monmouoth bidDownloadFile.pdf

COUNTY OF MONMOUTH

STATE OF NEW JERSEY

CONSTRUCTION OF PARKING LOT AT

PLEASANT VALLEY PARK, MARLBORO, NJ FOR

THE MONMOUTH COUNTY PARK SYSTEM

RFB #F-130-2026

AUTHORIZED: July 16, 2026

ADVERTISED: July 22, 2026

OPENING: August 19, 2026

Table of Contents TC 1 of 2

TABLE OF CONTENTS Pages

NOTICE TO BIDDERS (2 pages)…………………………………………… NB 1 & 2

PUBLIC WORKS CONTRACTOR REGISTRATION…………………… PWR 1

PROPOSAL (3 pages)..……………………………………………………… P 3

GENERAL CONTRACTORS QUALIFICATION & REFERENCE……. GCQ&R 1

INSTRUCTIONS TO BIDDERS (33 pages)

1. Owner; 2. Bidding Documents; 3. Addenda; 4. Form of Bid Proposal;

5. Sales & Excise Taxes; 6. Bid Guarantee; 7. Return of Bid Guarantees;

8. Delivery of Bid; 9. Release of Bid; 10. Modification of Bid; 11. Award of Contract; 12. Performance & Payment Bonds; 13. Maintenance Bond

14. Surety; 15. Surety Disclosure Statement; 16. Insurance Coverage;

17. Allowances; 18. Unit Price Bids; 19. Correction of Faulty Arithmetic:

20. Prevailing Wages & Labor Laws; 21. Affirmative Action & Equal Opportunity; 22. U.S. Products Required; 23. Maintenance of Records;

24. Contract Sample Between County and Contractor; 25. Americans with Disabilities Act; 26. Public Works Contractor Registration Act; 27. New Jersey Business Registration…………………………………………………... IB 1 - 3

* Bidder’s Checklist…………………………………………………………… IB 4

* Non-Collusion Affidavit……………………………………………………... IB 5

* Statement of Ownership.…………………………………………………….. IB 6-9

* Model Consent of Surety…………………………………………………….. IB 10

* New Jersey Business Registration Requirements……………………………. IB 11-12

* Addenda Acknowledgement Form…………………………………………... IB 13

* Federal Non-Debarment Form…………...………………………………….. IB 14-18

* Buy American Certificate of Compliance ………………………………….. IB 19

* Form of Agreement …………………………………………………………. IB 20-24

* Mandatory Anti-Discrimination in Employment Language…………………. IB 25

* Mandatory Equal Employment Opportunity Language………..……………. IB 26-29

* American with Disabilities Act of 1990…………………………………...… IB 30-31

* EEO Questionnaire on Procurement and Service Contract.………………… IB 32

* Prevailing Wage Rate Determination...……………………………………… IB 33

* NOTE: CURRENT PREVAILING WAGE RATES AND LIST OF DEBARRED CONTRACTORS

IS AVAILABLE ON-LINE AT:

https://www.nj.gov/labor/wagehour/wagerate/wage_rates.html https://www.nj.gov/labor/wagehour/wagerate/prevailing_wage_debarment_list.html

Table of Contents TC 2 of 2

GENERAL CONDITIONS OF THE CONTRACT (section number & title) (8 pages)

1. Owner; 2. Contract Documents; 3. Governing Law; 4. Design Professional; 5. Intent; 6. Permits, Fees & Notices; 7. Supervision of the Work; 8. Use of Site; 9. Cutting and Patching; 10. Cleaning Up;

11. Access to the Work; 12. Contractors Indemnification; 13. Insurance;

14. Administration of the Contract; 15. Alternate Dispute Resolution (non-binding mediation); 16. Continuing Contract Performance; 17. Construction by Park System or by Separate Contractors; 18. Changes in the Work;

19. Contract Time; 20. Liquidated Damages; 21. Construction Schedule;

22. Substantial Completion; 23. Contract Sum and Payments; 24. Prompt

25. Retainage; 26. Final Completion; 27. Final Payment; 28. Acceptance of Final Payment; 29. Safety Precautions & Programs; 30. Successors and Assigns; 31. Rights and Remedies; 32. Termination by County for Cause;

33. Termination by County Convenience; 34. Suspension for County’s Convenience; 35. Electrical & Mechanical Equipment; 36. Proposed Substitution; 37. Directed Substitutions……………………………………... GC 1-8

TECHNICAL SPECIFICATIONS

PERMITS

PLANS

NB 1 of 2

MONMOUTH COUNTY

NOTICE TO BIDDERS

ADVERTISED DATE: WEDNESDAY, JULY 22, 2026

TAKE NOTICE that sealed Bids for a proposed Contract for the project known as CONSTRUCTION

OF PARKING LOT AT PLEASANT VALLEY PARK, MARLBORO, NJ FOR THE

MONMOUTH COUNTY PARK SYSTEM (RFB #F-130-2026) will be received by the Monmouth County Division of Purchasing, Hall of Records, 3rd Floor, 1 East Main St., Freehold, NJ 07728 and opened and read in public in the Commissioners Meeting Room, located on the 2nd Floor of the Hall of Records, 1 East Main Street, Freehold, NJ on WEDNESDAY, AUGUST 19, 2026 at 10:30 AM.

PRE-BID INSPECTION. None Scheduled. Bidders are expected to examine existing conditions at the project site that will bear on the proposed work.

BIDDING DOCUMENTS AVAILABLE. Request for Bid packets must be downloaded on the County website, at www.visitmonmouth.com/purchasing under “Upcoming RFB’s (Request for Bids)”.All notices of revisions or addenda to the specifications for bids will be published on the County’s Public Notice Portal. In addition to the notices, the actual revisions or addenda will also be posted to Purchasing’s website.

STATUTORY REQUIREMENTS. The Contractor will be required to comply with requirements of P.L. 1975. C. 127 (N.J.A.C. 17:27) "Affirmative Action," (42 U.S.C. 512101 et seq) "American With Disabilities Act", N.J.S.A. 40A:11-16 "Designated Subcontractors" Chapter 150 of New Jersey Laws of 1963 "Prevailing Wages", “The Public Works Contractor Registration Act” (P.L.1999, s.238) as amended by P.L.2003, c.91), New Jersey State Business Registration (N.J.S.A. 52:32-44), and all other laws and regulations that apply to bidding and the performance of the proposed Contract.

FORM OF BID. Bids must be submitted on the proposal form provided or an exact duplicate in the manner designated and required by the specifications. Bid submitted must be enclosed in a sealed envelope bearing the name and address of the bidder, the title of the bid, and the words “Sealed Bid.”

Bids are to be addressed to the Monmouth County Division of Purchasing, Hall of Records, 3rd Floor, 1 East Main Street, Freehold, New Jersey 07728.

FORMS TO ACCOMPANY BID. Each Bidder shall complete and submit with its Bid the following:

Statement of Ownership, Non-Collusion Affidavit (blank copies included in the Bidding Documents), Consent of Surety (sample of acceptable work to be included in the Bidding Documents) and Bid Guarantee, Certificate of Registration with the New Jersey Department of Labor as required under "The Public Works Contractor Registration Act" (P.L. 1999, C.238), New Jersey State Business Registration (N.J.S.A. 52:32-44).

BID GUARANTEE. Each Bid must be accompanied by a Bid Guarantee payable to “Treasurer of the County of Monmouth.”. The Bid Guarantee shall be in the amount of “10% of the Base Bid (as called out in the Bid Form)” or $20,000.00, whichever is the lesser amount. The Bid Guarantee shall be given by certified check, treasurer's check or bid bond at the Bidder's option.

CONSENT OF SURETY. An Original Consent of Surety must accompany each bid. The Consent of Surety shall provide that if the Contract is awarded to its principal, the Surety on behalf of its principal will post Performance, Payment Bonds, and a Maintenance Bond, each of which shall be for 100% of the amount of the awarded Contract.

NB 2 of 2

RIGHTS TO REJECT BIDS. The County of Monmouth reserves the right to reject any or all bids in accordance with applicable laws and regulations; and to waive any informalities contained in the Bids.

EQUAL OR TIED BIDS. The County of Monmouth shall have the right to award the Contract to any one of the lowest responsible Bidders whose Bids are equal to or tied.

CONTACT REGARDING TECHNICAL QUESTIONS: Refer any technical questions regarding this bid in writing to formalbidquestions@co.monmouth.nj.us.

BY ORDER OF THE MONMOUTH COUNTY

BOARD OF COUNTY COMMISSIONERS

THOMAS A. ARNONE, DIRECTOR

TAMARA BROWN, CLERK OF THE BOARD

HELEN P. FIORE, DIRECTOR OF PURCHASING

NOTICE

THE PUBLIC WORKS CONTRACTOR REGISTRATION ACT

(P.L.1999, s.238, as amended by P.L.2003,c.91)

Revision to Existing Law effective August 17, 2003:

34:11-56.51 Registration required for contractors, subcontractors.

4. No contractor shall bid on any contract for public work as defined in section 2 of P.L.1963,c.150 (C.34:11-56.26) unless the contractor is registered pursuant to this act. No contractor shall list a subcontractor in a bid proposal for the contract unless the subcontractor is registered pursuant to P.L.1999, c.238 (C34:11-56.48 et seq.) at the time the bid is made. No contractor or subcontractor, including a subcontractor not listed in the bid proposal, shall engage in the performance of any public work subject to the contract, unless the contractor or subcontractor is registered pursuant to that act.

34:11.56.55 Submission of all subcontractor registration certificates by contractor.

8. Each contractor shall, after the bid is made and prior to the awarding of the contract, submit to the public entity the certificates of registration for all subcontractors listed in the bid proposal.

Applications for registration shall not be accepted as a substitute for a certificate of registration for the purposes of this section.

L.1999,c.238,s.8; amended 2003,c.91., s4.

Registration now pertains to ALL ‘PUBLIC WORKS” not just buildings with public access.

Public Works Contractor Registration PWR-1

Proposal Page 1 of 3

PROPOSAL

PROJECT NAME: CONSTRUCTION OF PARKING LOT AT PLEASANT VALLEY PARK,

MARLBORO, NJ FOR THE MONMOUTH COUNTY PARK SYSTEM

SUBMITTED TO: MONMOUTH COUNTY DIVISION OF PURCHASING

HELEN P. FIORE

DIRECTOR OF PURCHASING

Hall of Records, 3rd Floor Freehold, New Jersey hereinafter known as OWNER.

SUBMITTED BY: __________________________________________,

(type or print Bidder's name) hereinafter known as BIDDER.

BE IT KNOWN:

BIDDER is thoroughly familiar with all provisions and requirements of the Bidding Documents and the conditions under which the Work is to be performed;

BIDDER finds that the proposed Contract Documents are complete, and that they are appropriate for the full, proper, and timely performance of the proposed Contract;

BIDDER possesses and commits to the OWNER the technical knowledge, practical experience, management skills, and all other resources that will be needed to perform the Work contemplated by, described in, and reasonably inferred from the proposed Contract Documents;

BIDDER represents that this Bid is legitimate, and that the various documents which accompany this Bid are accurate, complete and true.

NOW THEREFORE BIDDER HEREBY PROPOSES to furnish all supervision, labor, materials, services, tools, equipment, licenses, permits, and payments of lawful fees and taxes which may be necessary to fully perform the OWNER's proposed contract.

Proposal Page 2 of 3

PART A: BASE BID

The work under the BASE BID shall include curbing, asphalt apron and stone parking lot. Entire scope of work is more fully described in the project documents.

ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL PRICE

1. General Requirements – Includes all work associated with mobilization, demobilization, safety/hazard prevention, traffic control, housekeeping and final clean-up, field engineering, 1 LS $___________ $___________ temporary utilities, storage and marshalling yards, permits, soil erosion and sediment control measures, insurance and bonding.

2. Concrete Curb Replacement – Remove existing curb, install NJDOT curb per plans and specs.

Remove excess dirt behind existing curb and regrade at 5:1 slope. 300 LF $___________ $___________

3. Asphalt Paving– Install asphalt apron for proposed parking lot per plans and specs. 2,100 SF $___________ $___________

4. Depressed Curb– Install depressed curb between lot and apron per plans and specs. 26 LF $___________ $___________

5. Parking Lot – Install pervious stone parking lot in existing grass field, per plans and specs.

All excavated cut shall be transferred 5 miles to the Thompson Park Maintenance area. 6,130 SF $___________ $___________

6. Signage– Install 24” stop bar and (1) 18” R1-R stop sign per plans and specs. 1 LS $___________ $___________

7. Allowance- For concealed or unforeseen conditions as directed by the Owner. 1 LS $ 2,000 $ 2,000

TOTAL BASE BID PRICE (Items 1-7 inclusive)… $ _______________________________________

IN WORDS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

PART B: OWNER'S EVALUATION OF BIDS

In accordance with N.J.S.A. 40A:11-23.1(d), evaluation of the bids for the determination of the apparent low bidder will be based upon the total amount of the Total Base Bid Price. Only a single award will be made to a single Contractor.

** CONTRACTOR MUST SUBMIT A COMPLETE BID PROPOSAL PACKET.

Proposal Page 1 of 3

PART C: CONTRACT TIME AND LIQUIDATED DAMAGES

The CONTRACT TIME shall be ninety (90) calendar days commencing on the next day following the Contractor’s receipt of the NOTICE TO PROCEED from the OWNER. It is agreed by the parties that this CONTRACT TIME subsequently may be adjusted for cause in accordance with the terms and conditions of the General Conditions of the Contract.

LIQUIDATED DAMAGES (not a penalty) shall be assessed at the rate of $250 for contracts in the maximum amount of $500,000 and $500 for contracts in excess of $500,000 for each and every calendar day that completion of the work overruns the CONTRACT TIME.

PART D: BIDDER'S EXECUTION OF PROPOSAL

The BIDDER, for good and valuable consideration, namely the privilege of bidding for the OWNER's proposed Contract, and the Owner's assurance that the Contract will be awarded to the lowest responsible BIDDER, provided that the cost thereof would be within the amount budgeted and funded by the OWNER for the Work, hereby offers this executed Proposal as a unilateral contract to perform all Work of the Project, with the understanding that it will become mutually binding if it is accepted by the OWNER.

BIDDER's Legal Name (as shown on page 1)

(type or print)

(authorized signature) (date signed)

(type or print name signed above) (title)

BIDDER's Legal Address: BIDDER's Mailing Address (if different):

(street address) (street address... P.O. Box...)

(city...town...state...zip) (city...town...state...zip)

Federal Tax ID # or Social Security # _____________________________________

Phone: __________________________________________

Fax #: ___________________________________________

BIDDER's E-Mail Address:

END OF PROPOSAL

GENERAL CONTRACTOR’S QUALIFICATIONS AND REFERENCES

References must be from jobs similar to this project in scope, size, design, and difficulty.

References:

1. Name of Project:

Address:

Description of Work:

Year Installed:

Name of Contact:

Phone Number of Contact:

2. Name of Project:

Address:

Description of Work:

Year Installed:

Name of Contact:

Phone Number of Contact:

3. Name of Project:

Address:

Description of Work:

Year Installed:

Name of Contact:

Phone Number of Contact:

4. Name of Project:

Address:

Description of Work:

Year Installed:

Name of Contact:

Phone Number of Contact:

5. Name of Project:

Address:

Description of Work:

Year Installed:

Name of Contact:

Phone Number of Contact:

General Contractors Qualifications and References GCQ&R-1

Limited Construction Contract

I N S T R U C T I O N S TO BI D D E R S

IB 1 of 33

1. OWNER: The Owner is the County of Monmouth, a municipal corporation of the State of New Jersey. Monmouth County is governed by its Board of County Commissioners. Only the Board of County Commissioners can bind the Owner with respect to all matters requiring the Owner’s approval or authorization

2. BIDDING DOCUMENTS: The Bidding Documents consist of the Notice To Bidders, the Bid Form and other forms required to be submitted with the Bid, the Park System’s standard Form of Agreement, these Instructions To Bidders, the General Conditions of the Contract, project drawings and/or written specifications, and all addenda which have been issued prior to the receipt of bids.

3. ADDENDA: Public Notice of Addenda shall be provided no later than seven days, Saturdays, Sundays and Holidays excepted, prior to the date of acceptance of bids, to any person who submitted a bid or who has received a bid package in any of the following ways: i) in writing by certified mail or ii) by certified facsimile transmission, meaning that the sender’s facsimile machine produces a receipt showing date and time of sender’s facsimile and that the transmission was successful or iii) by a delivery service that provides certification of delivery to the sender.

4. FORM OF BID PROPOSAL: Bidders must use the County’s Bid Form, or copy machine reproductions thereof, to prepare their bids.

5. SALES AND EXCISE TAXES: Bids must fully account for all costs imposed by applicable New Jersey Sales Tax and Federal Excise Tax laws. The County of Monmouth is exempt from paying New Jersey Sales Taxes on equipment and materials which are incorporated in the work, and on supplies and services that are used exclusively to alter, construct, improve or repair County-owned property. The County’s sales tax exemption does not extend to the purchase, lease or rental of equipment used to prosecute the work.

6. BID GUARANTEE: Checks posted as the Bid Guarantee shall be payable to “Treasurer of the County of Monmouth,” payable in U.S. Dollars, and be drawn on a bank which is authorized to conduct business in the United States. Bid bonds offered as the Bid Guarantee shall be by a surety which is licensed to conduct business and authorized to post such bonds in the State of New Jersey.

7. RETURN OF BID GUARANTEES: Bid Guarantees will be returned to the Bidders in accordance with the provisions of the New Jersey Local Public Contracts Law.

8. DELIVERY OF BID: Bids may be delivered by the Bidder in person, or by mail or commercial delivery service, to the Monmouth County Division of Purchasing (see Notice To Bidders). The County of Monmouth assumes no responsibility for bids which are received later than the time established by the Notice To Bidders for the receipt of bids. Late bids will be returned unopened to the Bidders.

9. RELEASE OF BID: Within a reasonable time after the opening of bids, a Bidder may request release of its Bid only if there is an excusable material error in the Bid price(s). Such requests must be in writing. The County of Monmouth shall have the sole right to determine if a Bidder will be released from its bid.

10. MODIFICATION OF BID: A bid may not be canceled, modified, or withdrawn during the 60 calendar day period after the bids are opened.

11. AWARD OF CONTRACT: Unless otherwise stated, the Monmouth County Board of County Commissioners intends to award a single overall contract for the work to the lowest responsible Bidder, I N S T R U C T I O N S TO BI D D E R S—Continued

IB 2 of 33 or to reject all bids, within 60 calendar days after the receipt of bids, unless the period for award is extended by mutual agreement of the parties.

12. PERFORMANCE AND PAYMENT BONDS: Performance and payment bonds, as described by the Model Consent of Surety elsewhere in the Bidding Documents, must be posted with the County within 21 business days of the Bidder’s receipt notice that it has been awarded the contract.

13. MAINTENANCE BOND: The Notice To Bidders will indicate if the County of Monmouth will require Maintenance Bond to be posted upon completion of the work. In that event the Maintenance Bond shall be for a term of one calendar year from the date the work is completed, and shall be in the amount of 100% of the Contract Sum (as may be adjusted by Change Order).

14. SURETY: The surety who will post the bonds called for by the Bidding Documents must be licensed to conduct business and authorized to post such bonds in the State of New Jersey.

15. SURETY DISCLOSURE STATEMENT. A surety disclosure statement and certification in the form required by N.J.S.A. 2A:44-143 shall accompany the consent of surety at the time of the bid. The County may, however, at its discretion, allow submission of the security disclosure statement and certification after receipt of bids. Performance and payment bonds cannot be accepted by the Park System unless a surety disclosure statement and certification complying with N.J.S.A. 2A:44-143 has been provided.

16. INSURANCE COVERAGE: (see General Conditions of the Contract for Construction)

17. ALLOWANCES: The Bid Form will indicate if Allowances are to be included in the Total Base Bid.

Allowance amounts which are pre-printed on the Bid Form do not include the Bidder’s mark-ups; they must be factored into the lump sum bid item(s).

18. UNIT PRICE BIDS: When unit price bids are required, the unit prices entered on the Bid Form shall reflect the actual cost to be charged to the County for each item, including the Bidder’s anticipated direct and other costs, overhead and profit directly related to each bid item. When the Bidder intends to bid zero for a unit price bid item, a “0” shall be entered for the unit price and the extended price.

19. CORRECTION OF FAULTY ARITHMETIC: The County shall have the right to check and correct the addition of all prices entered on any Bid Form, and will unilaterally substitute correct totals wherever a Bidder’s entries are not correct. In the case of unit price bids, the Bidder’s unit price shall prevail if the extended price entered on the Bid Form does not equal the Bidder’s unit price multiplied by the quantity printed on the Bid Form. In any such instance the Bidder will be informed of the County’s corrections.

20. PREVAILING WAGES & LABOR LAWS: The New Jersey Prevailing Wage Act will apply to the proposed Contract (P.L. 1963, C. 150). By submitting its Bid the Bidder attests that neither they, their company, nor any of their intended subcontractors are prohibited from being awarded their contracts for failure to pay prevailing wages (N.J.S.A. 34:11-56.38). The Contractor and its subcontractors must submit certified payroll records to the Park System’s designated representative within ten days of the payment of wages (N.J.A.C. 12:60-1). [Call N.J. Department of Labor at 609-292-2283 to obtain certified payroll form.]

IB 3 of 33

21. AFFIRMATIVE ACTION & EQUAL OPPORTUNITY: The Affirmative Action Regulation of the State of New Jersey will apply to the proposed Contract. (P.L. 1975, C.127). A copy of the Mandatory Affirmative Action Language for Construction Contracts and EEO/Affirmative Action Compliance Notice Checklist is provided in the Bidding Documents to County’s Form of Agreement. The Initial Project Manning Report must be submitted within three days of signing the Contract. Monthly Project Manning Reports must be filed with the New Jersey Affirmative Action Office, with copies to the Monmouth County Park System’s Purchasing Agent.

22. U.S. PRODUCTS REQUIRED: Bid prices must fully account for the use and incorporation in the Work of only manufactured and farm products of the United State of America, wherever they are available (N.J.S.A. 40A:11-18). The Contract Sum will not be increased for any reasons that may stem from the Bidder’s failure or neglect to account for this.

23. MAINTENANCE OF RECORDS: In accordance with N.J.A.C., 17:44-2.2; Contractor shall maintain all documentation related to products, transactions or services under this contract for a period of five (5) years from the date of final payment. Such records shall be made available to the New Jersey Office of the State Comptroller upon request.

24. FORM OF AGREEMENT BETWEEN COUNTY AND CONTRACTOR: A copy of the County’s standard form of Agreement is included in the Bidding Documents.

25. AMERICANS WITH DISABILITIES ACT: The Contractor shall comply with the provisions and requirements of the Americans With Disabilities Act, Equal Opportunity for Individuals With Disabilities, a copy of which is included in the Bid Documents.

26. PUBLIC WORKS CONTRACTOR REGISTRATION: Public Works Contractor Registration Act: The Public Works Contractor Registration Act (P.L.1999, c238 as amended by P.L. 2003, c91). No contractor shall bid on any contract for public work as defined in section 2 of P.L. 1963, c.150 (C.34:11-56.26) unless the contractor is registered pursuant to this act. No contractor shall list a subcontractor in a bid proposal for the contract unless the subcontractor is registered pursuant to P.L. 1999, c.238 (C.34:11-

56.48 et seq.) at the time the bid is made. No contractor or subcontractor, including a subcontractor not listed in the bid proposal, shall engage in the performance of any public work subject to the contract, unless the contractor or subcontractor is registered pursuant to that act.

27. NEW JERSEY BUSINESS REGISTRATION: In accordance with N.J.S.A. 52:32-44, Proof of valid business registration (a Business Registration Certificate) with the New Jersey Department of Treasury, Division of Revenue must be submitted to the contracting agency prior to the award of any contract, including purchase orders. No contract will be awarded without proof of such business registration.

IB 4 of 33

BID DOCUMENT CHECKLIST

BID # F-130-2026

Items submitted with bid (Owner’s checkmarks) (Bidder’s INITIALS)

⇓ A. FAILURE TO SUBMIT ANY OF THESE ITEMS WITH ⇓

BID IS MANDATORY CAUSE FOR REJECTION

X Bid Proposal (Original) _____ X Bid Guarantee (original bid bond or guaranteed funds) _____

X Surety Certificate (original Consent of Surety) _____

List of Designated Sub-Contractors (filled out completely) _____

X Acknowledgement of Receipt of Addenda or Revisions (if any) _____

X Statement of Ownership (filled out completely and broken down) _____

X Non-Collusion Affidavit (filled out completely) _____

B. ITEMS PREFERRED WITH THE BID, BUT MANDATORY

PRIOR TO AWARD OF CONTRACT

X Copy of Public Works Contractor Registration Act Certificate for the bidder, must be effective on the date of bid _____

X Copy of New Jersey Business Registration Certificate for the bidder _____

X Buy American Certificate of Compliance _____

X Federal Non-Debarment Form for the bidder _____

X General Contractors Qualifications & References (GCQ&R-1) _____

X EEO Questionnaire on Procurement and Service Contract _____

THE UNDERSIGNED BIDDER HEREWITH SUBMITS THE ABOVE REQUIRED DOCUMENTS:

PRINT OFFICIAL COMPANY NAME: ________________________________

SIGNED BY: ________________________________

PRINT NAME AND TITLE: ________________________________

DATE: ________________________________

THIS CHECKLIST SHOULD BE INITIALED AND SIGNED WHERE INDICATED AND RETURNED

WITH ALL DOCUMENTS

IB 5 of 33

NON-COLLUSION AFFIDAVIT

(N.J.S.A. 52:34-15)

This Affidavit shall be properly executed and submitted with the bid proposal.

STATE OF _______________ )

ss:

COUNTY OF _____________ )

Re: F-130-2026, CONSTRUCTION OF PARKING LOT AT PLEASANT VALLEY PARK, MARLBORO, NJ FOR THE MONMOUTH COUNTY PARK SYSTEM

I, _____________________________________________ (name of signer) of full age, on my oath depose and say:

I am the _________________________________________ (title) of ________________________________________________ (name of bidder), a bidder for the above named project, and that I executed the said bid with full authority so to do; that the 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 the bid and in this affidavit are true and correct, and made with full knowledge that the County of Monmouth relies upon the truth of the statements contained in the bid and in the statements contained in this affidavit in awarding a contract for the 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 my firm for the purpose of securing business.

Signed: X_____________________________

(Revised 1/2024)

IB 6 of 33

C A U T I O N

REGARDING STATEMENT OF OWNERSHIP

The enclosed Statement of Ownership form must be properly completed in accordance with the requirements of N.J.S.A. 52:25-24.2.

The disclosure of all beneficial owners who own ten (10) percent or more of any entity shall be provided in Part II and Part III of the following Statement of Ownership Form, and on additional sheets (if applicable), until all natural persons are identified, or it is otherwise disclosed that there is no further breakdown of beneficial owners greater than or equal to ten (10) percent.

For example, if your company “Company A” (“the VENDOR”), is entirely owned by “Company B”, you must disclose the names and addresses of the owners of 10% or more of “Company B”. Furthermore, if “Company C” owns 100% of “Company B”, you must disclose the names and addresses of the owners of 10% or more of “Company C”.

You must continue this breakdown until ALL owners (i.e. natural persons) of 10% or more have been disclosed. Please refer to the Sample Scenarios page to better help you understand what is required for proper breakdown of ownership for Part II.

Please be advised that, for the purposes of completing this form, all “owners” shall be considered to be: individual persons, partnerships, limited partnerships, limited liability partnerships, limited liability companies, sub-chapter S-corporations, C-corporations, statutory trusts, business trusts or associations, real estate investment trusts, common-law trusts, national associations, or any other unincorporated business, whether organized under the laws of this State or under the laws of any other state or territory of the United States or the District of Columbia, the United States or any foreign country or other foreign jurisdiction pursuant to N.J.S.A. 52:25-24.2.

If ownership is not properly disclosed, your bid must be rejected, as required by N.J.S.A. 40A:11-23.2. Mistakes cannot be cured after bids are received.

Original 10/2024

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STATEMENT OF OWNERSHIP

(N.J.S.A. 52:25-24.2)

Part I – The VENDOR is (check one):

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

For-Profit Corporation (any type)

Limited Liability Company (LLC)

Partnership

Limited Partnership

Limited Liability Partnership (LLP)

Other, Please List_____________________________

Part II – The VENDOR certifies that (complete all that apply under OPTION 1 or OPTION 2):

OPTION 1

No one stockholder in the corporation owns 10% or more of its stock, of any class, or no individual partner in the partnership owns a 10% or greater interest therein, or no member in the limited liability company owns a 10% or greater interest therein (SKIP TO PART IV - CERTIFICATION)

OPTION 2

The list below contains the names and addresses of all stockholders in the corporation 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, or of all members in the limited liability company who own 10% or greater interest therein.

PLEASE REVIEW THE CAUTION STATEMENT ON THE PRIOR PAGE BEFORE COMPLETING THIS

PART – If VENDOR is owned (10% or more) by another business entity(ies), you must complete this breakdown of ownership for EACH business entity in VENDOR’S ownership structure until ALL owners (i.e.

natural persons) of 10% or more have been disclosed. Attach additional sheets if necessary. If ownership is not properly disclosed, your bid must be rejected, as required by N.J.S.A. 40A:11-23.2. Mistakes cannot be cured after bids are received.

(COMPLETE THE LIST BELOW)

Name: _________________________________ Address: _______________________________

Name: _________________________________

Name:__________________________________

Address:________________________________

Address:________________________________

Check here if additional sheets are attached. Refer to Sample Scenarios attachment.

I N S T R U C T I O N S TO BI D D E R S

IB 8 of 33

STATEMENT OF OWNERSHIP (Continued)

(N.J.S.A. 52:25-24.2)

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

MEMBERS LISTED IN PART II

If VENDOR has a direct or indirect parent entity which is publicly traded, and any person that holds a 10% 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) and page numbers containing the last annual filing(s) with the federal SEC (or foreign equivalent) that clearly list such persons.

WEBSITE (URL) ________________________________________________________

Part IV: CERTIFICATION

* FAILURE TO SIGN “PART IV: CERTIFICATION” IS MANDATORY CAUSE FOR REJECTION EVEN IF ALL

OWNERSHIP HAS BEEN PROPERLY DISCLOSED. PLEASE BE SURE TO SIGN THIS SECTION.

By signing below, VENDOR certifies that its ownership disclosure is complete as provided above and/or attached and no person or entity, except for those (if any) already listed above or on any attached sheets, owns a 10% or greater interest in the VENDOR or any listed entities.

VENDOR NAME: ________________________________________________________

SIGNATURE: ________________________________________________________

PRINT NAME & TITLE: ________________________________________________________

DATE: ________________________________________________________

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SAMPLE

STATEMENT OF OWNERSHIP

SAMPLE SCENARIOS

In an effort to help you understand how to properly complete the Statement of Ownership, please review the sample scenarios below. Be advised, your ownership structure may not be represented in the samples below and it is the sole responsibility of you, the VENDOR, to accurately disclose any and all ownership information required by N.J.S.A 52:25-24.2.

SAMPLE SCENARIO 1:

Your Company “Company A” is wholly owned by “Company B”. “Company B” is wholly owned by “Company C”. “Company C” is wholly owned by “Company D”. “Company D” is a publicly traded company on the XYZ Stock Exchange. No individual person or company owns a 10% or greater interest in “Company D”.

Provide the following information regarding ownership in Part II & III of the Statement of Ownership form:

Company B 123 Main St.

Anytown, NJ 01000 *Company B wholly owns Company A

Company C 456 Center St.

Anycity, NY 02000 *Company C wholly owns Company B

Company D

SE-12345

Europe 21 *Company D wholly owns Company C

Link to Company D Annual Filings (as required by Part III of the Statement of Ownership)

SAMPLE SCENARIO 2:

“Your Company Name A” is wholly owned by “Company B”. “Company B” is wholly owned by “Company C”. “Company C” is wholly owned by Jane Doe (60% ownership) and John Smith (40% ownership).

Provide the following information regarding ownership in Part II of the Statement of Ownership form:

Company B 123 Main St.

Anytown, NJ 01000 *Company B wholly owns Company A

Company C 456 Center St.

Anycity, NY 02000 *Company C wholly owns Company B

Jane Doe 456 Center St.

Anycity, NY 02000 *Ms. Doe owns in excess of 10% of Company C

John Smith 456 Center St.

Anycity, NY 02000

* Mr. Smith owns in excess of 10% of Company C

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M OD E L C ONS E N T OF S UR E T Y

SAMPLE WORDING FOR CONSENT OF SURETY

WHICH MUST BE ISSUED AND SIGNED BY YOUR BONDING COMPANY

It is hereby understood and agreed that ___________________________ will become surety

Name of Surety Company on the bond of the _______________________________, for the work described above

Principal/Bidder provided the principal is the successful bidder. If the contract is awarded to the Principal, _________________ will issue the required bond(s) for said work in the full amount of said Name of Surety Co contract.

IB 11 of 33

NEW JERSEY BUSINESS REGISTRATION REQUIREMENTS

GOODS, SERVICES, AND CONSTRUCTION* CONTRACTS

Proof of valid business registration (a Business Registration Certificate) with the New Jersey Department of Treasury, Division of Revenue must be submitted to the contracting agency prior to the award of any contract, including purchase orders. No contract will be awarded without proof of such business registration. N.J.S.A. 52:32-44 imposes the following requirements on contractors and on all subcontractors that knowingly enter into a contract, or construct a construction project, with a contractor in the fulfillment of a contract with a contracting agency. *In the case of a construction contract, “subcontractor” shall mean only designated subcontractors who are required by N.J.S.A. 40A:11-16 to be named in the submission of a bid.

A subcontractor named in a bid or other proposal made by a contractor to a contracting agency shall provide a copy of its business registration to the contractor who shall provide it to the contracting agency. The contractor shall provide the contracting agency with the business registration of the contractor and that of any named subcontractors prior to the time a contract is awarded.

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 during the course of the contract performance. Before final payment of the contract is made by the contracting agency, the contractor shall submit a complete and 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 each 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” (N.J.S.A. 54:32 B-1, et seq.) on all taxable sales of tangible personal property delivered into this state.

A business organization that 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 for each business registration not properly provided or maintained under a contract with a contracting agency

Sample Business Registration Certificates are attached for convenience. Questions on obtaining a Business Registration Certificate or on the law and its requirements can be directed to the Division of Revenue at (609) 292-9292.

(Revised 5/2017)

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THESE ARE SAMPLES OF BUSINESS REGISTRATION CERTIFICATES.

OR

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COUNTY OF MONMOUTH

ADDENDA ACKNOWLEDGMENT

PROJECT ENTITLED: CONSTRUCTION OF PARKING LOT AT PLEASANT VALLEY PARK,

MARLBORO, NJ FOR THE MONMOUTH COUNTY PARK SYSTEM RFB # F-130-2025

Acknowledgment is hereby made of the receipt of the following addenda containing information for the above referenced project:

Addendum Number Dated Initial to Acknowledge Receipt

CONTRACTOR: ______________________________________________

BY: ______________________________________________

SIGNATURE: ______________________________________________

TITLE: ______________________________________________

DATE: _______________________________________________

NOTE:

WHEN AN ADDENDUM IS ISSUED, THIS ACKNOWLEDGMENT MUST BE COMPLETED AND

INCLUDED WITH THE BID AT THE TIME OF RECEIPT. IF MORE THAN ONE ADDENDUM

WAS ISSUED, EACH ADDENDUM MUST BE ACKNOWLEDGED AND REFLECTED ON THIS

FORM.

(Revised 1/2018)

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FEDERAL NON-DEBARMENT FORM

STANDARD BID DOCUMENT REFERENCE

Name of Form: FEDERAL NON-DEBARMENT CERTIFICATION Statutory Reference: N.J.S.A. 52:32-44.1 (P.L. 2019, c.406)

Description: Meets statutory criteria for certification of non-debarment by a federal government agency.

Summary of the Certification Requirements under N.J.S.A. 52:32-44.1 Pursuant to state law any natural person, company, firm, association, corporation, or other entity prohibited, or “debarred,” from contracting with the federal government agencies, shall also be prohibited from contracting for public work in the state of New Jersey. This prohibition also extends to any affiliate organization(s) held by or subject to the control of an entity of that prohibited person or entity.

Prior to awarding a contract for public work a local units must obtain written certification from the contracting person or entity through the form below, attesting to their non-debarment from contracting with federal government agencies.

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CERTIFICATION OF NON-DEBARMENT

FOR FEDERAL GOVERNMENT CONTRACTS

N.J.S.A. 52:32-44.1 (P.L. 2019, c.406)

This certification shall be completed, certified to, and submitted to the contracting unit prior to contract award, except for emergency contracts where submission is required prior to payment.

PART I: VENDOR INFORMATION

Individual or Organization

Name

Address of Individual or Organization

Unique Entity ID (if applicable)

CAGE Code (if applicable)

Check the box that represents the type of business organization:

Sole Proprietorship (skip Parts III and IV) Non-Profit Corporation (skip Parts III and IV)

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

Limited Partnership Limited Liability Partnership (LLP)

Other (be specific): ______________________________________________

PART II – CERTIFICATION OF NON-DEBARMENT: Individual or Organization I hereby certify that the individual or organization listed above in Part I is not debarred by the federal government from contracting with a federal agency. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the County of Monmouth is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award by the County to notify the County 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 County permitting the County to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print):

Title:

Signature: Date:

IB 16 of 33

PART III – CERTIFICATION OF NON-DEBARMENT: Individual or Entity Owning Greater than 50 Percent of Organization

Section A (Check the Box that applies)

Below is the name and address of the stockholder in the corporation who owns more than 50 percent of its voting stock, or of the partner in the partnership who owns more than 50 percent interest therein, or of the member of the limited liability company owning more than 50 percent interest therein, as the case may be.

Name of Individual or Organization

Home Address (for Individual) or Business Address

No one stockholder in the corporation owns more than 50 percent of its voting stock, or no partner in the partnership owns more than 50 percent interest therein, or no member in the limited liability company owns more than 50 percent interest therein, as the case may be.

Section B (Skip if no Business entity is listed in Section A above)

Below is the name and address of the stockholder in the corporation who owns more than 50 percent of the voting stock of the organization’s parent entity, or of the partner in the partnership who owns more than 50 percent interest in the organization’s parent entity, or of the member of the limited liability company owning more than 50 percent interest in organization’s parent entity, as the case may be.

Stockholder/Partner/Member Owning Greater Than 50 Percent of Parent Entity

Home Address (for Individual) or Business Address

No one stockholder in the parent entity corporation owns more than 50 percent of its voting stock, no partner in the parent entity partnership owns more than 50 percent interest therein, or no member in the parent entity limited liability company owns more than 50 percent interest therein, as the case may be.

IB 17 of 33

Section C – Part III Certification

I hereby certify that no individual or organization that is debarred by the federal government from contracting with a federal agency owns greater than 50 percent of the Organization listed above in Part I or, if applicable, owns greater than 50 percent of a parent entity of Organization listed above in Part I . I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the County of Monmouth is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award by the County to notify the County 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 County, permitting the County to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

Part IV – CERTIFICATION OF NON-DEBARMENT: Contractor – Controlled Entities

Section A

Below is the name and address of the corporation(s) in which the Organization listed in Part I owns more than 50 percent of voting stock, or of the partnership(s) in which the Organization listed in Part I owns more than 50 percent interest therein, or of the limited liability company or companies in which the Organization listed above in Part I owns more than 50 percent interest therein, as the case may be.

Name of Business Entity Business Address

**Add additional sheets if necessary**

The Organization listed above in Part I does not own greater than 50 percent of the voting stock in any corporation and does not own greater than 50 percent interest in any partnership or any limited liability company.

IB 18 of 33

Section B (skip if no business entities are listed in Section A of Part IV)

Below are the names and addresses of any entities in which an entity listed in Part III A owns greater than 50 percent of the voting stock (corporation) or owns greater than 50 percent interest (partnership or limited liability company).

Name of Business Entity Controlled by Entity Listed in Section A of Part IV

Business Address

**Add additional Sheets if necessary**

No entity listed in Part III A owns greater than 50 percent of the voting stock in any corporation or owns greater than 50 percent interest in any partnership or limited liability company.

Section C – Part IV Certification I hereby certify that the Organization listed above in Part I does not own greater than 50 percent of any entity that that is debarred by the federal government from contracting with a federal agency and, if applicable, does not own greater than 50 percent of any entity that in turns owns greater than 50 percent of any entity debarred by the federal government from contracting with a federal agency. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the County of Monmouth is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award by the County to notify the County 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 County permitting the County to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

IB 19 of 33

BUY AMERICAN CERTIFICATE

N.J.S.A. 40A:11-18 requires that the County provide, in the specifications for all contracts for County work or for work for which the County will pay any part of the cost, or work which by contract or ordinance the County will ultimately own and maintain, that only manufactured and farm products of the United States, wherever available, be used in such work. The County of Monmouth considers a non-manufactured product to qualify as a domestic end product if it mined or produced in the United States. The County of Monmouth considers a manufactured product to qualify as a domestic end product if

(1) the item is manufactured in the United States, and (2) the cost of its components mined, produced, or manufactured in the United States exceeds 65 percent for items delivered in calendar years 2025 through 2028 and 75 percent for items delivered starting in calendar year 2029. For products consisting wholly or predominantly of iron or steel, or a combination of both, the cost of foreign iron and steel must constitute less than 5 percent of the cost of all the components used in the end product. Any exceptions to the County’s Buy American requirement shall be deemed appropriate by the County and consistent with applicable law. Note: In general, if an import tariff is applied to an item, it does not qualify as Buy American-compliant.

SECTION A

ALL PRODUCTS ARE DOMESTIC END PRODUCTS

If all products are domestic end products pursuant to the above, complete ONLY Section A.

I hereby certify that all products are domestic end products pursuant to the above and that all information provided is true and correct. I understand that any misrepresentation herein may result in civil and/or criminal penalties.

Signature/Date Company Name

SECTION B

PRODUCTS MAY QUALIFY BECAUSE OF QUALIFYING LAW, REGULATION, TREATY, OR AGREEMENT

If some or all products qualify for domestic status in accordance with the Trade Agreements Act or because of another qualifying law, regulation, trade treaty, or trade agreement, you must identify each product, country, and qualifying law, regulation, trade treaty, or trade agreement below. You must list all products which may qualify below. If more space is needed, please submit an attachment.

ITEM NUMBER

COUNTRY WHERE MINED,

PRODUCED, OR

MANUFACTURED

QUALIFYING LAW,

REGULATION, TREATY, OR

AGREEMENT

I hereby certify that the specific items above should be considered domestic in accordance with the Trade Agreements Act or qualifying law, regulation, trade treaty, or trade agreement and that all information provided is true and correct. I understand that any misrepresentation herein may result in civil and/or criminal penalties.

IB 20 of 33

Signature/Date Company Name

FOR M OF AGR E E M E NT

THIS CONTRACT, entered into this ____ day of…