newark bd of ed 10341 Design Consultant Services for Emergent and or Capital Projects FINAL.pdf

Attention Bidders Electronic Bidding Tutorial Videos Are Available Via https://www.nps.k12.nj.us/departments/purchasing/view-current-bids/

All proposals will be received electronically via our electronic bidding platform https://npssourcing.com/ . Email Ledah Arbubaker for user credentials via larbubaker@nps.k12.nj.us

Proposers are encouraged to attend the virtual pre-submission meeting on Monday, October 5, 2026, 10:00 a.m. EST to review completion of the required documents and the electronic submission process. Virtual meeting credentials are below.

Webex Link: https://nboe.webex.com/

Meeting number: 2869 193 2438

Password: Mh3aBVd6nH5

Dial In: (646) 992-2010

All questions shall be submitted in writing via the bidding platform prior to 2:00 p.m. EST

Monday, October 5, 2026. The specific section and page number to which each question refers is to be indicated. Answers will be provided at least seven days prior to the acceptance of proposals.

Proposers are required to submit pricing via the Pricing - Enter Bids Section.

Proposers are required to upload their signed and complete proposal with all required documents and signatures in the Questionnaire - Answers Questions section. The complete proposal must be submitted prior to 12:00 p.m. EST Wednesday, October 21, 2026 via https://npssourcing.com/

Proposals will be publicly opened and announced directly after the submission deadline, virtual meeting credentials are below.

Webex Link: https://nboe.webex.com/

Meeting Number: 2862 476 4905

Password: yZxh4mxeU32

Dial In: (646) 992-2010

NEWARK BOARD OF EDUCATION

765 BROAD STREET

NEWARK, NEW JERSEY 07102

REQUEST FOR PROPOSAL 10341

DESIGN CONSULTANT SERVICES FOR EMERGENT AND/OR CAPITAL

PROJECTS

THIS REQUEST FOR PROPOSAL IS SET ASIDE FOR WOMAN OWNED BUSINESS

ENTERPRISES (WBE), AND/OR MINORITY OWNED BUSINESS ENTERPRISES (MBE), AND/OR

SMALL BUSINESS ENTERPRISES (SBE)

ADVERTISED: MONDAY, SEPTEMBER 28, 2026

PRE-SUBMISSION MEETING: MONDAY, OCTOBER 5, 2026 10:00 AM EST

LAST DAY FOR QUESTIONS: MONDAY, OCTOBER 5, 2026 2:00 PM EST

(All questions must be submitted via the bidding platform)

SUBMISSION DATE: WEDNESDAY, OCTOBER 21, 2026 12:00 PM EST

ALL PROPOSALS MUST BE SUBMITTED VIA THE ELECTRONIC BIDDING

PLATFORM HTTPS://NPSSOURCING.COM/

PRIOR TO 12:00 P.M. EST, WEDNESDAY, OCTOBER 21, 2026

BACKGROUND INFORMATION

The Newark Board of Education (NBOE, District), with over 60 schools, almost 7,000 employees, and a student population of approximately 40,000, is the largest and one of the oldest school systems in New Jersey. The ethnic diversity of the city provides a rich educational experience for pre-kindergarten to secondary school students. The District continues to revise its services to meet the changing needs of its students.

The District’s building structures range from 4 to 100 years old. Upgrading is a perpetual process for the aged structures, with numerous projects currently in process.

The vision for the school district is to ensure Newark students achieve at the highest levels and graduate college-and-career ready. The District’s Ten-Year Strategic Plan focuses on six priorities emerged out of deep engagement of our community stakeholders in root cause data analysis and the development of strategies to guide our progress. The six priorities are:

1. Unified and Aligned Systems

2. A Rigorous and Relevant Framework for Curriculum and Instruction

3. Strength-Based and Responsive Culture

4. Continuous Learning for All

5. Integrated System of Supports

6. Strong Reciprocal Partnerships

The Newark Board of Education’s Strategic Plan The Next Decade is available via https://www.nps.k12.nj.us/info/the-next-decade/

The Board of Education reserves the right, in accordance with applicable law, to reject all proposals, and/or to waive minor informalities or non-material exceptions in a proposal in accordance with applicable law. All responsive proposals received will be subjected to an evaluation by qualified District personnel. Respondents should submit sufficient information to enable the evaluation committee to fully ascertain each respondent’s capability to perform the requirements contemplated by this solicitation. All commitments made in the proposal shall become a part of any resultant contract.

This solicitation is for prequalification only. Any resultant contract will not guarantee purchase, nor does a contract guarantee the maximum award amount. Award of contract will be subject to the availability of funds.

Funding will be provided by the issuance of a purchase order. No legal liability on the part of the District for any payment that may arise until the contract is funded by the issuance of a purchase order. Only a signed purchase order authorizes the performance of service and or delivery of goods. The Newark Board of

Education is not responsible for services performed or goods delivered without an authorized purchase order.

SCOPE OF SERVICES

The Newark Board of Education seeks design consultant services to provide viable, cost effective solutions for emergent facilities conditions and/or capital projects for various sites. Services include, but are not limited to:

Preliminary site investigations;

Feasibility studies;

Design and construction administration;

Construction observation; and

Mandatory inspections in accordance with New Jersey School Development Authority (NJSDA) current

Design Consultant guidelines/ Agreements to the extent practicable depending on the project and/or as specified by the Newark Board of Education, https://www.njsda.gov/Design/DesignStandards .

Project Scopes are anticipated to include one or more conditions at one or more school facilities which may include, but not be limited to the following:

Asbestos/Mold Remediation;

Building Envelope Water Infiltration;

Educational Facilities Programming;

Electrical Power and Lighting Systems;

Emergency Power Systems;

Exterior Masonry;

Groundwater Infiltration;

Heating, Ventilation, and Air Conditioning (HVAC) Systems;

Interior Systems;

Roofing Systems;

Sanitary/Storm Systems;

Schematic and Preliminary Design;

Site Lighting;

Structural Systems;

Windows and Doors;

Playground and Athletic Facilities;

Environmental site investigations/mitigations-Licensed Site Remediation Professionals (LSRP) services; and

Other facility related repair/rehabilitation work and/or capital project repair/rehabilitation work.

Uniform construction codes permitting/approval (where required by the project) scope will be from either the local code official or the New Jersey Department of Community Affairs (DCA).

Scope development including preparation of budget cost estimates to be completed and submitted within three (3) weeks from issuance of the Notice to Proceed for the individual project.

Design development/construction documents to be completed and submitted within four

(4) weeks from issuance of the Notice to Proceed for the individual Project.

MINIMUM REQUIREMENTS

All proposals will be evaluated to determine whether they meet the following Minimum Requirements:

1. Woman Owned Business Enterprise, Minority Owned Business Enterprise, and or Small Business

Enterprise Certificate.

2. Possession of valid New Jersey Architectural License.

3. Possession of valid New Jersey Department of Property Management and Construction (DPMC) classification Architecture discipline with an aggregate limit of five million ($5,000,000.00) or greater.

4. Possession of valid New Jersey School Development Authority (NJSDA) classification Architecture discipline with an aggregate limit of five million ($5,000,000.00) or greater.

5. Minimum of 10-years’ experience with 5-years’ experience in school construction.

6. Possession of New Jersey Business Registration Certification or consent to secure same.

7. In addition, the Architectural prime consultant must be classified themselves by DPMC and NJSDA in the following required disciplines or have sub-consultants classified by DPMC and NJSDA in the following required disciplines in effect as of the submission deadline for this request for proposal (RFP):

HVAC Engineering, Electrical Engineering, Plumbing Engineering, Structural Engineering, Civil

Engineering, Environmental Engineering, Asbestos Design, and Asbestos Monitoring. Proposers shall list the names of the firms proposed who meet the above classifications. Copies of DPMC and NJSDA prequalification (certification) documents shall be submitted with the RFP for the architectural prime consultant and any sub-consultant proposed.

PROJECT SPECIFIC PROPOSAL REQUIREMENTS AND METHOD OF OPERATION

The Newark Board of Education will request competitive and/or direct assignment project specific proposals/quotes from firms awarded through this request for proposal. When the need for services arise, awarded contractors will be contacted to perform a site visit for generation of a project specific proposal. A site visit is required for generation of all proposals, and all proposals shall be provided free of charge. All proposals shall be provided via email, and itemized.

The contractor’s fee for tasks performed during the pre-design, design phase and for all technical and administrative tasks during the construction and close out phases such as the review of contractors’ submittals, preparation and distribution of minutes, on site supervision during construction, etc. will be a lump sum amount based on the itemized proposal.

When a fee proposal for a specific project is requested and reviewed, the hours of effort to perform specific tasks shall be considered in the evaluation. The hours will assist the District in understanding the

Architects/Engineers interpretation of the scope of work. They will not be used by the Architects/Engineers to justify additional fees for actual hours expended during the contract period, nor will they be used by the District for a reduction in the lump sum fee for hours not accounted for by the Architects/Engineers.

The technical evaluations, fee proposals and technical proposals for site specific projects or multiple site specific projects as well as discussions and correspondence are confidential until a project/site specific or multiple site specific project is assigned.

Should the District determine that an amendment to an original project assigned is necessary, the

Architects/Engineers will be requested to complete an Architects/Engineers Amendment Request. Costs shall not exceed 20% of the site specific project proposal. The Architects/Engineers shall utilize the original project’s hourly rates. A description of the work to be performed, along with the names and titles of the persons performing the tasks, must be attached to the Amendment request.

From time to time during the term of the contract, the District may require the professional services of an additional discipline of sub-consultant beyond those disciplines listed above. The awarded contractor may propose a sub-consultant for another particular task. The proposed sub-consultant must be prequalified by the

NJSDA and classified by DPMC at the time they are proposed and approved by the District.

Responding vendors shall complete and include Attachment A: Key Team Member List, and Attachment B:

Key Team member’s Project References with their proposal submission.

The hourly rates provided in the Pricing – Enter Bids section of the electronic bidding platform shall be all-inclusive, fully “loaded” hourly rates inclusive of all costs including but not limited to professional fees, travel, overhead, administrative costs, insurance, meals, lodging, and profit. The hourly rates shall remain in effect through the contract term and completion of any related construction contract. Submit hourly rates for all personnel levels even though you may not, at the present time have staff for all personnel levels.

Travel/ Delivery/ Administrative: All related expenses must be included in the hourly rates bid. All travel, incidental, delivery, and/or administrative expenses related to the services provided are the responsibility of the service provider. The District will not provide reimbursement for any travel/ administrative, delivery, and/or incidental expenses.

In addition to the hourly rates, the only other costs that will be allowed for site specific projects awarded will be for reproduction expenses and allowances for other pre-approved reimbursements.

Awarded contractors are required to provide project specific proposals via the District’s established Design

Consultant Services Detailed Proposal Breakdown form, see the sample enclosed on page 12. Awarded contractors are also required to provide payment certificates via the District’s established Certificate for

Payment form, see the sample enclosed on page 13. Awarded contractors will receive editable templates. Both forms are subject to modification by the District. For payment processing contractors shall provide (1) the

Certificate for Payment, (2) an invoice, and (3) a signed purchase order voucher.

Method of operation summary

1. The awarded contractors will be identified by approximately December 1, 2026, available via https://newarkpublic.ic-board.com/ , and contract execution will begin.

2. Once your contract is fully executed the Newark Board of Education will include your firm in the project specific request for proposals as previously specified.

3. Project specific proposal submissions shall be generated and furnished to the Newark Board of

Education as previously specified.

4. If your firm is selected for the project a purchase order will be dispatched via email.

5. Once in receipt of the purchase order you’ll work with the Department of Facilities to begin services.

6. Monthly invoices shall be submitted to the Department of Facilities Management, Office of Design

Services, Attn: Christopher Caponegro, 190 Muhammad Ali Ave, Newark, NJ 07108.

Invoice Requirements

− The Contractor’s complete business name, address, and contact information

− Purchase order number

− Service description

− Service site name and address

− Service dates

− Professional type (e.g. project manager, senior designer, etc.)

− Hourly service rates per this request for proposal

− Service hours

− Contract number 10341

− A unique invoice number (all invoices cannot have the same number)

− Invoice date

7. The District’s payment terms are net 30 days. The signed purchase order voucher and accurate invoice are required for payment processing.

ADDITIONAL REQUIREMENTS

Key Team Member’s Resume

A resume of each Team Member must be included with the proposal submission. For each Team Member, the resumes must include, but not be limited to: a description of at least 3 projects completed within the last 5 years of similar size and nature to this engagement that the Team Member completed in a similar role as that proposed.

Team Design Consultant Experience

Team Design Consultant experience shall be assessed through a brief summary of the team’s general relevant design consultant experience within the last 5 years through (a) one brief summary experience statement, and

(b) a total of two specific case studies. The case studies must address examples of the proposing team’s past provision of services of the type and scale outlined in the Scope of Services. Thus, the case studies must concisely set forth the basic background information (e.g., dates and location), the scope of services provided, and results of said engagement. Case studies may be based on contracts with public or private sector clients. A sampling of materials specifically and directly utilized in the project must accompany each case study, provided such material is non-confidential and may appropriately be subject to later release as a government record.

Sampling of materials may include feasibility reports, control of costs and schedules, innovative and alternative design solutions/documents. The case studies must describe the effectiveness of the project, and the methodology used to measure such effectiveness.

The team must identify the name and address of the contracting entity and the name, title and telephone number of a contact person associated with the contracting entity who is familiar with and able to comment on the team’s performance on each project. The experience summary must be 500 words or less; the narrative for each case study 1,000 words or less. The other requested documentation shall be submitted as attachments to the summary/narrative.

Team NJ School Design and Construction Experience

Team experience shall be assessed through a brief summary of the team’s general relevant experience in NJ school design and construction within the last five (5) years through (a) one brief summary experience statement, and (b) a total of two specific required case studies. The case studies must address examples of the proposing team’s past provision of services of the type and scale outlined in Scope of Services. Thus, the case studies must concisely set forth the basic background information (e.g., dates and location), the scope of services provided, and results of said engagement. Case studies may be based on contracts with public or private sector clients. Sampling of materials may include feasibility reports, control of costs and schedules, innovative and alternative design solutions/documents provided such material is non-confidential and may appropriately be subject to later release as a government record. Sampling of materials may include feasibility reports, control of costs and schedules, innovative and alternative design solutions/documents. The case studies must describe the effectiveness of the project, and the methodology used to measure such effectiveness.

INSURANCE REQUIREMENTS

The Contractor shall procure and maintain for the duration of the contract commercial insurance against claims for injuries to persons and/or damages to property which may arise from or in connection with the performance of work hereunder by the contractor, his agents representatives, employees or subcontractors. Prior to commencing work under this contract, the Contractor shall provide the Newark Board of Education with a

Certificate of Insurance. The Certificate of Insurance is to be signed by a person authorized by the insurer to bind coverage on its behalf. The Certificate of Insurance shall be delivered to the District before work under the contract commences.

Prior to the start of work, the Contractor (and if applicable the sub-contractor) must submit a Certificate of

Insurance as evidence that the following insurance coverage’s are in place for the duration of the contract. The

Contractor will secure the required insurance at their expense. The Certificate of Insurance must contain the following information: Name of Insurance Company, insurance policy number, policy period, limits of liability, deductibles if any.

The Newark Board of Education is to be added as an additional insured but only as our interest may appear on all Certificates of Insurance.

Minimum Scope and Limits of Insurance

A. Comprehensive General Liability Insurance including Completed Operations Coverage, covering bodily jury, personal injury and property damage. Limits of Liability shall be not less than $1,000,000

Combined Single Limit.

B. Workers’ Compensation and Employers Liability Insurance as required by the State Law of New Jersey.

C. Commercial Automobile Liability Insurance, with limits of liability not less than $1,000,000 Combined

Single Limit.

D. Professional Liability Insurance, with limits not less than $5,000,000.

E. Excess/Umbrella Liability Insurance, with limits not less than $5,000,000.

CONTRACT PERIOD

The contract is for a two (2) year period from date of award with an option to renew for one (1) successive two

(2) year period. The anticipated award date is December 1, 2026. All prices shall remain firm for the duration of the contract unless discounted, proposers shall provide a rate for the first two (2) year period and a rate for the two (2) year renewal period. The District reserves the right to review the records used for your cost calculations supporting your prices prior to entering into a contract with you.

The final contract shall represent the terms and conditions of the agreement. Renewals may be exercised by the

District in its sole discretion. By submitting a proposal, the awarded Contractor agrees to the maximum contract term of four (4) years.

When a site specific project commences, the term of that project shall comport to the requirements of N.J.S.A.

18A:18A-42(k) which specifies : “any single project for the construction, reconstruction or rehabilitation of any public building, structure or facility, or any public works project including the retention of the services of an architect or engineer in connection therewith, for the length of time authorized and necessary for the completion of the actual construction”.

The contracts awarded under this RFP will be used to solicit proposals from qualified Architects/firms for professional pre-design services, design services, construction administration and other construction related professional services for specific project assignments for the Newark Board of Education. The maximum value of each contract is to be determined. The last contract for design consultant services was awarded to six (6) vendors at an amount not to exceed six million five hundred thousand dollars ($6,500,000.00) for a two-year period.

The District shall not be bound by any minimum expenditure during the term of the contracts. The Newark

Board of Education may purchase some, all or none of the services at its sole option. The NBOE intends to award to multiple firms in accordance with this solicitation.

EVALUATION CRITERIA

All proposals received by Newark Board of Education will be reviewed to determine if the proposal meets all of the submission requirements and Minimum Requirements prescribed in this Solicitation. An Evaluation

Committee of qualified professionals will review and evaluate each proposal, applying the evaluation criteria provided below. The table below will be used to evaluate each submitted proposal. The closer your proposal meets the Desired Criteria listed, the higher the Evaluation Points it will receive in the related Response

Category.

Response

Category

Desired Characteristics

Technical/

Managerial

Capacity

• Documented evidence that the organization has the human, organizational and technical capacity to deliver proposed services.

• The Attachment A Key Team Member Chart clearly shows the personnel slated to work on the contract and how these staff members fit into the larger organization of the vendor.

• Résumés of key personnel demonstrate the qualifications to deliver services proposed.

• Organization is capable of customizing services to meet the needs of

Newark Board of Education.

• Use of MBE and/or WBE and/or SBE as Sub-consultants. There are no set aside requirements for sub-consultants, however, the prime architectural consultant/firm is encouraged to name certified MBE and/or WBE and/or SBE as sub-consultants). The District relies on certification by other agencies as controlling evidence of M/W/SBE status. The District recognizes the Port Authority of New York and

New Jersey, New Jersey Transit, and the New Jersey Commerce &

Economic Growth Commission as certifying agencies. Copies of the certifications for MBE/WBE/SBE status of the prime architectural consultant proposing and any MBE/WBE/SBE sub-consultant proposed, must be included with the submission.

Demonstrated

Effectiveness

• Documented evidence of prior successful experience in the Newark

Board of Education or similar urban districts for delivering proposed services.

Pricing • Pricing outlines all related costs.

• Costs are appropriate for services proposed.

PROPOSAL SUBMISSION

It is the offerer’s responsibility to ensure that it has a complete and thorough understanding of all requirements regarding the specifications of the request for proposal prior to the submission of a proposal. All proposals will be firm offers and may not be withdrawn for a period of 90 calendar days following the last day for acceptance.

Each proposal must be signed on behalf of the offeror by an officer authorized to bind the organization. By submitting a proposal, the proposer hereby agrees to accept a contract awarded within ninety (90) days. The ninety-day period shall be computed commencing with the date designated as the final date for the receipt of proposals.

PROPOSERS SHALL UPLOAD ONE PDF DOCUMENT OF THEIR COMPLETE, SIGNED PROPOSAL

THAT INCLUDES ALL REQUIRED DOCUMENTS. ALL PROPOSALS MUST BE SUBMITTED ONTO THE

ELECTRONIC BIDDING PLATFORM HTTPS://NPSSOURCING.COM/ PRIOR TO 12:00 P.M. WEDNESDAY, OCTOBER 21, 2026.

PROPOSER’S CHECKLIST

In order to facilitate expeditious and accurate completion of all responses, please refer to the following checklist. Ensure that you have included each of the following documents in your response. The attachments include:

Proposal Submission Form

Attachment A Key Team Member List

Attachment B Key Team Member’s Project References

Political Contribution Disclosure Form

Statement of Ownership Disclosure Form

Certification of Non‐Involvement in Prohibited Activities in Russia or Belarus

Disclosure of Investment Activities in Iran Form

Non-Collusion Affidavit

Newark Board of Education Vendor Set-Up Form

W9

New Jersey Business Registration Certificate (requested, but not required with bid; the application link is https://www.state.nj.us/treasury/revenue/gettingregistered.shtml )

Certificate of Employee Information Certificate/ AA-302 (requested, but not required with bid; the application link is https://www.nj.gov/treasury/contract_compliance/ )

Team design consultant experience as specified on page 7

Team New Jersey School Design and Construction experience as specified on page 7

Woman Owned Business Enterprise, Minority Owned Business Enterprise, and or Small Business

Enterprise Certificate

Division of Property Management and Construction notices of classification including any proposed sub-consultants

New Jersey Schools Development Authority prequalification notices of classification including any proposed sub-consultants

Resumes for Team Members

Submitted pricing in the Pricing - Enter Bids section of the electronic bidding platform

Submitted your bid in the Questionnaire - Answer Questions section of the electronic bidding platform

(uploaded one PDF document that includes your signed proposal and all required documents)

PERSONNEL LEVEL DEFINITIONS

LEVEL 7 PERSONNEL LEVELS

Title: Principal, partner or officer of the firm

Duties: Overall responsibility for the legal, technical and financial obligation of the project

Qualifications: Current License in applicable discipline, if required by law

Experience: N/A

LEVEL 6

Title: Project Executive

Duties: Under direct leadership of principal, controls project scheduling and management

Qualifications: Current License in applicable discipline, if required by law

LEVEL 5

Title: Project Manager

Duties: Under direction of Project Executive, directs day-to-day operations of the project, scheduling, deadlines, group work activities, etc.

Qualifications: BA, MS degree or equivalent experience

Experience: Minimum 7 years

LEVEL 4

Title: Senior Designer; Senior Engineer

Duties: Under supervision of Project Manager, reviews project elements to conform to project requirements, directs designer and others on project

Qualifications: BA, BS degree or equivalent experience

Experience: Minimum 5 years

LEVEL 3

Title: Designer; Abatement Service Technician

Duties: Under supervision of Designer or Engineer takes designed systems and layout data and sketches and translates into usable information on construction documents or feasibility studies

Qualifications: BA, BS degree or equivalent experience; AST certification, if required.

Experience: Minimum 3 years

LEVEL 2

Title: Designer/Draftsperson

Duties: Takes simple systems and layout data and sketches and translates into usable information;

performs drafting as required for construction documents, etc.

Qualifications: High School Graduate, Technical School or equivalent, with courses in discipline.

Experience: Minimum 3- years direct work experience within discipline.

LEVEL 1

Title: Draftsperson

Duties: Performs all entry-level tasks; assembles tracings for review, printing; keeps logs of tracings, shop drawings; performs tracing and drafting work, etc.

Qualifications: High School Graduate, Technical School or equivalent with courses in discipline.

District Row Quantity Unit of Unit Price Total

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

#VALUE!

District

Contract Row Cost / Fee

Unit of

Measur e

Markup % Total

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

Allowanc e N/A $0.00 Fee N/A $0.00

$0.00

#VALUE!

Design Consultant Services Detailed Proposal Breakdown

Description

Sub-Total Allowance/Fees Etc.

Grand Total

Allowance Description

Sub-Total Line Items

Project Area: Project Type:

Company Name:

Company

School Site: Anticipated Completion

SA

MP

LE

VENDOR: Enter full name as it is on contract PAYMENT#:

Enter consecutive # starting with "1"

Enter ODC file #, looks like 000-00-00

ADDRESS: SCHOOL(S): Enter full name of school(s)

ADDRESS: TYPE OF WORK:Enter type of work I.e.. "Roofing"

CITY, STATE, ZIP PURCHASE ORDER # Enter all purchase order numbers.

CERTIFICATE # Entered by NPS

FEDERAL ID#: CONTRACT#: Enter NPS Contract # or "None"

DATE: INVOICE#: Enter your invoice number

BILLING PERIOD: CHARGE TO:

B C D E F G

SCHEDULED PERCENT EARNED VALUES RETAINAGE PREVIOUS THIS

TOTAL VALUE EARNED WORK COMPLETED TO BE WITHHELD PAYMENTS PAYMENT

D*5% D-E-F

TOTALS: 0.00 #DIV/0! 0.00 0.00 0.00 0.00

NOTARY PUBLIC: CLAIMANT'S DECLARATION

I DO SOLEMNLY DECLARE AND CERTIFY UNDER THE PENALTIES OF THE LAW THAT THE

STATE OF: WITHIN BILL IS CORRECT IN ALL ITS PARTICULARS; THAT THE ARTICLES HAVE BEEN

COUNTY OF: FURNISHED OR SERVICES RENDERED AS STATED THEREIN; THAT NO BONUS HAS BEEN

SUBMITTED AND SWORN BEFORE ME RECEIVED BY ANY PERSON OR PARTIES WITHIN THE KNOWLEDGE OF THIS CLAIMANT IN

THIS________DAY OF _____________,20______. CONNECTION WITH THE ABOVE CLAIMS; THAT THE AMOUNT THEREIN STATED IS JUSTLY DUE

AND OWING; AND THE PAYMENTS TO SUB-CONTRACTORS ARE CURRENT; AND THAT THE

NOTARY PUBLIC:_________________________ AMOUNT CHARGED IS REASONABLE ONE.

MY COMMISSION EXPIRES ON:_______________ SIGNATURE:_____________________________________________________

OFFICIAL SEAL REQUIRED: PRINT NAME:____________________________________________________

TITLE:___________________________________________________________

ARCHITECT'S CERTIFICATE FOR PAYMENT FOR DISTRICT USE ONLY

IN ACCORDANCE WITH THE CONTRACT DOCUMENTS,

BASED ON ON-SITE OBSERVATION AND THE DATA I HEREBY CERTIFY THAT THIS CLAIM IS CORRECT:

COMPRISING THIS APPLICATION, THE ARCHITECT

CERTIFIES TO THE OWNER THAT TO THE BEST OF PROJECT MANAGER:______________________________________DATE:__________

ARCHITECT'S KNOWLEDGE, INFORMATION AND BELIEF

THE WORK HAS PROGRESSED AS INDICATED; THE DIRECTOR :_______________________________________________DATE:__________

QUALITY OF WORK IS IN ACCORDANCE WITH THE

CONTRACT DOCUMENTS, AND THE CONTRACTOR IS

ENTITLED TO PAYMENT OF THE AMOUNT CERTIFIED.

THE CONTRACTOR IS ENTITLED TO PAYMENT OF THE

AMOUNT CERTIFIED.

AMOUNT CERTIFIED: $_____________

SIGNATURE:_______________________

DESCRIPTION OF WORK

NEWARK BOARD OF EDUCATION

CERTIFICATE FOR PAYMENT

A

Entered by NPS

SA

MP

LE

10341 Design Consultants Services for Emergent and/or Capital Projects Set Aside for Woman Owned Business Enterprises, and/or Minority

Owned Business Enterprises, and/or Small Business Enterprises

Proposal Submission Form (Attach this form to the front of your proposal)

All data fields must be typed with the exception of the authorized signature.

Legal Name of Company

Street Address (Main Office)

City

State

Zip Code

Federal Tax Identification No.

NJ Business Registration Certificate (BRC) #

If Not, Confirm Agreement to Secure (BRC) By

Initialing Here:

Contact Person for This Proposal

Contact Person’s Telephone

Contact Person’s Email

Authorized Signature

Required for Proposal Acceptance

Authorized Name and Title

Date of Signature

Are You a Minority, Women-Owned or Small

Business Enterprise?

Average Number of Employees

Years in Business

Include with Proposal Submission Page 1 of 13

ATTACHMENT A - KEY TEAM MEMBER LIST

Complete the chart below providing the information requested for key team members, duplicate as necessary.

The Prime Architectural Consultant and professional sub-consultant information, if any, should be included on this form for an all-inclusive team. As the specific facilities and their respective sizes and scopes of work are not yet known, please indicate the percentage of time each individual would spend on a “typical” emergent /capital project

Firm Name Key Team Member

Name & Title

% Of Time On

Job

Include with Proposal Submission Page 2 of 13

ATTACHMENT B - KEY TEAM MEMBER’S PROJECT REFERENCES (duplicate as required)

KEY TEAM MEMBER NAME:

Project Name, Project No., Client Name, and

Prime Firm Name

Client Contact

Name, and

Phone No.

Description Of Project, and

(including its Size and Scope), Description of Key Team Member’s Role

Months

Involved in Project

1.

2.

3.

4.

5.

6.

Include with Proposal Submission Page 3 of 13

Political Contribution Disclosure Form Page 1 of 3

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM

Required Pursuant To N.J.S.A. 19:44A-20.26

This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract.

I. Part I – Vendor Information Date __________________________

Vendor

Name:

Address:

City: State: Zip:

The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.

Signature Printed Name Title

II. Part II – Contribution Disclosure

Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $200 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit.

Check here if disclosure is provided in electronic form.

Contributor Name Recipient Name Date Dollar Amount

Check here if the information is continued on subsequent page(s)

Include with Proposal Submission Page 4 of 13

Political Contribution Disclosure Form Page 2 of 3

Continuation Page

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM

Required Pursuant To N.J.S.A. 19:44A-20.26

Page ___ of ______

Vendor Name: __________________________________Date:___________________________

Contributor Name Recipient Name Date Dollar Amount

Check here if the information is continued on subsequent page(s)

Include with Proposal Submission Page 5 of 13

Political Contribution Disclosure Form Page 3 of 3

List of Agencies with Elected Officials Required for Political Contribution Disclosure

N.J.S.A. 19:44A-20.26

County Name: Essex

State: Governor, and Legislative Leadership Committees

Legislative District #s: 21, 27, 28, 29, 34, 36, 40

State Senator and two members of the General Assembly per district.

County:

Freeholders County Clerk Sheriff

County Executive Surrogate Registrar of Deeds

Municipalities (Mayor and members of governing body, regardless of title):

Belleville Township Irvington Township Orange City

Bloomfield Township Livingston Township Roseland Borough

Caldwell Borough Maplewood Township South Orange Village

Cedar Grove Township Millburn Township Verona Township

East Orange City Montclair Township West Caldwell Township

Essex Fells Borough Newark City North Caldwell Borough

Fairfield Township North Caldwell Borough

Glen Ridge Borough Nutley Township

Board of Education (Members of the Board):

Belleville Township Glen Ridge Borough Nutley Township

Bloomfield Township Irvington Township Roseland Borough

Caldwell-West Caldwell Livingston Township South Orange-Maplewood

Cedar Grove Township Millburn Township Verona Borough

Essex Fells Borough Newark City West Essex Regional

Fairfield Township North Caldwell Borough West Orange Town

County: Essex

City of Newark Board of Education (Members of the Board):

Mr. Hasani K. Council, President

Ms. Vereliz Santana, Co-Vice President

Ms. Helena Vinhas, Co-Vice President

Ms. Kanileah Anderson

Mr. Quamid Childs

Mr. Mark Comesañas

Mr. David I. Daughety

Mr. Louis Maisonave, Jr.

Mr. Jordy Nivar

Ms. Divine Kibe, Student Representative

Fire Districts (Board of Fire Commissioners):

None

Include with Proposal Submission Page 6 of 13

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

Statement of Ownership Disclosure Page 1 of 2

Include with Proposal Submission Page 7 of 13

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 Newark Board of Education 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 Newark Board of Education to notify the Newark Board of Education in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the Newark Board of Education to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

Signature: Date:

Statement of Ownership Disclosure Page 2 of 2

Include with Proposal Submission Page 8 of 13

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).

Include with Proposal Submission Page 9 of 13

Disclosure of Investment Activities in Iran

Person or Entity

Part 1: Certification

COMPLETE PART 1 BY CHECKING EITHER BOX.

Pursuant to Public Law 2012, c. 25, any person or entity that is a successful bidder or proposer, or otherwise proposes to enter into or renew a contract, must complete the certification below to attest, under penalty of perjury, that neither the person or entity, nor any parent entity, subsidiary, or affiliate is identified on the

State Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran.

The list is found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.

The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found to be in violation of law, action may be taken as appropriate and as may 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 certify, pursuant to Public Law 2012, c. 25, that neither the person or entity listed above, nor any parent entity, subsidiary, or affiliate thereof is listed on the N.J.

Department of the Treasury’s list of entities determined to be engaged in prohibited activities in Iran pursuant to P.L. 2012, c. 25 ("Chapter 25 List"). I further certify that I am the person listed above, or I am an officer or representative of the entity listed above and am authorized to make this certification on its behalf. I will skip

Part 2 and sign and complete the Certification below.

OR

I am unable to certify as above because the person or entity and/or a parent entity, subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’s

Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in Part 2 below sign and complete the Certification below.

Disclosure of Investment Activities in Iran Page 1 of 2

Include with Proposal Submission Page 10 of 13

Part 2: Additional Information

PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.

You must provide a detailed, accurate and precise description of the activities of the person or entity, or a parent entity, subsidiary, or affiliate thereof engaging in investment activates in Iran below and, if more space is needed, on additional sheets provided by you.

Part 3: Certification of True and Complete Information

I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments there to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the above-referenced person or entity.

I acknowledge that the Newark Board of Education is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the Newark Board of Education to notify the Newark

Board of Education in writing of any changes to the answers of information contained herein.

I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with the Newark

Board of Education and that the Newark Board of Education at its option may declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print)

Title

Signature Date

Disclosure of Investment Activities in Iran Page 2 of 2

Include with Proposal Submission Page 11 of 13

Non-Collusion Affidavit:

By signing and submitting this bid the contractor certifies that this proposal or bid is genuine and not collusive or sham; that said bidder has not colluded, conspired, connived, or agreed, directly to indirectly, with any bidder of person to put in a sham bid or to refrain from bidding, and has not, in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference, with any person, to fix the bid prices or affiant or of any other bidder, or to fix any overhead, profit or cost element of said price, or of that of any other bidder, or to secure any advantage against the person interested on the proposed Contract; and that all statements in said proposal or bid are true.

Signature of Bidder/Contractor_____________________________________________________

Include with Proposal Submission Page 12 of 13

Newark Board of Education

The Newark Board of Education is not responsible for services performed without a signed authorized purchase order, and only the issuance of a purchase order authorizes the performance of services and/or delivery of goods.

Division of Purchasing Vendor Set-up/ Change Request

Are you a District Employee YES NO

Does Your Business Accept Purchase Orders YES NO

1099 Required YES NO

Please provide the following information and return with a copy of your W9

Legal Business Name ____________________________________________________________________________________

Vendor Classification Goods Services Goods and Services

Address for Purchase Orders

Address __________________________________________________________

City________________________________ State ________________________ Zip Code_______________

Phone Number _______________________

Email Address (purchase orders will dispatch via email) ________________________________________________________

Address for Payment/ Remit To

Address ___________________________________________________________

City ________________________________ State ________________________ Zip Code _______________

Vendor Classification

Commercial Large Business…