Sign Materials.pdf

NOTICE TO BIDDERS

Sealed bid proposals will be received, opened and read in public by the Purchasing Agent at

280 Grove Street, First Floor, Room 116, Jersey City, New Jersey 07302 at 11:00 a.m. on

July 10, 2025.

Prevailing time, or as soon thereafter as the matter can be reached, for the:

SIGN MATERIALS

Questions by prospective bidders concerning this bid must be done on-line at https://www.bidnetdirect.com/new-jersey/cityofjerseycity.

Contract Documents, Specifications, and Bid Forms may be downloaded by going on-line to https://www.bidnetdirect.com/new-jersey/cityofjerseycity. Bid Plans/Drawings (if any) may be obtained at the Office of the Director of Purchasing, 280 Grove Street, First Floor, Room

116, Jersey City, New Jersey 07302, (201)547-5155 or (201)547-5221.

Prospective bidders must download bid specifications and all addenda from https://www.bidnetdirect.com/new-jersey/cityofjerseycity. Failure to download bid specifications and acknowledge receipt of addenda shall result in bid rejection.

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

17:27. Full requirements of the Equal Employment Opportunity and Affirmative Action Programs are incorporated herein by reference and may be obtained with Proposal Form. Bidders are also required to comply with the requirements of P.L. 2004, c.57 (N.J.S.A. 52:32-44) which includes the requirement that contractors provide copies of their Business Registration Certificates issued by the New Jersey Department of the Treasury, as well as other provisions as listed in the Contract

Documents.

Proposals MUST BE ACCOMPANIED by a Bid Bond or Certified Check, made payable to the

City of Jersey City, in an amount equal to Ten (10%) percent of the Bid not to exceed $20,000.00.

ONLINE BID RECEPTIONS/PURCHASING LOCKBOX

All bids and proposals must be delivered ONLY to the dedicated lockbox in the Division

Purchasing, 280 Grove Street, 1st Floor, Room 116, Jersey City, NJ 07302 prior to the bid reception.

All bid receptions are held virtually as video conferences with public access. Link to the online bid receptions appear on the City of Jersey City website at:

https://www.jerseycitynj.gov/cityhall/finance/purchasing/publiccontracts/bid_openings https://www.bidnetdirect.com/new-jersey/cityofjerseycity https://www.jerseycitynj.gov/cityhall/finance/purchasing/publiccontracts/bid_openings

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

Raquel Tosado, Director of Purchasing, QPA.

Proposals forwarded by facsimile or e-mail will not be accepted. Bids sent by mail or courier service must be received by the Purchasing Agent no later than 4:00 P.M. on the last City business day before the day of the bid reception or no later than 11:00 A.M. on the day of the bid reception. Office hours Monday thru Friday 9:00 am to 4:00pm. The City shall not be responsible for the loss, non-delivery or physical condition of bids sent by mail or courier service. Bids must be submitted individually in a sealed envelope addressed to the Purchasing

Agent. Bid proposals must comply with specifications. Any Bid Proposal received after the date and time specified will be returned, unopened, to the bidder.

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

Raquel Tosado, Director of Purchasing, QPA

Insert dates:

June 24 and 26, 2025

DEPARTMENT OF PUBLIC WORKS

BID SPECIFICATIONS FOR:

Sign Materials

SUBMISSION DEADLINE:

7/10/2025 at 11:00 a.m.

ADDRESS & DELIVER ALL PROPOSALS TO THE DEDICATED LOCKBOX

LOCATED AT:

RAQUEL TOSADO, DIRECTOR, QPA

DIVISION OF PURCHASING

280 GROVE STREET, 1ST Floor, Room 116

JERSEY CITY, NJ 07302

THE CONTRACT SHALL BE SIGNED BY ALL PARTIES WITHIN TWENTY-ONE (21)

DAYS (SUNDAYS AND HOLIDAYS EXCEPTED) FROM THE AWARD OF SAID

CONTRACT BY THE MUNICIPAL COUNCIL.

IN THE EVENT THAT THE PARTIES MISS THIS DEADLINE, THE PARTIES MAY AGREE

IN WRITING TO AN EXTENSION OF THE TIME LIMIT SET FORTH ABOVE AT THE

REQUEST OF THE CONTRACTING UNIT.

BIDDERS ARE REQUESTED TO FURNISH THE MANUFACTURER AND BRAND NAME

ON THE PRODUCT OF WHICH THEY BID BY EITHER QUOTING ON BRAND NAME

SPECIFIED WITHIN OR APPROVED EQUAL. FAILURE TO DO SO WILL RENDER BID

INFORMAL.

IF BIDDER IS A PARTNERSHIP UNDER SEPARATE COVER, LIST NAMES OF

PARTNERS, OWNING TEN (10) PERCENT OR MORE OF THE PARTNERSHIP. IF A

CORPORATION, LIST NAMES OF THOSE STOCK HOLDERS HOLDING TEN (10)

PERCENT OR MORE OF OUTSTANDING STOCK. (SEE ATTACHED FORM)

THE CITY OF JERSEY CITY RESERVES THE RIGHT IN PROTECTION OF THE BEST

INTEREST OF THE CITY TO WAIVE ANY TECHNICAL ERROR, TO REJECT ANY BID OR

ALL BIDS OR ANY PART THEREOF FOR ANY REASON WHATSOEVER.

BUY AMERICAN MATERIALS USED IN FILLING ANY CONTRACT RESULTING FROM

THIS BID PROPOSAL MUST BE OF AMERICAN MANUFACTURE OR AMERICAN

GROWN - WHEREVER AVAILABLE.

DELIVERY SHALL BE F.O.B. JERSEY CITY FREIGHT AND OTHER TRANSPORTATION

CHARGES ARE THE RESPONSIBILITY OF THE SUPPLIER AND/OR CONTRACTOR.

Bidders (Contractors) are required to comply with the provisions of N.J.S.A.10:5-31 et seq. and

N.J.A.C. 17:27. No firm may be issued a contract unless it complies with these equal employment opportunity and affirmative action provisions which require a careful reading.

Contractors for goods and services, including professional services that are not subject to a federally approved or sanctioned affirmative action program shall submit to the public agency, after notification of the award but prior to execution of a goods and services contract, one of the following three documents:

1. A photocopy of a valid letter that the contractor is operating under an existing Federally approved or sanctioned affirmative action program (good for one year from the date of the letter); or

2. A photocopy of a Certificate Employee Information Report approval, issued in accordance with N.J.A.C. 17:27-4; or

3. A photocopy of an Employee Information Report (Form AA 302) provided by the Division and distributed to the public agency to be completed by the contractor, in accordance with N.J.A.C.

17:27-4.

Refer to Exhibit A (Mandatory Equal Employment Opportunity Language for Goods, Professional

Service and General Service Contracts) and additional Equal Employment

Opportunity/Affirmative Action requirements found at the back of the specification. Any questions concerning compliance may be directed to: Jeana F. Abuan, Office of Tax Abatement &

Compliance Director/Public Agency Compliance Officer (P.A.C.O.), 280 Grove Street Room-

109B, Jersey City NJ 07302 or call 201-547-4538.

4. Americans with Disabilities Act of 1990 - Discrimination on the basis of disability in contracting for the purchase of goods and services is prohibited. Bidders are required to read

Americans with Disabilities language that is included as Appendix A of this specification and agree that the provisions of Title II of the Act are made a part of the contract. The contractor is obligated to comply with the Act and to hold the owner harmless.

5. City of Jersey City Lobbyist Disclosure Ordinance

The contract will be awarded in accordance with the provisions of the City’s Disclosure of

Lobbyist Representative Status Ordinance 3-9.1 et seq. adopted on June 12, 2002. The Contractor will be required to certify that the Contractor either did not retain the services of a lobbyist to lobby on behalf of the Contractor for the award of this contract, or if a lobbyist was retained by the

Contractor for such purposes, the Contractor’s lobbyist prior to commencing his/her lobbying activities, shall have filed a notice of lobbyist representative status form with the City Clerk. A

Contractor whose lobbyist failed to comply with the provisions of Ordinance 3-9.1 et. seq.

following notice and an opportunity to be heard shall be disqualified from entering into contracts with the City for a period of two (2) years for each violation.

6. Insurance Requirements

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

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

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

$2,000,000 in the aggregate, including Products and Completed Operations and

Contractual Liability coverage.

• Workers’ Compensation with NJ statutory limits covering all employees of

Proposer and/or subcontractors and Employers’ Liability in the amount of

$1,000,000.

• Automobile Liability in the amount of $1,000,000 combined single limit, for bodily injury and property damage, covering all owned, non-owned and/or hired automobiles used in the course of the project and/or contact work. Also, required are endorsements MCS-90 and CA-9948 Pollution Liability – broadened coverage for covered autos.

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

Insurance (Certificate) verifying evidence of such insurance upon execution of this

Contract. Except for Workers’ Compensation, all Certificates shall name the City of Jersey

City as an additional insured. All Certificates shall bear said City Project Name and

Number if applicable.

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

• General Liability, Automobile Liability and Workmen’s Compensation policies shall be kept in force until submission of the Contractor’s final invoice.

SCOPE OF WORK

The Contractor will deliver Sign Materials to the City of Jersey City (City) as requested by the

Director of the Division of Buildings and Street Maintenance or his/her designee. The Contractor will transport Sign Materials to the Department of Public Works facility Monday through

Saturday. On Monday through Friday, the hours will be from 7:00 a.m. to 5:00 p.m. and on

Saturdays, the hours will be from 7:00 a.m. to 12:00 p.m. The location of the facility is 13-15

Linden Avenue, Jersey City, NJ 07305.

SPECIFICATIONS

The purpose and intent of this public bid is to obtain a responsible Contractor to furnish and deliver

Sign Materials for the City.

In order to fully address the City’s needs, only one Contractor will be awarded a contract to supply all the items, therefore bidders must bid on all the items of each lot specified to be considered responsive. Failure to fill out pricing for all items will result in the bid being found nonresponsive and said bid will be rejected.. The term of the contract will be for twelve (12) consecutive months and shall start one day after the City Council meeting awarding the contract.

LOT #1

Item

A

Quantity

Minimum

& Max

B

Description

C

Unit Amount

D

Extended

Amount

(DxB)

1) 0-5 Transferight Ultra Clear Med

18 in

2) 0-10 3M VHB Tape ¾” x 36 Yrds $ $

3) 0-150 4MM 4x8 Coro- Plast -White $ $

4) 0-5 9x30 Step Stake $ $

5) 0-5 FDC 13oz Scrim Banner 54 x

50 yds matte white

6) 0-5 Arlon Gloss white. X-scape

G/ADH. 3m 54 x 50yrds

7) 0-15 4” felt edge wrapped squeegee

8) 0-15 6” felt edge wrapped squeegee

9) 0-5 Gerber 2801 Plus white 15”

50 yd

10) 0-5 Gerber 225-10, White 15 in $ $

11) 0-5 Gerber -12, Black 15 in $ $

12) 0-5 Gerber -114, clear enam

Recep, 15 in

13) 0-5 Gerber 220 Easy Apply, 15X

50yrd

14) 0-5 AutoMag II 15” x 25Ft. $ $

15) 0-5 Promag 25 MWV $ $

16) 0-10 15” x 50yrd Ec Film Green

Pref Punched(1177

Transparent green for street names w/ gerber punch )

17) 0-10 G1-3 Grommets and Washers $ $

18) 0-10 Goo gone $ $

19) 0-10 Reflective white engineering grade 36’ x 50 yds

20) 0-5 36” x 50 yds $ $

21) 0-5 30” engineering grade reflective

22) 0-5 24” engineering grade reflective

23) 0-175 30” x 30” D.N. E Sign facing $ $

24) 0-175 30” X 30” ped crossing Fl

Yel Green (4083)

25) 0-150 Left O.W.A 12” X 36” $ $

26) 0-150 Right O.W.A 12” x 36” $ $

Grand Total: Lot 1

This contract will be awarded as an open-end contract. The minimum and the maximum quantities for each item are as stated above. Contractor will bid on the maximum quantities. The

Contractor shall be paid based on the actual quantities used. The Contractor shall not exceed the maximum quantities stated above without the prior issuance of a change order.

Grand Total Bid (Lot 1)

(In Writing)

(In Figures)

Note: This contract will be awarded as an open-end contract. The minimum and maximum quantities for each item are as stated. If zero is the minimum, the City is not obligated to order any quantities of that item during the contract term. If a specific number is stated for a minimum, then the City is obligated to purchase whatever that quantity is. Regardless of what the minimum quantity is set at, the vendor is still required to fill any order that the City places during the contract term until the maximum quantity is reached. The term of the contract is one year.

Pursuant to N.J.S.A. 40A:11-15, the City shall have the option to renew the contract for up to one (1) additional one-year term. The City shall notify the Contractor whether or not it will be renewing the contract 45 days before the expiration date of the contract. If the City exercises its option to renew the contract, the Contractor must accept the contract renewal. The renewal contract price shall be based upon the price of the original contract as cumulatively adjusted pursuant to any previous adjustment or extension and shall not exceed the change in the Index

Rate for the twelve (12) months preceding the most recent quarterly calculation available at the time that the contract is renewed. The Index Rate means the rate of annual percentage increase, rounded to the nearest half-percent, in the Implicit Price Deflator for State and Local

Government Purchase of Goods and Services, computed and published quarterly by the United

States Department of Commerce, Bureau of Economic Analysis.

SCHEDULE OF SUBMITTALS BY BIDDER

SUBMITTAL ITEM TIME OF SUBMISSION

CONSEQUENCE OF

NON COMPLIANCE

1. Acknowledgement of Addendum* With Bid Proposal Bid Rejected

2. Bid Proposal* Time and Date of Bid Reception Bid Rejected

3. Bid Guarantee* With Bid Proposal Bid Rejected

4. Statement of Ownership Disclosure* With Bid Proposal Bid Rejected

5. Certificate of Experience* With Bid Proposal Bid Rejected

6. Equipment Certification* With Bid Proposal Bid Rejected

7. Insurance Certificates Prior to Execution of Contract by the Authority Forfeiture of Bid Security

8. Non-Collusion Affidavit With Bid Proposal or within 24 hours of bid reception

Bid may be rejected

9. Mandatory Equal Employment Opportunity (Exhibit A) With Bid Proposal or within

24 hours of bid opening Bid may be rejected

10. Disclosure of Investment Activities in Iran With Bid Proposal or within

24 hours of bid opening Bid may be rejected

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

A. A valid letter that the contractor is operating under an existing Federally approved or sanctioned affirmative action program (good for one year from the date of the letter); or

B. Unexpired Certificate of Employee Information Report; or

C. Employee Information Report Form AA302, (if first time doing business with the City of Jersey City)

With Bid Proposal or within 24 hours of bid opening

12. Americans with Disabilities Act (Appendix A) With Bid Proposal or within 24 hours of bid opening Bid may be rejected

13. Supplier Diversity Bidder Questionnaire With Bid Proposal or within 24 hours of bid opening Bid may be rejected

14. NJ Business Registration Certificate With bid proposal or prior to the contract award

FAILURE TO INCLUDE THE BID DOCUMENTS LISTED IMMEDIATELY ABOVE THAT ARE MARKED WITH AN ASTERISK (*) SHALL

RESULT IN AUTOMATIC REJECTION OF THE BID AT THE TIME OF THE BID RECEPTION.

NON COLLUSION AFFIDAVIT

STATE OF NEW JERSEY

CITY OF JERSEY CITY sis:

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

City of Jersey City relies upon the truth of the statements contained in said proposal and in the statements contained in this affidavit in awarding the contract for the said project.

I further warrant that no person or selling agency has been employed to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by (N.J.S.A.52: 34-25)

(Signature of Respondent) _____________________________________________________

SUBSCRIBED AND SWORN TO

BEFORE ME THIS DAY ___________________________OF 20_________

(TYPE OR PRINT NAME OF AFFIANT UNDER SIGNATURE)

NOTARY PUBLIC OF

MY COMMISSION EXPIRES: 20 .

NOTE:

THIS FORM MUST BE COMPLETED, NOTARIZED AND RETURNED WITH THIS

PROPOSAL

STATEMENT OF OWNERSHIP DISCLOSURE

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

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

Name of Organization:_________________________________________________________________

Organization Address:_________________________________________________________________

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

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

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

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

Partnership Limited Partnership Limited Liability Partnership (LLP)

Other (be specific): ______________________________________________

Part II

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

THE LIST BELOW IN THIS SECTION)

OR

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

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

Name of Individual or Business Entity Address

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

OR LLC MEMBERS LISTED IN PART II

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

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

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

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

Address

Part IV Certification

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

Full Name (Print): Title:

Signature: Date:

ADDENDA ACKNOWLEDGEMENT FORM

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

THE COMPLETED ACKNOWLEDGEMENT OF ADDENDA FORM

SHOULD BE RETURNED WITH BID RESPONSE PACKAGE: NOT TO

BE SENT SEPARATELY

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

Addendum No. ________ Dated __________

Addendum No. ________ Dated __________

No addenda were received:

Name of Bidder: ___________________________________________

Street Address: ___________________________________________

City, State, and Zip: ________________________________________

Authorized Signature: _______________________________________

Date: ____________________________________________ https://cityofjerseycity.com/

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

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

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

The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found to be in violation of law, action may be taken as appropriate and as may provided by law, rule or contract, including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.

I certify, pursuant to Public Law 2012, c. 25, that neither the person or entity listed above, nor any parent entity, subsidiary, or affiliate thereof is listed on the N.J.

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

Part 2 and sign and complete the Certification below.

OR

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

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

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 City of Jersey City 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 City of Jersey City to notify the City of Jersey City 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 City of Jersey

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

Full Name (Print)

Title

Signature Date

1. CERTIFICATE OF EXPERIENCE

hereby certifies that has performed the following work within the past three (3) years:

Name of Owner

Amount of

Contract

Type of Work Owner’s Representative in charge of Work

(Inc. Address and Phone)

Approximate

Dates

Name of Bidder

By

Witness Title

IMPORTANT: THIS FORM MUST BE FILLED IN BY BIDDER.

EQUIPMENT CERTIFICATION

N.J.S.A. 40A:11-20

The undersigned Bidder hereby certifies as follows:

The bidder owns or controls all the necessary equipment required to accomplish the work described in the specifications.

Name of Bidder: ___________________________________

By: ___________________________________ (Signature)

Name of above: ____________________________________ (Print)

Title: ____________________ Date:__________________

EQUAL EMPLOYMENT OPPORTUNITY (EEO)/

AFFIRMATIVE ACTION (AA) REQUIREMENTS

FOR GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS

Questions in reference to EEO/AA requirements for Goods, Professional Service and General Service Contracts should be directed to:

Jeana F. Abuan EEO/AA/Public Agency Compliance Officer/ Acting Director Department of Administration Office of Tax Abatement & Compliance 280 Grove Street, Lower Level Rm. 109A Jersey City NJ 07302 Tel. # 201-547-4538 E-Mail Address: abuanj@jcnj.org

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

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

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

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

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

000-00-0000

0000000

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

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

SUPPLIER DIVERSITY BIDDER QUESTIONNAIRE

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

Business Name: ________________________________________________________________

Address: ________________________________________________________________

Phone: ________________________________________________________________

Email: ________________________________________________________________

Contact Name: ________________________________________________________________

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

� Minority Owned

� Woman Owned

� Veteran Owned

� Disability Owned

� Lesbian, Gay, Bisexual, Transgender Owned

� None

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

� Minority Business Enterprise

� Woman Business Enterprise

� Veteran Business Enterprise

� Disability Owned Business Enterprise

� Lesbian, Gay, Bisexual, Transgender Business Enterprise

� Disadvantaged Business Enterprise

� Small Business Enterprise

� None

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

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

SUPPLIER DIVERSITY DEFINITIONS

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

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

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

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

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

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

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

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

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

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