RFP-2023_-Animal-Control-Services Clinton Township 2024.pdf

TOWNSHIP OF CLINTON, HUNTERDON COUNTY, NEW JERSEY

PUBLIC NOTICE

NOTE: The Township will consider proposals only from firms or organizations that have demonstrated the capability and willingness to provide high quality services in the manner described in this Request for proposal and in any subsequent Request for Proposals.

REQUEST FOR PROPOSAL

FOR THE PROVISION OF

ANIMAL CONTROL SERVICES

ISSUE DATE:

December 7, 2023

SUBMISSION DUE DATE: December 19, 2023

Submittal is to be on www.bidnetdirect.com//townshipofclinton

BY ORDER OF THE TOWNSHIP OF CLINTON, HUNTERDON COUNTY, NEW

JERSEY

http://www.bidnetdirect.com/townshipofclinton

Township of Clinton 1 of 20 Animal Control Services RFP

GLOSSARY

The following definitions shall apply to and are used in this Request for Proposal:

“Township” - refers to the Township of Clinton, County of Hunterdon, State of New Jersey.

"Qualification Statement" - refers to the complete responses to this RFP submitted by the Respondents.

"Qualified Respondent" - refers to those Respondents who (in the sole judgment of the

Township) have satisfied the qualification criteria set forth in this RFP.

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

"Respondent" or "Respondents" - refers to the interested firm(s) that submit a Request for

Proposal.

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SECTION 1

INTRODUCTION AND GENERAL INFORMATION

1.1. Introduction and Purpose.

The Township is soliciting Request for Proposals from interested companies and/or persons (“firm”) for the provision of Animal Control Services, as more particularly described herein.

Through a Request for Proposal process described herein, firms interested in assisting the Township with the provision of such services must prepare and submit a Proposal in accordance with the procedure and schedule in this RFP. The Township will review proposals only from those firms that submit a proposal which includes all the information required to be included as described herein (in the sole judgment of the Township). The Township intends to qualify firm(s) that (a) possesses the professional, financial, and administrative capabilities to provide the proposed services, and (b) offers the financial terms and conditions that are determined by the Township to provide the greatest financial benefit to the taxpayers of the Township.

1.2. Procurement Process and Schedule.

This contract will be awarded using Competitive Contracting pursuant to Local Public Contracts Law, N.J.S.A. 40A:11-1 et seq. Proposals will be reviewed and evaluated by the Township. A proposal will then be recommended to the governing body for award of contract, based on the proposal that is most advantages to the Township. In addition, the Township has structured a procurement process that seeks to obtain the desired results described above, while establishing a competitive process to assure that each firm is provided an equal opportunity to submit a proposal. Proposals will be evaluated in accordance with the criteria set forth in Section 2 of this RFP, which will be applied in the same manner to each proposal received.

Proposals will be reviewed and evaluated by the Township and its legal and financial advisors (collectively, the "Review Team"). The proposal will be reviewed to determine if the Respondent has met the minimum professional, administrative, and financial areas described in this RFP.

Based upon the totality of the information contained in the proposal, including information about the reputation and experience of each Respondent, the Township will (in its sole judgment) determine which Respondent is qualified (from professional, administrative and financial standpoints)

The RFP process commences with the issuance of this RFP. The steps involved in the process and the anticipated completion dates are set forth in Table 1, Procurement Schedule. The Township reserves the right to, among other things, amend, modify, or alter the Procurement Schedule upon notice to all potential Respondents.

All communications concerning this RFP or the RFP process shall be directed to the Township’s Designated Contact Person, in writing, at the address set forth below.

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1.3 Evaluation

Proposals will be reviewed and evaluated by the Township. The evaluation will rank vendors based on Technical, Management and Cost if applicable.

1.4 Contract Period

January 1, 2024, to December 31, 2026, w/option for two (2) additional years

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Designated Contact Person:

Sean Canning, QPA Township of Clinton

1225 Route 31 S Building D Lebanon, New Jersey 08833

Proposals must be submitted to and be received electronically by 10 AM Prevailing Time on the submission due date. Proposals will not be accepted by facsimile transmission, e-mail, via mail, overnight courier, or hand delivery.

Responses MUST be uploaded and responded to www.bidnetdirect.com//townshipofclinton

Subsequent to issuance of this RFP, the Township (through the issuance of addenda to all firms that have received a copy of the RFP) may modify, supplement, or amend the provisions of this RFP in order to respond to inquiries received from prospective Respondents or as otherwise deemed necessary or appropriate by (and in the sole judgment of) the Township.

TABLE 1

ANTICIPATED PROCUREMENT SCHEDULE

ACTIVITY DATE

Issuance of Request for Proposals December 7, 2023

Receipt of Submissions of the RFP

December 19, 2023, 10

AM

Selection of Contractor/Vendor December 20, 2023 (Tentative) http://www.bidnetdirect.com/townshipofclinton

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Section 1.3. Conditions Applicable to RFP.

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

• All costs incurred by the Respondent in connection with responding to this RFP shall be borne solely by the Respondent.

• The Township reserves the right (in its sole judgment) to reject for any reason any and all responses and components thereof and to eliminate any and all Respondents responding to this RFP from further consideration for this procurement.

• The Township reserves the right (in its sole judgment) to reject any Respondent that submits incomplete responses to this RFP.

• The Township reserves the right (in its sole judgment) to determine those Respondents that are qualified to submit Proposals in response to an RFP.

• The Township reserves the right, without prior notice, to supplement, amend, or otherwise modify this RFP, or otherwise request additional information.

• All proposals shall become the property of the Township and will not be returned.

• All proposals will be made available to the public at the appropriate time, as determined by the Township (in the exercise of its sole discretion) in accordance with law.

• The Township may request Respondents to send representatives to the Township for interviews.

• Any and all proposals not received by the Qualified Purchasing Agent (QPA) by 10:00 a.m. Prevailing Time on submission due date will be rejected.

• Neither the Township, nor their respective staffs, consultants, or advisors (including but not limited to the Review Team) shall be liable for any claims or damages resulting from the solicitation or preparation of this RFP, nor will there be any reimbursement to Respondents for the cost of preparing and submitting a proposal or for participating in this procurement process.

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Section 1.4. Rights of Township The Township reserves, holds and may exercise, at its sole discretion, the following rights, and options with regard to this RFP and the procurement process in accordance with the provisions of applicable law:

• To determine that any proposal received complies or fails to comply with the terms of this RFP.

• To supplement, amend or otherwise modify the RFP through issuance of addenda to all prospective Respondents who have received a copy of this RFP.

• To waive any technical non-conformance with the terms of this RFP.

• To change or alter the schedule for any events called for in this RFP upon the issuance of notice to all prospective Respondents who have received a copy of this RFP.

• To conduct investigations of any or all of the Respondents, as the Township deems necessary or convenient, to clarify the information provided as part of the RFP and to request additional information to support the information included in any proposal.

• To suspend or terminate the procurement process described in this RFP at any time (in its sole discretion.) If terminated, the Township may determine to commence a new procurement process or exercise any other rights provided under applicable law without any obligation to the Respondents.

The Township shall be under no obligation to complete all or any portion of the procurement process described in this RFP.

1.5 Addenda or Amendments to RFP.

During the period provided for the preparation of proposals, the Township may issue addenda, amendments, or answers to written inquiries. Those addenda will be noticed by the Township and will constitute a part of the RFP. All responses to the RFP shall be prepared with full consideration of the addenda issued prior to the proposal submission date.

1.6 Cost of Proposal Preparation.

Each proposal and all information required to be submitted pursuant to The RFP shall be prepared at the sole cost and expense of the respondent. There shall be no claims whatsoever against the Township, its staff, or consultants for reimbursement for the payment of costs or expenses incurred in the preparation of the proposal or other information required by the RFP.

1.7 Proposal Format.

Responses should cover all information requested in the Questions to be answered in this RFP.

Responses which in the judgment of the Township fail to meet the requirements of the RFP or which are in any way conditional, incomplete, obscure, contain additions or deletions from requested information, or contain errors may be rejected.

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SECTION 2

SCOPE OF SERVICES

The Township is seeking an experienced professional to provide the following animal control services:

• Domestic Animal Impoundment, including securing dogs running at large, stray dogs, abandoned pets, vicious or dangerous dogs, rabies quarantine and stray cat removal.

• Once secured, animals shall be transported to a designated holding facility and held according to NJSA Title 4 requirements.

• Sick/injured Wildlife Capture and Removal, including access to rabies testing when appropriate.

• Dead Wildlife Pickup

• Enforce all local ordinances and work with local government for judicial proceedings if/when required.

• Vendor shall demonstrate access to animal impound holding facilities.

• Vendors shall demonstrate experience through the submission of three municipal references.

• Vendor shall commit to a two-hour response time for services.

• Submit monthly reports to the Office of the Clerk and Township Administrator by the 10th of each month reflecting activity of preceding month. The report contain the following information: record of all animals received and/or disposed of (with date animal received, description, license number if applicable, name/address from person acquired or location where stray animal was picked up from or killed, and method/name of person to whom otherwise transferred.

• At the request of an animal owner, remove privately owned dogs & cats at the rates specified in this document.

• Provide a listing and description of all vehicles to be used in transportation of animals.

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SECTION 3

SUBMISSION REQUIREMENTS

Section 3.1 General Requirements.

The RFP submitted by the Respondent must meet or exceed the professional, administrative, and financial qualifications set forth in this Section 3 and shall incorporate the information requested below.

In addition to the information required as described below, a Respondent may submit supplemental information that it feels may be useful in evaluating their proposal. Respondents are encouraged to be clear, factual, and concise in their presentation of information.

Section 3.2 Administrative Information Requirements.

The Respondent shall, as part of its RFP, provide the following information:

1. An executive summary (not to exceed two (2) pages) of the information contained in all the other parts of the RFP.

2. An executed Letter of Qualification (See Appendix A to this RFP).

3. Name, address and telephone number of the firm or firms submitting the proposal pursuant to this RFP, and the name of the key contact person.

4. A description of the business organization (i.e., person, corporation, partnership, joint venture, etc.) of each firm, its ownership, and its organizational structure.

(a) Provide the names and addresses of all Principals of the firm or firms submitting the Request for Proposal. For purposes of this RFP, "Principals" means persons possessing a 10% ownership interest in the Respondent.

If the Respondent is a corporation, limited liability corporation and limited liability partnership, “Principals" shall include each investor who would have any amount of operational control over the Respondent and every stockholder having an ownership interest of 10% or more in the firm.

(b) If a firm is a partially owned or a fully owned subsidiary of another firm, identify the parent company and describe the nature and extent of the parents' approval rights over the activities of the firm submitting a proposal.

Describe the approval process.

(c) If the Respondent is a partnership or a joint venture or similar organization, provide comparable information as required in (b) above for each member of the partnership, joint venture, or similar organization.

(d) A statement that the Respondent has complied with all applicable affirmative action (or similar) requirements with respect to its business activities, together with evidence of such compliance

5. An executed Letter of Intent (See Appendix B).

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6. A current Rate sheet/Fee schedule

7. The number of years your organization has been in business under the present name.

8. The number of years the business organization has been under the current management.

9. A statement that the Respondent follows all applicable affirmative action (or similar) requirements with respect to its business activities, together with evidence of such compliance.

10. Any judgments, claims or suits pending or outstanding against company. If yes, please explain.

11. Whether the business organization is now or has been involved in any bankruptcy or re-organization proceedings in the last ten (10) years. If yes, please explain.

12. Confirm appropriate federal and state.

13. Provide Tax ID Number

Section 3.3 Professional Information Requirements.

a. Respondent shall submit a description of its overall experience in providing the type of services sought in the RFP. At a minimum, the following information on past experience should be included as appropriate to the RFP:

1. Description and scope of work by Respondent

2. Name, address and contact information of references

3. fees

4. Explanation of perceived relevance of the experience to the RFP.

b. Describe the services that Respondent would perform directly.

c. Describe those portions of the Respondent’s services, if any, that are sub-contracted out. Identify all subcontractors the Respondent anticipates using in connection with this project.

d. Brief description of Respondent’s projects during the last two (2) years related to the services requested.

e. Resumes of key employees who would be involved in performing the services.

f. A narrative statement of the Respondent’s understanding of the Township’s needs and goals.

g. Provide copy of Animal Control Officer’s Certification as issued by New Jersey Department of Health.

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h. New Jersey License of Certificate for Chemical immobilization of Animals (if so needed).

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i. Commitment to quality management.

j. Organizational chart.

k. List all immediate relatives of Principal(s) of Respondent who are Township employees or elected officials of the Township. For purposes of the above, “immediate relative” means a spouse, parent, stepparent, brother, sister, child, stepchild, direct-line aunt or uncle, grandparent, grandchild, and in-laws by reason of relation.

Section 3.4 Mandatory Minimum Requirements.

a) Stockholder Disclosure Certification

b) Non-Collusion Affidavit

c) Affirmative Action Compliance Notice

d) Affirmative Action Mandatory Language

e) Americans with Disabilities Act Mandatory Language

f) Notice of Pending Disclosure Requirement (“Pay to Play”)

g) Business Registration Certificate to be presented with proposal.

(May register online at www.nj.gov/treasury/revenue/busregcert.shtml)

h) Federal IRS W-4 Form “Employee’s Withholding Certificate”

i) Federal Tax ID # / EIN #

j) Certificate of Employee Information Report / EEO cert

(https://www.nj.gov/treasury/contract_compliance/)

k) Disclosure of Investment in Iran

l) Acknowledgement of Receipt of Addenda http://www.nj.gov/treasury/revenue/busregcert.shtml https://www.nj.gov/treasury/contract_compliance/

Township of Clinton 12 of 20 Animal Control Services RFP

Section 3.5 Insurance Requirements for Professional Services.

Vendor shall procure and maintain while the contact is in full force and effect, the following insurance coverage with an insurance company or companies acceptable to the Township, with limits not less than those shown below. A Certificate of Insurance shall be filled with the Township prior to commencement of the work.

a) Commercial General Liability (CGL): Coverage for all operations including, but not limited to, contractual, products and completed operations, and personal injury with limits no less than $1,000,000 per occurrence/$2,000,000 aggregate. The Township, its officers, officials, employees, agents and volunteers shall be included as an additional insured.

b) Automobile Liability: Coverage for all owned, non-owned and hired vehicles with limits not less than $1,000,000 per occurrence, combined single limits (CSL) or its equivalent.

c) Workers Compensation: As required by the State of New Jersey and Employers Liability with limits not less than $1,000,000 per accident for bodily injury or disease.

Coverage on Primary and Non-contributory Basis: The Certificate of Insurance should indicate that all insurance coverages will be provided on a primary and non-contributory basis to the Township, its officers, officials, employees, agents and volunteers.

Notice of Cancellation: Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the Entity.

Special Risks or Circumstances: The Township / reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances.

Township of Clinton 13 of 20 Animal Control Services RFP

SECTION 4

INSTRUCTIONS TO RESPONDENTS

4.1 Submission of Proposal.

Submittal is to be on www.bidnetdirect.com//townshipofclinton

All questions are to be submitted through bidnetdirect

Proposals must be received by the Township no later than 10 AM. (prevailing time) on the submission due date and must be electronically delivered.

Proposals forwarded by facsimile, e-mail, regular mail, overnight courier, and/or hand delivery will not be accepted.

To be responsive, Proposals must provide all requested information, and must be in strict conformance with the instructions set forth herein. Proposals and all related information must be bound and signed and acknowledged by the Respondent.

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SECTION 5

EVALUATION

The Township’s objective in soliciting Request for Proposals is to enable it to select a firm or organization that will provide high quality and cost-effective services to the citizens of Township.

The Township will consider proposals only from firms that, in the Township’s judgment, have demonstrated the capability and willingness to provide high quality services to the citizens of the Township in the manner described in this RFP.

APPENDIX A

LETTER OF QUALIFICATION

(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)

[insert date]

William Close Administrator Township of Clinton 1225 Route 31 S Building D Lebanon, Fanwood, New Jersey 08833

Dear ----------:

The undersigned have reviewed our proposal submitted in response to the Request for Proposals (RFP) issued by the Township ("Township"), November 22, 2023, in connection with Animal Control Services

We affirm that the contents of this proposal are accurate, factual, and complete to the best of our knowledge and belief and that the proposal is submitted in good faith upon express understanding that any false statement may result in the disqualification of (NAME OF

RESPONDENT).

(Respondent shall sign and complete the spaces provided below. If a joint venture, appropriate officers of each company shall sign.)

(Signature of Chief (Signature of Chief Executive Officer) Financial Officer)

(Typed Name and Title) (Typed name and Title)

(Type Name of Firm) * (Type Name of Firm)*

Dated: Dated:

* If a joint venture, partnership, or other formal organization is submitting a proposal, each participant shall execute this Letter of Qualification.

Township of Clinton 14 of 20 Animal Control Services RFP

Township of Clinton 15 of 20 Animal Control Services RFP

APPENDIX B

LETTER OF INTENT

(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)

[insert date] William Close Administrator Township of Clinton 1225 Route 31 S Building D Lebanon, New Jersey 08833

Dear -----------------:

The undersigned, as Respondent, has (have) submitted the attached Proposal in response to a Request for Proposals (RFP), issued by the Township of Clinton ("Township"), dated December 7, 2023, in connection with Animal Control Services

(Name of Respondent) HEREBY STATES:

1. The proposal contains accurate, factual, and complete information.

2. (Name of Respondent) is interested in being invited to respond to the Township's Request for Proposal (RFP). It is the intent of (Name of Respondent), if selected, to complete and submit a proposal for the provision of [insert services].

3. (Name of Respondent) agrees to participate in good faith in the procurement process as described in the RFP and to adhere to the Township’s procurement schedule.

4. (Name of Respondent) acknowledges that all costs incurred by it (them) in connection with the preparation and submission of the proposal and any proposal prepared and submitted in response to the RFP, or any negotiation which results therefrom shall be borne exclusively by the Respondent.

5. (Name of Respondent) hereby declares that the only persons participating in this RFP as Principals are named herein and that no person other than those herein mentioned has any participation in this RFP or in any contract to be entered into with respect thereto. Additional persons may subsequently be included as participating Principals, but only if acceptable to the Township. (Name of Respondent) declares that this proposal is made without connection with any other person, firm or parties who has submitted a proposal, except as expressly set forth below and that it has been prepared and has been submitted in good faith and without collusion or fraud.

6. (Name of Respondent) acknowledges and agrees that the Township may modify, amend, suspend and/or terminate the procurement process (in its sole judgment).

In any case, the Township shall have any liability to the Respondent for any costs incurred by the Respondent with respect to the procurement activities described in this RFP.

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7. (Name of Respondent) acknowledges that any contract executed with respect to the provision of [insert services] must comply with all applicable affirmative action and similar laws. Respondent hereby agrees to take such actions as are required in order to comply with such applicable laws.

8. (Name of Respondent) acknowledges and agrees that it will be obligated to satisfy the requirements set forth in the RFP at the time of submission of Proposals.

The Respondent hereby states that (as of the date hereof) it has a reasonable expectation that it will be able to satisfy such criteria and requirements as of the date of Proposal submittal.

(Respondent shall sign and complete the space provided below. If a joint venture, appropriate officers of each company shall sign.)

(Signature of Chief Executive Officer)

(Typed Name and Title)

(Type Name of Firm) *

Dated:

* If a joint venture, partnership, or other formal organization is submitting a Request for Proposal, each participant shall execute this Letter of Intent.

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APPENDIX C

ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA

The undersigned Bidder hereby acknowledges receipt of the following Addenda:

Addendum Number Dated Acknowledge Receipt (initial)

No addenda were received:

Acknowledged for:

(Name of Bidder)

By:

(Signature of Authorized Representative)

Name:

(Print or Type)

Title:

Date:

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APPENDIX D

PROPOSAL CHECKLIST

Required by owner

Submission Requirement

Initial each required entry and if required submit the item

X Stockholder Disclosure Certification

X Non-Collusion Affidavit

X Affirmative Action Compliance Notice

X Affirmative Action Mandatory Language

X Americans with Disabilities Act Mandatory Language

X Notice of Elec Filing (“Pay to Play”)

X Business Registration Certificate

X Proof of Federal Tax ID / EIN

X Certificate of Employee Information Report / EEO

X Disclosure of Investment in Iran

X Acknowledgement of Receipt of Addenda

*This form need not be submitted. It is provided for the bidder’s use in assuring compliance with all required documentation.

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Disclosure of Investment Activities in Iran

Bidder Name: __________________________________________________________

Part 1: Certification

BIDDERS ARE TO COMPLETE PART 1 BY CHECKING EITHER BOX.

Pursuant to Public Law 2021, c. 4, any person or entity that submits a bid or proposal 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 of its parents, subsidiaries, or affiliates, is identified on the Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The Chapter 25 list is found on the Division's website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf. Bidders must review this list prior to completing the below certification. Failure to complete the certification may render a bidder's proposal non-responsive. If the Director finds a person or entity to be in violation of law, s/he shall take action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.

CHECK THE APPROPRIATE BOX:

I certify, pursuant to Public Law 2021, c. 4, that neither the bidder listed above nor any of the bidder's parents, subsidiaries, or affiliates 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. 2021, c. 4 ("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 bidder and/or one or more of its parents, subsidiaries, or affiliates is listed on the Department'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. Failure to provide such will result in the proposal being rendered as nonresponsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law.

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 bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activates in Iran on additional sheets provided by you.

Part 3: Certification 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 TOWNSHIP 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 TOWNSHIP to notify the TOWNSHIP 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 TOWNSHIP and that the TOWNSHIP at its option may declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): _________________________________________________ Title:

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

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Signature: ________________________________________________Date: ______________________

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STATE OF NEW JERSEY

Township of Clinton

I certify that I am _______________________________________________________________ of the firm of __________________________________________________________________ the Respondent making this Proposal for the bid or proposal for the above named project, that I executed the said proposal with full authority to do so; that said bidder has not, directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and this affidavit are true, correct, and made with full knowledge that the

Township of Clinton relies upon the truth of the statements contained in said Proposals 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.

Signature of Representative:

Subscribed and sworn to before me this_________ day of ___________________, 20_______

Print Name of Affiant:___________________________________________________________

Notary Public of ____________________________

My commission expires_______________________

*This form MUST be completed, notarized and submitted with the bid document*

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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

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

OR LLC MEMBERS LISTED IN PART II

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

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

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

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

Address

Part IV Certification

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

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Full Name (Print): Title:

Signature: Date:

Township of Clinton 25 of 20 Animal Control Services RFP

AMERICANS WITH DISABILITIES ACT

The CONTRACTOR and the OWNER do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "ACT") (42 U.S.C~ S12101 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant thereunto, are made a part of this contract. In providing any act benefit, or service on behalf of the OWNER pursuant to this contract, the CONTRACTOR agrees that the performance shall be in strict compliance with the Act. In the event that the Contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the CONTRACTOR shall defend the OWNER in any action or administrative proceeding commenced pursuant to this Act. The Contractor shall indemnify, protect, and save harmless the OWNER, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The CONTRACTOR shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the OWNER grievance procedure, the CONTRACTOR agrees to abide by any decision of the OWNER which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the OWNER or if the OWNER must any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the CONTRACTOR shall satisfy and discharge the same at its OWN expense.

The OWNER shall, as soon as practicable after a claim has been made against it, give written notice thereof to the CONTRACTOR along with frill and complete particulars of the claim. if any action or administrative proceedings is brought against the OWNER or any of its agents, servants, and employees, the OWNER shall expeditiously forward or have forwarded to the CONTRACTOR every demand, complaint, notice, summons, pleading, or other process received by the OWNER or its representatives.

It is expressly agreed and understood that any approval by the OWNER of the services provided by the CONTRACTOR pursuant to this contract will not relieve the CONTRACTOR of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the OWNER pursuant to this paragraph.

It is further agreed and understood that the OWNER assumes no obligation to indemnify or save harmless the CONTRACTOR, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the CONTRACTOR expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the CONTRACTOR'S obligations assumed in this Agreement, nor shall they be construed to relieve the CONTRACTOR from any liability, nor preclude the OWNER from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.

Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor’s obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.

Business Name (Print):

Representative’s Name (Print):

Representative’s Title:

Representative’s Signature:

Phone: Date:

Township of Clinton 26 of 20 Animal Control Services RFP

Pursuant to N.J.S.A. 52:32-44, The Township of Clinton (“Contracting Agency”) is prohibited from entering into a contract with an entity unless the bidder/proposer/contractor, and each subcontractor that is required by law to be named in a bid/proposal/contract has a valid Business Registration

Certificate on file with the Division of Revenue and Enterprise Services within the Department of the

Treasury.

Prior to contract award or authorization, the contractor shall provide the Contracting Agency with its proof of business registration and that of any named subcontractor(s).

Subcontractors named in a bid or other proposal shall provide proof of business registration to the bidder, who in turn, shall provide it to the Contracting Agency prior to the time a contract, purchase order, or other contracting document is awarded or authorized.

During the course of contract performance:

(1) the contractor shall not enter into a contract with a subcontractor unless the subcontractor first provides the contractor with a valid proof of business registration.

(2) the contractor shall maintain and submit to the Contracting Agency a list of subcontractors and their addresses that may be updated from time to time.

(3) the contractor and any subcontractor providing goods or performing services under the contract, and each of their affiliates, shall collect and remit to the Director of the Division of

Taxation in the Department of the Treasury, the use tax due pursuant to the Sales and Use Tax

Act, (N.J.S.A. 54:32B-1 et seq.) on all sales of tangible personal property delivered into the State.

Any questions in this regard can be directed to the Division of Taxation at (609)292-6400. Form

NJ-REG can be filed online at http://www.state.nj.us/treasury/revenue/busregcert.shtml.

Before final payment is made under the contract, the contractor shall submit to the Contracting

Agency a complete and accurate list of all subcontractors used and their addresses.

Pursuant to N.J.S.A. 54:49-4.1, a business organization that fails to provide a copy of a business registration as required, or that provides false business registration information, shall be liable for a penalty of $25 for each day of violation, not to exceed $50,000, for each proof of business registration not properly provided under a contract with a contracting agency.

Emergency Purchases or Contracts

For purchases of an emergent nature, the contractor shall provide its Business Registration Certificate within two weeks from the date of purchase or execution of the contract or prior to payment for goods or services, whichever is earlier.

Township of Clinton 27 of 20 Animal Control Services RFP

PAY TO PLAY ADVISORY

Disclosure Requirement

P.L. 2005, Chapter 271, Section 3 Reporting

(N.J.S.A. 19:44A – 20.27)

Any business entity that has received $50,000 or more in contracts from government entities in a calendar year will be required to file an annual disclosure report with ELEC.

The report will include certain contributions and contract information for the current calendar year.

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

If you have any questions please contact ELEC at:

1-888-313-ELEC (toll free in NJ) or

609-292-8700

An analyst from ELEC’s Special Programs Section will assist you.

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