirements; for public bidding, permitting and construction of work needed to ensure long-term structural integrity, safety, and functionality of the new Park features. Respondents shall retain any consultants as deemed necessary by the respondents’ professional opinion.

3. PROJECT BACKGROUND AND OBJECTIVES

A. Site Overview

• Location: Bayside Park, 485 Garfield Avenue, Jersey City, NJ.

• Security Camera system: add new security cameras to existing City CCTV security system as specified.

• Lighting: add new lighting to designated areas as specified.

B. Project Goals

• Install new security system added to existing Park CCTV system.

• Construct new lighting to eliminate dark areas of the Park.

4. SCOPE OF SERVICES

Phase I – Investigation and Design

• Conduct updated field survey, inspection and condition verification.

• Confirm existing dimensions, material properties, and reinforcement.

• Confirm with City required specifications that will be utilized in preparation of detailed specifications and drawing bid documents

• Provide cost estimate and obtain required approvals.

Phase II – Bidding and Construction Administration

• Prepare construction bid package (Plans and Specifications).

• Provide Bid and construction administration and inspection services.

• Certify completion per approved plans.

Phase III – Construction (By Contractor)

• Perform construction Administration services during construction phase in accordance with the contract documents.

5. DELIVERABLES

Construction drawings and specifications (50%, 100%).

Opinion of probable construction cost.

Four (4) signed & sealed sets of Final Plans & Specifications for filing purposes; One (1) set of reproducible signed plans in PDF format; One (1) electronic copy in USB form of all contract documents.

Final Plans & Specifications approved for public bid.

Post Construction Final record drawings and maintenance plan.

Mandatory and/or required EEO/AA documents.

6. PROPOSAL SUBMISSION REQUIREMENTS

Proposals shall include the following:

1. Cover Letter summarizing firm’s qualifications and understanding of project.

2. Project Team with resumes and New Jersey professional licenses; contact person.

3. Relevant Experience – at least three similar retaining wall restoration projects.

4. Technical Approach – methodology, materials, and repair techniques.

5. Schedule – anticipated milestones and completion time.

6. Cost Proposal – itemized fee schedule by phase.

7. Submission of Required Administrative Forms

7. EVALUATION CRITERIA

Proposals will be evaluated on the following criteria:

• Experience and technical competence (30%)

• Understanding of project scope (25%)

• Cost and schedule (20%)

• Project team and qualifications (15%)

• MWBE/Local Business participation (10%)

Contract award:

A contract will be awarded a professional service agreement pursuant to the fair and open provisions of the "New Jersey Local Unit Pay-to-Play Law, N.J.S.A. 19:44A-20.4 et seq. The term of the contract will be twelve (12) months commencing on the execution date of the contract by City officials.

8. PROJECT BUDGET AND FUNDING

The 2024–2025 Capital Improvement Program includes funding allocated for this project. Final construction cost shall be developed through detailed design and cost validation.

9. ADDITIONAL INFORMATION - GENERAL TERMS AND CONDITIONS

Additional information about individual Firms may be required prior to award of contract which may not be explained elsewhere in this RFP.

10. COMPENSATION

The contract between the consultant and the City of Jersey City will provide for compensation to the consultant based on a lump sum not to be exceeded which shall include all reimbursable expenses.

The proposal shall also provide a schedule of hourly rates for those personnel anticipated to participate in the project. Hourly rates shall be inclusive of all expenses and shall be used as a basis for monthly billing under each category.

11. TERMS & REQUIREMENTS INCORPORATED INTO THE CONTRACT

11.1 Insurance

The Contractor shall not commence nor perform services under this Contract until the required insurance has been obtained and such insurance has been approved by the City. This insurance shall be written with an acceptable company authorized to do business in the State of New

Jersey, shall be taken out before any operations of the Contractor are commenced and shall be kept in effect until all operations shall be satisfactorily completed. “Claims made” insurance policies do not satisfy the insurance requirements under this Contract.

11.1.1 Types of Required Insurance

Coverage and Limits

The Contractor shall maintain sufficient insurance to protect against all claims under Workmen's

Compensation, General Liability, Automobile Liability and Professional Liability and shall be subject to approval for adequacy of protection. Insurance requirements are as follows:

a) Commercial General Liability in the amount of $1,000,000 per occurrence and

$2,000,000 in aggregate including Products & Completed Operations coverage.

b) Workmen’s Compensation Insurance with NJ statutory limits and Employer’s Liability in the amount of $1,000,000.

c) Automobile Liability in the amount of $1,000,000 combined single limit.

d) Professional Liability Insurance in $2,000,000 per occurrence and in aggregate.

e) Cyber Liability in the amount of $2,000,000 each incident and in aggregate.

11.1.2 Certificate of Insurance

Before commencing the work, the Contractor shall furnish the City with a Certificate of

Insurance (Certificate) verifying evidence of such insurance. Where applicable all Certificates shall name “City of Jersey City, its officers and employees as an additional insured on a primary, noncontributory basis”. All Certificates shall bear said City Project Name and Number if applicable

11.1.3 Coverage Effective Period

The insurance policies required shall be kept in force for a period specified below:

• General Liability, Automobile Liability, Professional Liability and Workers’

Compensation policies shall be kept in force until submission of the Contactor’s final invoice.

11.2 INDEMNITY

The Contractors agree to indemnify, hold harmless and defend the City, its officers, custodians, agents, servants and employees as their interests may appear, from any and all liability including claims demands, losses, costs, damages, and expenses of every kind and description or damage to persons or property arising out of or in connection with or occurring during the course of this agreement where such liability is founded upon or grows out of the acts, errors or omissions of the contractor, its custodians, officers, employees, agents or subcontractors. The contractor will after reasonable notice thereof, defend and pay the expense of defending any suit which may be commenced against the City, its officers, custodians, agents, servants, and employees as their interests may appear, by any third person alleging injury by reason of such carelessness or negligence and will pay judgment which may be obtained against the City, its officers, custodians, agents, servants, and employees as their interests may appear in such suit. In defending any suit, the Contractor shall not, without obtaining express written permission in advance from City’s Corporation Counsel, raise any defense involving in any way the immunity of the City provisions of any statute respecting suit against the City.

The Contractors shall be required to provide all appropriate documentation demonstrating the compliance with indemnity requirements of the Contract to the City with the executed Contract.

11.3 AVAILABILITY OF FUNDS

The award of any Contract pursuant to these specifications shall in all cases be subject to the availability of funds duly appropriated for these purposes. Any Contract as awarded shall immediately cease to be in effect at such time as funds cease to be available for these purposes.

11.6 TERMINATION FOR CONVENIENCE

During the term of the Contract, the Business Administrator shall have the right to terminate the Contract for convenience, in whole or in part, by giving 30 days’ written notice prior to the effective date of termination. If the Contract is terminated by the Business Administrator as provided herein, the Contractor shall be paid for all obligations incurred and services rendered to the date of termination.

11.7 TERMINATION FOR CAUSE

In the event the performance by any Contractor of the services provided under this agreement is unsatisfactory to the City, the City agrees to notify the Contractor in writing, and the

Contractor agrees to within five (5) calendar days rectify the unsatisfactory condition or performance. Should the unsatisfactory performance or condition not be rectified within five

(5) calendar days of notice being given, the City shall at its sole option be entitled to terminate this agreement immediately. The Contractor shall not be entitled to any compensation for service subsequent to receiving notice of termination from the City.

11.8 DISPOSITION OF THIS RFP

Upon submission of a Proposal in response to this RFP, the Respondent acknowledges and consents to the following conditions relative to the submission and review and consideration of its Proposal:

All Proposals shall become the property of the City and will not be returned.

All Proposals will become public information at the appropriate time, as determined by the City

(in the exercise of its sole discretion) in accordance with law.

With respect to the Open Public Records Act (OPRA) and Proprietary Information, although the

RFP indicates that all proposals will become public information, it is understood that OPRA contains exceptions for "Trade secrets and proprietary commercial or financial information obtained from any source" and "Information which, if disclosed, would give an advantage to competitors or Respondents". Therefore, Respondents shall submit two (2) clearly marked versions of their Proposals. One version is to be a complete version to be used by the City for evaluation. The second version should contain redactions of legitimate "trade secrets and proprietary commercial or financial information" and/or "information which...would give an advantage to competitors or Respondents". This second version will be provided to people submitting OPRA requests for information relating to this solicitation. Failure to provide two clearly marked Proposals will mean that the Respondent agrees that the single version provided does not contain trade secrets or proprietary information and may be released pursuant to

OPRA requests. To the extent that a proposal may be sought or may contain information sought pursuant to a public records request, the Respondent shall cooperate with the City to ensure the City can provide a timely and legal response to the records request. To the extent that the

City may not agree with a Respondent’s assertion that some or all redactions it made are of legitimate trade secrets or proprietary commercial or financial information, the City will notify the respondent. Thereafter, there Respondent shall either (i) promptly consent to the release of the information at issue, or otherwise (ii) shall be obligated to indemnify and hold the City harmless against all claims or legal actions taken against the City seeking OPRA or public records access to the redacted material or information and any judgments, fees, costs, or expenses arising therefrom, including but not limited to court costs, reasonable attorney’s fees to defend the action, and reasonable attorney’s fees that may be awarded to a prevailing plaintiff.

12. Addenda or Amendments to RFP After the issuance of this RFP, the City may issue addenda, amendments or answers to written inquiries as deemed necessary or appropriate by (and in the sole judgment of) the City. Those addenda will be noticed by the City and will constitute a part of the RFP. Each Respondent is required to acknowledge receipt of all addenda by executing and submitting with its proposed the “Acknowledgement of Receipt of Addenda.”

The Proposal will be rejected by the City if a Respondent does not include the Acknowledgement of Receipt of Addenda with its Proposal. All responses to the RFP shall be prepared with full consideration of the addenda issued (7) seven days prior to the Proposal submission date.

All communications concerning this RFP or the Proposal process shall be conducted through the City’s Purchasing portal – BidnetDirect.com. Any inquiries must be received at least (7) seven days prior to the RFP due date.

13. NUMBER OF COPIES AND FORMAT

RESPONDENTS MUST SUBMIT ONE UNBOUND SIGNED ORIGINAL, 1 UNBOUND REDACTED

COPY OF THEIR PROPOSAL PER THE OPRA REQUIREMENTS DESCRIBED IN SECTION 2.12.

RESPONDENTS SHALL ALSO SUBMIT A COPY OF THE ORIGINAL PROPOSALS ON A USB FLASH

DRIVE.

Proposals forwarded by facsimile, e-mail, or any other electronic media will not be accepted.

Please note that the City will not be responsible for CDs or soft copy files which cannot be opened, and that this may be grounds for rejection. Responses should be complete and comprehensive. Elaborate bindings or literature are not necessary, but

14. TIMELINE

RFP Issued: 7/17/26

Questions Due: 7/29/26

Proposals Due: 8/5/26, 4:00 p.m.

Notice of Award: TBD

Design Phase: 8/24/26 – 9/28/26

Tentative Construction Start: October 2026

Substantial Completion: November 30, 2026

If you are interested in the above work, kindly submit a written proposal addressed to me, with a cover letter.

DO NOT SEND PROPOSALS TO THE DIVISION OF ARCHITECTURE. PROVIDE A LUMP SUM

INCLUSIVE OF ALL EXPENSES FOR THE WORK AS HEREIN OUTLINED. AWARD WILL BE BASED

ON THE ABILITY TO COMPLETE THE WORK QUICKLY AT A COMPETITIVE COST.

REQUIRED ADMINISTRATIVE FORMS

PROJECT: ______________________________________________________

RESPONDENT: ___________________________________________________

Please place the checklist and the required forms at the front of your proposal.

RESPONDENT’S CHECKLIST

Item

Respondent

Initials

Purchasing

Review

*Acknowledgment of Receipt of Addenda

*Statement of Ownership Disclosure

Mandatory Affirmative Action Language (Exhibit A)

Non-Collusion Affidavit (Notarized)

Americans with Disabilities Act (Appendix A)

With Proposal or after notification of award, but prior to signing a contract, submit photocopy of one of the following three documents:

1. 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

2. Unexpired Certificate of Employee Information

Report; or

3. Employee Information Report (Form AA302) if first time doing business with Jersey City.

Supplier Diversity Questionnaire

Business Registration Certificate

Certification of Non‐Involvement on Prohibited Activities in Russia or

Belarus

Disclosure of Investment Activities in Iran Form

Original signature(s) on all required forms

*A Proposer’s failure to include these forms with its proposal will result in the rejection of the proposal.

ADDENDA ACKNOWLEDGEMENT FORM

The undersigned acknowledges receipt of the following addenda to the bidding document:

THE COMPLETED ACKNOWLEDGEMENT OF ADDENDA FORM

SHOULD BE RETURNED WITH BID RESPONSE PACKAGE: NOT TO

BE SENT SEPARATELY

NOTE: Failure to acknowledge receipt of all addenda will cause the bid to be considered non-responsive, and bid will be rejected. Acknowledgement of receipt of each addenda must be clearly established and included with the bid pursuant to N.J.S.A. 40A:11-23.2 (e).

Addendum No. ________ Dated __________

Addendum No. ________ Dated __________

No addenda were received:

Name of Bidder: ___________________________________________

Street Address: ___________________________________________

City, State, and Zip: ________________________________________

Authorized Signature: _______________________________________

Date: ____________________________________________

STATEMENT OF OWNERSHIP DISCLOSURE

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

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

Name of Organization:_________________________________________________________________

Organization Address:_________________________________________________________________

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

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

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

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

Partnership Limited Partnership Limited Liability Partnership (LLP)

Other (be specific): ______________________________________________

Part II

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

THE LIST BELOW IN THIS SECTION)

OR

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

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

Name of Individual or Business Entity Address

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

OR LLC MEMBERS LISTED IN PART II

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

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

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

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

Address

Part IV Certification

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

Full Name (Print): Title:

Signature: Date:

NON COLLUSION AFFIDAVIT

STATE OF NEW JERSEY

CITY OF JERSEY CITY sis:

I certify that I am ______________________________________________________________ of the firm of _________________________________________________________________ the Respondent making the proposal for the above named project, and that I executed the said proposal with full authority so to do; that said Respondent 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 proposal and in this affidavit are true and correct, and made with full knowledge that the City of Jersey City relies upon the truth of the statements contained in said proposal 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 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 (N.J.S.A.52: 34-25)

(Signature of Respondent) _____________________________________________________

SUBSCRIBED AND SWORN TO

BEFORE ME THIS DAY ___________________________OF 20_________

(TYPE OR PRINT NAME OF AFFIANT UNDER SIGNATURE)

NOTARY PUBLIC OF

MY COMMISSION EXPIRES: 20 .

NOTE:

THIS FORM MUST BE COMPLETED, NOTARIZED AND RETURNED WITH THIS

PROPOSAL

THE CITY OF JERSEY CITY IS AN AFFIRMATIVE ACTION & EQUAL OPPORTUNITY EMPLOYER AND COMPLIES WITH ALL

LOCAL, STATE AND FEDERAL LAWS AND REGULATIONS IN EMPLOYMENT AND CONTRACTING.

SUPPLIER DIVERSITY BIDDER QUESTIONNAIRE

The City of Jersey City is committed to ensuring that its utilization of vendors reflects the diversity of its community. Please complete this form to assist us with monitoring our supplier diversity performance.

Business Name: ________________________________________________________________

Address: ________________________________________________________________

Phone: ________________________________________________________________

Email: ________________________________________________________________

Contact Name: ________________________________________________________________

Please indicate if your business qualifies as any of the following: (See definitions for clarification)

� Minority Owned

� Woman Owned

� Veteran Owned

� Disability Owned

� Lesbian, Gay, Bisexual, Transgender Owned

� None

Please indicate if your business is currently certified by an authorized certifying body as any of the following:

� Minority Business Enterprise

� Woman Business Enterprise

� Veteran Business Enterprise

� Disability Owned Business Enterprise

� Lesbian, Gay, Bisexual, Transgender Business Enterprise

� Disadvantaged Business Enterprise

� Small Business Enterprise

� None

THE CITY OF JERSEY CITY IS AN AFFIRMATIVE ACTION & EQUAL OPPORTUNITY EMPLOYER AND COMPLIES WITH ALL

LOCAL, STATE AND FEDERAL LAWS AND REGULATIONS IN EMPLOYMENT AND CONTRACTING.

SUPPLIER DIVERSITY DEFINITIONS

Minority Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by persons who are African American, Hispanic, Asian American, American Indian or Alaskan Native, defined as follows:

African American: a person having origins in any of the black racial groups of Africa.

Hispanic: a person of Mexican, Puerto Rican, Central or South American or other non-European Spanish culture or origin regardless of race.

Asian: a person having origins in any of the original peoples of the Far East, South East Asia, Indian subcontinent, Hawaii or the Pacific Islands.

American Indian or Alaskan Native: a person having origins in any of the original peoples of North America and who maintains cultural identification through tribal affiliation or community recognition.

Woman Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by a woman or women.

Veteran Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by a person or persons who are veterans.

"Veteran" means any citizen and resident of this State now or hereafter honorably discharged or released under honorable circumstances who served in any branch of the Armed Forces of the United States or a Reserve component thereof for at least 90 days and shall include disabled veterans.

Disability Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by a person or persons with a disability.

Lesbian, Gay, Bisexual, Transgender Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by an LGBT person or persons.

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$75.00 (Non-Refundable Fee) PAYABLE TO "THE TREASURER, STATE OF NEW JERSEY"

1.

EE

E E N R N RT

http://www.state.nj.us/treasury/contract_compliance/pdf/aa302ins.pdt

SECTIONA-

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

8IF MULTI-ESTABLISHMENT EMPLOYER, STATE THE NUMBER OF ESTABLISHMENTS IN NI

TOTAL NUMBER OF EMPLOYEES AT ESTABLISHMENT WHICH BEEN AWARDED THE CONTRACT

10. PUBLIC AGENCY AWARDING CONTRAC

Official Use Onl

Sales

Operatives

Laborers employment previous

Report (if (if any) Temporary & Part-

Employees

17 ADDRESS

IN CERTIFICATION NUMBER

ALL EMPLOYEES PERMANENT MINORITY/NON-MINORITY EMPLOYEE BREAKOOWN

ALE ***FEMALE

NON

OBTAINED

SECTION C-SIGNATURE AND IDENTIFICATION

MO,DAY YEAR

CODE PHONE (AREA CODE, NO,EXTENSION)

SUBMIT THE REQUIRED $150.00 NON-REFUNDABLE FEE MAY DELAY ISSUANCE OF YOUR CERTIFICATE

WITH A CHECK IN THE AMOUNT OF $150.00 PAYABLE TO

THE TREASURER, STATE OF NEW JERSEY(FEE IS NON-REFUNDABLE)

VENDOR ACTIVITY SUMMARY PORT

PROMOT ONS TRANSFERS TERMINATIONS ECK (X

FROM

Street City County State Zip Coре

PROFESS IONALS

TECHNICIANS

SALES WORKERS

OFFICE & CLERICAL

CRAFTWORKERS

OPERATIVES

LABORERS

SERVICE WORKERS

TOTAL

(NO.

Black p ide AA-302 f

New Jersey Business Registration Requirements for Goods, Professional Service and General Service Contracts

The contractor shall provide written notice to its subcontractors of the responsibility to submit proof of business registration to the contractor.

Before final payment on the contract is made by the contracting agency, the contractor shall submit an accurate list and proof of business registration of each subcontractor or supplier used in the fulfillment of the contract, or shall attest that no subcontractors were used.

For the term of the contract, the contractor and each of its affiliates and a subcontractor and each of its affiliates N.J.S.A. 52:32-44(g)(3) shall collect and remit to the Director, New Jersey Division of Taxation, the use tax due pursuant to the Sales and Use Tax Act on all sales of tangible personal property delivered in this State, regardless of whether the tangible personal property is intended of a contract with a contracting agency.

A business organization that fails to provide a copy of a business registration as required pursuant to section 1 of P.L. 2001, c. 134 (C.52:32-44 et al) or subsection e. or f. of section 92 of P.L. 1977, c. 110 (C.5:12- 92), or that provides false business registration information under the requirements of either of those sections, shall be liable for a penalty of $25 for each of violation, not to exceed $50,000 for each business registration copy not properly provided under a contract with a contracting agency.

000-00-0000

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CERTIFICATION OF NON‐INVOLVEMENT IN

PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS

NJ Rev. 1.22.2024

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.

OR

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.

OR

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).

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

DPP Rev. 12.13.2021

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.

Entity Engaged in Investment Activities Relationship to Vendor/ Bidder Description of Activities

Duration of Engagement Anticipated Cessation Date *Attach Additional Sheets If Necessary.

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 certification void and unenforceable.

Signature Date

Print Name and Title