P25-112 RFP Material Testing.pdf

COUNTY OF MORRIS

REQUEST FOR PROPOSAL

MATERIAL TESTING FOR

ROADWAY & BRIDGE IMPROVEMENTS

WITHIN MORRIS COUNTY

CONTRACT NUMBER: P25-112

REQUESTING AGENCY: Morris County Department of Public Works

CONTACT PERSON: Anthony Aponte, QPA Office of Purchasing Fax#: 973-829-0304

SUBMISSION DEADLINE: August 1, 2025 at 11:00 AM

COMPANY NAME: ____________________________________________________

COMPANY CITY/TOWN: _______________________________ STATE: _________

NOTICE OF RFP

Separate sealed proposals will be opened by the Purchasing Agent of the County of Morris on August 1, 2025, at 11:00 AM Eastern Standard prevailing time in the Office of Purchasing, Room 517, 5th Floor, Administration & Records Building, Court Street, Morristown, New Jersey for the respective project as follows:

RFP #P25-112

ROADWAY & BRIDGE IMPROVEMENTS WITHIN MORRIS COUNTY

RFPs are available for downloading from http://www.morriscountybidsystem.com/, or may be picked up on or after July 10, 2025 in the office of Purchasing at the above address during regular business hours. The County of Morris shall not be responsible for full or partial sets of Contract Documents, including addenda, obtained from any other source.

Proposals must be enclosed in a sealed envelope bearing the name and address of the Respondents, and the RFP number and title spelled out on the outermost packaging, addressed to the Purchasing Agent of the County of Morris.

Proposals shall be delivered either in person, by delivery or mail at the hour designated, or previous thereto, to:

Purchasing Agent Morris County Administration & Records Building, Purchasing Division, 5th Floor PO Box 900

10 Court Street Morristown, New Jersey, 07963 0900.

No proposals shall be accepted after the designated time, and Morris County will not assume responsibility for proposals forwarded by mail or delivery service, nor any other conveyance.

Respondents are required to comply with the requirements of N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27.

Proposal requests herein are solicited through a fair and open process, pursuant to N.J.S.A. 19:44A-20.4 et seq.

A bid review and provision of unit prices will be posted online once available.

Bidders/Respondents are encouraged to MAIL in bids and responses. If they must be hand delivered, the County of Morris Purchasing Office is located on the 5th floor of the Administration and Records Building, 10 Court Street, Morristown, New Jersey.

TABULATION SHEET: Available on Bidnet within 1 week AFTER close of bid. Award of contract by the Board of County Commissioners will be made within 60 days of opening.

(1T 07/22/25) http://www.morriscountybidsystem.com/

GENERAL INSTRUCTIONS

1. SUBMISSION OF PROPOSALS

A. Sealed proposals shall be received in accordance with public advertisement as required by law, a copy of said notice being attached hereto and made a part of these specifications.

B. Each RFP shall be submitted on the proposal forms attached, NOT DOUBLE SIDED, in a sealed envelope:

(1) addressed to the Purchasing Agent

(2) bearing the name and address of the Respondent on the outside

(3) clearly marked "SEALED RFP” with the RFP number and title noted.

C. It is the Respondent's responsibility to see that proposals are presented to the Purchasing Agent on the hour and at the place designated. Proposals may be mailed; however, the County of Morris disclaims any responsibility for proposals forwarded by regular or express mail. If the RFP is sent by express mail, the designation in B.

above must also appear on the outside of the express company envelope. Proposals received after the designated time and date will be returned unopened.

D. The County reserves the right to postpone the date for presentation and opening of proposals and will give written notice of any such postponement to each prospective Respondent as required by law.

In the event Morris County Offices are closed, proposals will be accepted on the next business day that offices are opened, at the same location and the same time

E. Multiple Proposals Not Accepted

More than one RFP from an individual, a firm or partnership, a corporation or association under the same or different names shall not be considered for the same service/taxonomy.

Respondent must be an established concern in the business of providing the product/service proposal and must prove to the County Purchasing Agent’s satisfaction, upon request, that he has adequate facilities to perform all requirements in event of award.

F. All prices and amounts must be written in ink or preferably machine-printed. Proposals containing any conditions, omissions, unexplained erasures or alterations, items not called for in the RFP proposal form, attachments of additive information not required by the specifications, or irregularities of any kind, may be cause for rejection by the owner in accordance with applicable law. Any changes, whiteouts, strikeouts, etc. in the RFP must be initialed in ink by the person signing the document.

2. QUOTATIONS, PROPOSALS AND FORMS

A. The County of Morris is exempt from any local, state or federal sales, use or excise tax. The County will not pay service charges such as interest and late fees. The County or any of its offices and divisions will not complete credit applications as a result of contract(s) resulting from award based on these specifications.

B. Proposals must be signed in ink by the respondent; all quotations shall be made with a typewriter/computer or pen and ink. Any quotation showing any erasure alteration must be initialed by the respondent in ink. Unit prices and totals are to be inserted in spaces provided.

C. Failure to sign and give all information in the Proposal may result in the Proposal being rejected.

D. Estimated Quantities: The right is reserved to decrease or increase the quantities specified in the specifications pursuant to Statute.

E. Any respondent may withdraw his proposal at any time before the time set for receipt of proposals.

F. All forms shall be completed and attached to the proposal. RESPONDENT IS ALERTED TO THE CHECK

LIST PAGE.

3. INTERPRETATIONS AND QUESTIONS

A. The respondent understands and agrees that its Proposal is submitted on the basis of the specifications prepared by the County. The respondent accepts the obligation to become familiar with these specifications.

B. Respondents are expected to examine the specifications and related documents with care and observe all their requirements. Ambiguities, errors or omissions noted by respondents should be promptly reported in writing to the Purchasing Agent. In the event the respondent fails to notify the County of such ambiguities, errors or omissions, the respondent shall be bound by the Proposal.

C. No oral interpretation of the meaning of the specifications will be made to any respondent. Every request for an interpretation shall be in writing, addressed to the Purchasing Agent via email at mcpurchasing@co.morris.nj.us or via fax to (973) 829-0304. In order to be given consideration, written requests for interpretation must be received at least five (5) days prior to the date fixed for the opening of the proposals. Any and all such interpretations and any supplemental instructions will be in the form of written addenda to the specifications, and will be distributed to all prospective respondents of written addenda to the specifications, and will be distributed to all prospective respondents, pursuant to N.J.S.A. 40A: 11-13. All addenda so issued shall become part of the contract documents, and shall be acknowledged by the respondent in the Proposal. The County’s interpretations or corrections thereof shall be final.

4. AWARD OF CONTRACT

A. The Morris County Board of County Commissioners shall award a contract or reject proposals within sixty (60) days, except that the proposals of any Respondents who consent thereto may, at the request of the County, be held for consideration for such longer period as may be agreed.

B. The County reserves the right to accept or reject any or all proposals, to waive identified irregularities and technicalities, and to award in whole or in part to the lowest responsible respondent, if it is in the best interest of the County to do so. Without limiting the generality of the foregoing, any proposal which is incomplete, obscure, or irregular may be rejected.

C. The County further reserves the right to award a contract to the most responsible respondent meeting the specifications in the awarding authorities' opinion and is in the best interest of the County.

D. Should the respondent, to whom the contract is awarded, fail to enter into a contract, the County may then, at its option, accept the second best responsible respondent.

E. The effective period of this contract will be twelve (12) months, continuation of the terms of this contract beyond the fiscal year is contingent on availability of funds in the following year's budget. In the event of unavailability of such funds, the County reserves the right to cancel this contract.

F. Government entities are not private business/consumer clients; therefore, separate company agreements are not honored. Terms of the specifications prevail unless otherwise noted by the vendor as exceptions.

G. The form of contract which shall be signed by the successful respondent shall be that as furnished by County

Counsel, a copy of which is on file with the Morris County Purchasing Division and may be inspected upon request.

5. NEW JERSEY ANTI-DISCRIMINATION

The contract for this Proposal shall require that the contractor agrees nor to discriminate in employment and agrees to abide by all anti-discrimination laws including but not limited to N.J.S.A. 10:2-1 as included in this document.

mailto:mcpurchasing@co.morris.nj.us

6. MANDATORY AFFIRMATIVE ACTION CERTIFICATION

No firm may be issued a contract unless it complies with the affirmative action provision of N.J.S.A. 10:5-31 et seq. and N.J.S.A. 17:27-1 et seq. as administered by the Division of Purchase & Property Contract Compliance and audit unit (Division) and provided below. The contract will include the language included as Exhibit A in this specification.

A. Goods, Professional Services and General Service Contracts

Each contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents:

1. A Letter of Federal Approval indicating that the vendor is under an existing federally approved or sanctioned affirmative action program. A copy of the approved letter must be provided by the vendor to the Public Agency and the Division. This approval letter is valid for one year from the date of issuance.

2. A Certificate of Employee Information Report (hereafter “Certificate”), issued in accordance with N.J.A.C. 17:27 et seq. The vendor must provide a copy of the Certificate to the Public agency as evidence of its compliance with the regulations. The Certificate represents the review and approval of the vendor’s Employee Information Report, Form AA-302 by the Division.

3. The successful respondent shall complete an Initial Employee Report, Form AA-302 and submit it to the Division with a check or money order for $150.00 made payable to “Treasurer, state of NJ” and forward a copy of the Form to the Public Agency. Upon submission and review by the Division, the Report shall constitute evidence of compliance with the regulation.

7. WORKER AND COMMUNITY RIGHT TO KNOW ACT

The manufacturer or supplier of chemical substances or mixtures shall label them in accordance with the N.J.

Worker and Community Right to Know Law (N.J.S.A. 34: 51 et seq., and N.J.A.C 5:89-5 et seq.). All direct use containers shall bear a label indicating the chemical name(s) and Chemical Abstracts Service number(s) of all hazardous substances in the container, and all other substances which are among the five most predominant substances in the container, or their trade secret registry number(s). (N.J.A.C. 8:59-5) or adhere to the requirements of The Globally Harmonized System of Classification and Labeling of Chemicals (GHS) and the U.S. Occupational Safety and Health Administration (OSHA) Hazard Communication Standard (HCS) as outlined in the Federal Register / Vol. 77, No. 58 / Monday, March 26, 2012 / Rules and Regulations as adopted in final rule by DEPARTMENT OF LABOR, Occupational Safety and Health Administration, 29 CFR Parts 1910, 1915, and 1926, [Docket No. OSHA–H022K–2006–0062, (formerly Docket No. H022K)], RIN 1218–AC20, Hazard Communication. Further, all applicable documentation must be furnished.

8. STATEMENT OF OWNERSHIP DISCLOSURE

In accordance with N.J.S.A. 52:25-24.2, no corporation, partnership, limited partnership, limited liability corporation, limited liability partnership, Subchapter S corporation or sole proprietorship, shall be awarded a contract, unless prior to the receipt of the Proposal or accompanying the Proposal of the corporation, partnership, limited partnership, limited liability corporation, limited liability partnership, subchapter S corporation or sole proprietorship, there is submitted to the County of Morris a statement setting forth the names and addresses of all stockholders who own 10% or more of the stock, of any class or of all individual partners who own a 10% or greater interest in the corporation, partnership, limited partnership, limited liability corporation, limited liability partnership, Subchapter S corporation or sole proprietorship. If one or more such stockholder or partner is itself a corporation or partnership, the stockholders holding 10% or more of that corporation’s stock, or the individual partners owning 10% or greater interest in that partnership, as the case may be, shall also be listed. The disclosure shall be continued until names and addresses of every non-corporate stockholder and individual partner, exceeding the 10% ownership criteria established in this act has been listed. This form shall be signed and submitted with the bid/proposal whether or not a stockholder or partner owns less than 10% of the business submitting the Proposal.

Failure to comply requires mandatory rejection of the bid/proposal.

9. ACQUISITION, MERGE, SALE AND/OR TRANSFER OF BUSINESS, ETC.

It is understood by all parties that if, during the life of the contract, the contractor disposes of his/her business concern by acquisition, merger, sale and/or transfer or by any means convey his/her interest(s) to another party, all obligations are transferred to that new party. In this event, the new owner(s) will be required to submit, when required, a performance bond in the amount of the open balance of the contract.

10. INSURANCE REQUIREMENTS

The Contractor, prior to commencing work, shall provide at his own cost and expense, the following insurance to the County of Morris with insurance companies licensed to provide insurance in the State of New Jersey. The Contractor will ensure that policies are underwritten by companies with a current A.M. Best rating of A- with a Financial Size Category of VII or better. Insurance shall be evidenced by Certificates and/or Policies as determined and approved by the County of Morris, Division of Risk Management. Each Certificate or Policy shall require that thirty (30) days prior to cancellation or material change in the policies, notice thereof shall be given to the Purchasing Agent, County of Morris, by registered mail, return receipt requested and for all of the following stated insurance policies. All such notices shall name the Contractor and identify the contract number. The Contractor shall submit an updated Certificate of Insurance to demonstrate continued renewal of insurance. During any period when the required insurance is not in effect, the County of Morris may suspend the work. The County may refuse to make payments due under this contract or any other contracts with the County until the required insurance coverage is in effect. The County may use monies withheld to renew the insurance for the periods and amounts referred to above.

A. Worker’s Compensation and Employer’s Liability Insurance This insurance shall be maintained in full force during the life of this contract by the respondent covering all employees engaged in performance of this contract pursuant to N.J.S.A. 34:15-12(a) and N.J.A.C. 12:235-1.6.

Minimum Employer’s Liability $500,000.00.

B. General Liability Insurance

The Contractor shall provide Comprehensive General Liability insurance with a combined single limit of

$1,000,000/$2,000,000 aggregate for bodily injury and property damage. A “claims made” policy is not acceptable.

The Contractor shall provide Comprehensive General Liability insurance with a combined single limit of $1,000,000/$3,000,000 aggregate for bodily injury and property damage. A “claims made” policy is not acceptable.

C. Professional Liability. The Contractor shall provide a copy of a certificate verifying coverage of professional liability insurance applicable to services to be rendered under this agreement with limits of $1,000,000/$3,000,000.

D. Owners Contractors Protective Liability.

The Contractor shall provide Owners Contractor Protective Liability Insurance with a limit of $1,000,000.00 for General Work for the sole protection of the County of Morris. The County of Morris must be named as the first insured on this policy.

E. Automobile Liability Insurance.

Automobile liability insurance, with a combined single limit of liability per occurrence of $1,000,000 for bodily injury, property damage. This insurance shall include bodily injury and property damage with the following coverage, for owned automobiles, hired automobiles and non-owned automobiles.

F. “ADDITIONAL INSURED”.

All Certificates of Insurance shall state that the County of Morris is carried as “an additional insured” for the purposes of the contract, and shall include Form CG 20100704 & CG20370704 attached, or their equivalent, as determined solely by the Morris County Risk Manager.

Self-insured contractors shall submit an affidavit attesting to their self-insured coverage and shall name the OWNER as an additional insured.

11. INDEMNIFICATION:

The Contractor shall defend, indemnify and hold harmless, the County of Morris, the Board of County Commissioners, their Employees, Agents, Representatives and Servants (collectively the “County”) from and against any and all losses, penalties, claims, damages, settlements, judgments, verdicts, costs, charges, professional fees (including attorneys’ fees and other expenses or liabilities including, but not limited to, the investigation and defense of any claims, arising out of or resulting from the performance of the Contractor’s work or the completed operations provided that any such claim, damage, loss, or expense (a) is attributable to bodily injury, sickness, disease or death, or to injury or to destruction of tangible property including the loss of the use resulting therefrom, and (b) is caused in whole or in part by any negligent act or omission of the Contractor, or anyone directly or indirectly employed by them or anyone for whose acts they may be liable (including a claim by an employee of the Contractor) regardless of whether it is caused in part by a party indemnified hereunder, and (c) is caused in whole or in part by the Contractor’s breach of any term evidencing an agreement between the Contractor and the County of Morris or anyone directly or indirectly employed by the Contractor for whose acts the Contractor may be liable.

In any and all claims against the County of Morris, the Board of County Commissioners, their Employees, Agents and Servants, by any employees of the Contractor, anyone directly or indirectly employed by them or anyone for whose acts they may be liable, the indemnification obligation under this agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable by or for the Contractor under workers compensation acts, disability benefit acts or other employee benefit acts.

12. PAYMENT

Payment will be made after a properly executed County of Morris voucher has been received and formally approved on the voucher list by the Board of County Commissioners of the County of Morris at its subsequent regular meeting. The voucher will be certified correct by the department/division head who received the goods or services.

13. TERMINATION

If, through any cause, the successful Respondent shall fail to fulfill in a timely and proper manner any of the obligations under this contract or if the Contractor shall violate any of the requirements of this contract, the County shall thereupon have the right to terminate this contract by giving sixty (60) days written notice to the Contractor of such termination and specifying the effective date of termination. Such termination shall relieve the County of any obligation for balances to the Contractor of any sum or sums set forth in the contract.

Notwithstanding the above, the Contractor shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of the contract by the Contractor and the County may withhold any payments to the Contractor for the purpose of compensation until such time as the exact amount of the damage due the County from the Contractor is determined.

In case of default by the respondent, the County reserves the right to purchase services on the open market and hold the respondent responsible for any losses resulting from the respondent’s default.

The Contractor agrees to indemnify and hold the County harmless from any liability to subcontractors/suppliers concerning payment for work performed or goods supplied arising out of the lawful termination of the contract by the County under this provision.

Each fiscal year payment obligation of the County is conditioned upon the availability of funds appropriated or allocated for the payment of such an obligation. If funds are not allocated and available for the continuance of any services performed by the County hereunder, whether in whole or in part, the County at the end of any particular fiscal year may terminate such services. The County will notify the Contractor in writing immediately of any services that will be affected by a shortage of appropriated funds. This provision shall not be construed so as to permit the County to terminate this Agreement during the term, or any service hereunder, merely in order to acquire identical services from a third party contractor.

14. Vendor’s literature and/or pricing sheets will not be accepted in lieu of completing the proposal blank(s) set forth in these specifications.

15. Respondents shall not write in margins or alter the official content or requirements of the County Proposal documents.

16. OWNERSHIP OF MATERIAL

The owner shall retain all of its rights and interest in any and all documents and property both hard copy and digital furnished by the owner to the contractor for the purpose of assisting the contractor in the performance of this contract. All such items shall be returned immediately to the owner at the expiration or termination of the contract or completion of any related services, pursuant thereto, whichever comes first. None of the documents and/or property shall, without the written consent of the owner, be disclosed to others or used by the contractor or permitted by the contractor to be used by their parties at any time except in the performance of the resulting contract.

Ownership of all data, materials and documentation originated and prepared for the owner pursuant to this contract shall belong exclusively to the owner. All data, reports, computerized information, programs and materials related to this project shall be delivered to and become the property of the owner upon completion of the project. The contractor shall not have the right to use, sell, or disclose the total of the interim or final work products, or make available to third parties, without the prior written consent of the owner. All information supplied to the owner may be required to be supplied on CD-ROM media compatible with the owner’s computer operating system, windows based, Microsoft Office Suite 2000 or newer.

Reasonable efforts will be taken by Morris County to keep information of a confidential or proprietary nature confidential during and after the procurement process as permitted by law, when such information is properly identified by the Proposer.

17. Respondent should be aware of the following statutes that represent “Truth in Contracting” laws:

1. N.J.S.A 2C:21-34. et seq. governs false claims and representations by respondent. It is a serious crime for the respondent to knowingly submit a false claim and/or knowingly make material misrepresentation.

2. N.J.S.A. 2C:27-10 provides that a public servant commits a crime if said public servant solicits or receives a benefit directly or indirectly, for an official act performed or to be performed by a public servant, which is a violation of official duty.

3. N.J.S.A 2C: 27-11 provides that a respondent commits a crime if said person, directly or indirectly, confers or agrees any benefit not allowed by law to a public servant.

4. Respondent should consult the statutes or legal counsel for further information.

18. N.J. BUSINESS REGISTRATION PROGRAM

Certificate required pursuant to C57, PL2004; failure to be registered by time of contract award may be cause for rejection. Entities or individuals that need to file for a certificate may do so on-line through the NJ Division of Local Government Services at the following link:

http://www.state.nj.us/treasury/revenue/busregcert.shtml.

19. “PAY TO PLAY” – NOTICE OF DISCLOSURE REQUIREMENT – P.L. 2005, Chapter 271, Section 3

Reporting (N.J.S.A. 19:44A – 20.27)

1. Any business entity that has received $50,000 or more in contracts from government entities in a calendar year is required to file an annual disclosure report with ELEC. The instructions and form are available on the ELEC website.

2. Annual Disclosures require submission by March 30th of each year covering contracts and contributions for the prior calendar year.

3. At a minimum, a list of all business entities that file an annual disclosure report will be listed on ELEC’s website at www.elec.state.nj.us.

4. If you have any questions, please contact ELEC at: 1-888-313-ELEC (3532) (toll free in NJ) or 609-292- 8700.

20. NON-PAYMENT OF PENALTIES AND INTEREST ON OVERDUE BILLS

Public funds may be used to pay only for goods delivered or services rendered. County of Morris will not pay penalties and/or interest on overdue bills. No employee is authorized to sign a letter of credit or any other document that represents a legal commitment on the part of the County to pay additional fees.

http://www.state.nj.us/treasury/revenue/busregcert.shtml http://www.elec.state.nj.us/

21. FIRM FIXED CONTRACT

This is a firm fixed contract, prices firm, FOB County locations. No price escalation. The vendor shall void the contract and permit the County to solicit open market pricing should any price increase or surcharge be imposed.

22. W-9

Successful respondent shall complete W-9 Form and submit to Purchasing prior to contract award. The form is available at the following link: www.irs.gov/pub/irs-pdf/fw9.pdf

23. PUBLIC EMERGENCY

In the event of a Public Emergency declared at the Local, State or Federal Level, if the County of Morris opts to extend terms and conditions of this Proposal, the contractor agrees to extend the terms and conditions of this Proposal, whether existing, expiring or expired no longer than six months, for goods and/or services for the duration of the emergency. In the event the original contractor cannot meet this requirement, the County may solicit the goods and/or services from any respondent on this contract.

24. SOURCE OF SPECIFICATIONS PACKAGES

Official County of Morris Proposal packages for routine goods and services are available from www.morriscountybidsystem.com at no cost to the vendor, or may be picked up at the Morris County Administration & Records Building, Purchasing Division, Room 517, 5th Floor, PO Box 900, Morristown, New Jersey, 07963 0900.

Potential respondents are cautioned that they are submitting this RFP at their own risk if a third party supplied the specifications that may or may not be complete. The County of Morris is not responsible for third party supplied specifications

25. DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN, RUSSIA & BELARUS

P.L. 2021, c.4, and P.L. 2022, c. 3, prohibits State and local public contracts with persons or entities engaging in certain investment activities in energy or finance sectors of Iran, and engaging in prohibited activities in Russia or Belarus.

26. Respondent understands that the specifications herein are incorporated into and are fully part of any contract as may be awarded as result of this proposal submittal.

27. HIPAA § Compliance with Federal HIPAA Law

The Respondent acknowledges its duty to become familiar with and comply, to the extent applicable, with all requirements of the Federal Health Insurance Portability and Accountability Act (HIPAA), 42 U.S.C. §§ 1320 et seq. and implementing regulations including 45 CFR Parts 160 and 164. This obligation includes: As necessary, adhering to the privacy and security requirements for protected health information and medical records under Federal HIPAA and State MCMRA and making the transmission of all electronic information compatible with the Federal HIPAA requirements; and providing good management practices regarding all health information and medical records. Protected Health Information as defined in the HIPAA regulations at 45 CRF 160.103 and 164.501, as amended from time to time, means information transmitted as defined in the regulations, that is individually identifiable; that is created or received by a healthcare provider, health plan, public health authority, employer, life insurer, school or university, or healthcare clearinghouse; and that is related to the past, present, or future physical or mental health or condition of an individual, to the provision of healthcare to an individual, or to the past, present, or future payment for the provision of healthcare to an individual. The definition excluded certain education records as well as employment records held by a covered entity in its role as employer.

http://www.irs.gov/pub/irs-pdf/fw9.pdf http://www.morriscountybidsystem.com/

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY

CG 20 10

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE

A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for “bodily injury” or “property damage” caused, in whole or in part, by “your work” at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the “products-completed operations hazard”.

Name of Additional Insured Person (s) Or Organization (s):

Locations of Covered Operations

P.O. BOX 900

MORRISTOWN, NJ 07963

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY

CG 20 37

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS – COMPLETED

OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE

A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for “bodily injury” or “property damage” caused, in whole or in part, by “your work” at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the “products-completed operations hazard”.

Name of Additional Insured Person (s) Or Organization (s): Location and Description of Completed Operations

P.O. BOX 900

MORRISTOWN, NJ 07963

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

CHECKLIST FOR PROPOSAL SUBMISSION

Required With

Proposal

Read, Signed & Submitted Respondents

Initial

A. FAILURE TO SUBMIT ANY OF THESE ITEMS IS MANDATORY CAUSE FOR

REJECTION OF PROPOSAL:

RFP Proposal Form / Signature Pages __________ Statement of Ownership Disclosure __________ Acknowledgement of Receipt of Addenda __________

B. MANDATORY ITEM(S), REQUIRED NO LATER THAN TIME PERIOD

INDICATED:

Non-Collusion Affidavit __________ Required Evidence EEO/Affirmative Action Regulations Questionnaire __________ Business Registration Certificate – (Preferred with response, but effective at contract award) __________ W9 (Preferred with response, but prior to contract award) __________ License(s) or Certification(s) Required by the Specifications __________ Americans With Disability Act of 1990 Language (Preferred with response but prior to award of contract)

NJ Anti-Discrimination Provisions (Preferred with response but prior to award of contract) __________ Disclosure of Investment Activities in Iran (Preferred with response, but prior to contract award)

Certification Of Non‐Involvement in Prohibited Activities in Russia or Belarus (Preferred with response, but prior to contract award)

Insurance Documents including Endorsements (with signed contracts) __________

RESPONDENTS, please provide:

• One (1) original (clearly marked “ORIGINAL”),

• One (1) digital copy (USB flash drive or CD)

Respondent Signature:

NOTE: IMPORTANT: REQUIRED FORMS HEREIN SHALL NOT BE SUBMITTED DOUBLE SIDED.

RFP #P25-112

DATE: _________________________

TO THE COUNTY OF MORRIS

The undersigned has read and fully understands the requirements and scope of work herein and promises to provide the requested Services in accordance with the specifications listed within this document.

A contract for the above-mentioned RFP may be issued to the respondent based on the Evaluation Criteria, considering price and other factors, as determined to be in the best interest of the County of Morris.

Respondent understands that the specifications herein are incorporated into and fully part of any contract as may be awarded as result of this proposal submittal.

(Corporation) The undersigned is a (Partnership) under the laws of the State of __________________________ having its (Individual) Principal office at .

Company Federal I.D. #

Address

Signature of Authorized Agent Type or Print Name

Title of Authorized Agent Date

Telephone Number Email Address

Fax Number

COUNTY WIDE PAVEMENT TESTING PROGRAM

BITUMINOUS CONCRETE TESTING (200 cores) SUBTOTAL $

TRAFFIC CONTROL (10 days) SUBTOTAL $

COUNTY WIDE BRIDGE TESTING

BRIDGE: SAMPLING AND INSPECTION (10 Bridges) SUBTOTAL $

STATEMENT OF OWNERSHIP DISCLOSURE

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

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

Name of Organization:_________________________________________________________________

Organization Address:_________________________________________________________________

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

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

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

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

Partnership Limited Partnership Limited Liability Partnership (LLP)

Other (be specific): ______________________________________________

Part II

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

SECTION)

OR

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

PART IV)

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

Name of Individual or Business Entity Address

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

OR LLC MEMBERS LISTED IN PART II

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

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

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

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

Address

Part IV Certification

I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the bidder/proposer; that the County of Morris is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the completion of any contracts with the 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, permitting the County to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

Signature: Date:

ACKNOWLEDGMENT OF RECEIPT OF ADDENDA

The undersigned Respondent hereby acknowledges receipt of the following Addenda:

ADDENDUM

NUMBER

DATE ACKNOWLEDGE RECEIPT

(Initial)

Respondent MUST __________________ ______________ ___________________ acknowledge EACH addenda __________________ ______________ ___________________ by number, date, and initial __________________ ______________ ___________________ acknowledgment

Bidder Acknowledges That No Addenda Were Issued ___________________

By:

(Signature of Authorized Representative)

Name:

(Print or Type)

Title:

Date:

Form Is Required

Acknowledged for:

(Name of Respondent)

The Certification form requires the insertion of contracting unit identification information which should be filled in (in italics on the form) prior to its use.

STANDARD BID DOCUMENT REFERENCE

Name of Form DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN

Statutory Reference

N.J.S.A. 52:32-55 et seq.

N.J.S.A. 40A:11-2.1 N.J.S.A. 18A:18A-49.4

Applicability

Y/N Mandatory Optional N/A

LPCL Y Goods and Services X

PSCL Y Construction

X

Instructions Reference

Description P.L. 2012, c.25 and P.L. 2021, c.4 prohibits the awarding of State and local public contracts for goods and services with persons or entities engaging in certain investment activities in energy or finance sectors of Iran. Prior to contract award, vendors and contractors must certify that neither they nor any parent entity, subsidiary, or affiliate is listed on the New Jersey 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").

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, and P.L. 2021, c.4, 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, and P.L. 2021, c.4 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.

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.

http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf

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 County of Morris 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 County to notify the County 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 County of Morris and that the County at its option may declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print)

Title

Signature Date

CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED ACTIVITIES

IN RUSSIA OR BELARUS

Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendori”) that seeks to enter into or renew a contract with a State agency or local unit 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).

NON-COLLUSION AFFIDAVIT

State of New Jersey County of________________ ss:

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

I am of the firm of (title or position) (name of firm) the respondent making this Proposal for the RFP entitled , and that I executed the said proposal with

(title of proposal) full authority to do so; that said respondent has not, directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and in this affidavit are true and correct, and made with full knowledge that the relies upon the truth of (name of contracting unit) the statements contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said project.

I further warrant that no person or selling agency has been employed 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 _______________.

(name of firm)

Subscribed and sworn to before me this day, , 2 :

Signature of affiant

Type or print name of affiant

Notary public of

My Commission expires

(Seal)

EEO/AFFIRMATIVE ACTION COMPLIANCE NOTICE

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

GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS

All successful respondents are required to submit evidence of appropriate affirmative action compliance to the County of Morris and Division of Public Contracts Equal Employment Opportunity Compliance. During a review, Division representatives will review the County of Morris files to determine whether the affirmative action evidence has been submitted by the vendor/contractor. Specifically, each vendor/contractor shall submit to the County of Morris, prior to execution of the contract, one of the following documents:

Goods and General Service Vendors

1. Letter of Federal Approval indicating that the vendor is under an existing Federally approved or sanctioned affirmative action program. A copy of the approval letter is to be provided by the vendor to the County of Morris and the Division. This approval letter is valid for one year from the date of issuance.

Do you have a federally-approved or sanctioned EEO/AA program? Yes No If yes, please submit a photostatic copy of such approval.

2. A Certificate…