T0125 Standard Procurement Forms Packet 7.19.24.pdf

BID SOLICITATION CHECKLIST

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY· DIVISION OF PURCHASE AND PROPERTY

33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230

BID SOLICITATION# & TITLE: 24DPP01046 - Tower Maintenance: Land Mobile Radio & Broadcast Television Towers

THIS CHECKLIST WAS CREATED AS A GUIDE TO ASSIST BIDDERS AND MAY NOT IDENTIFY ALL OF THE DOCUMENTS, FORMS OR OTHER INFORMATION REQUIRED FOR SUBMITTING A COMPLETE AND RESPONSIVE QUOTE. IT IS THE BIDDER'S RESPONSIBILITY TO ENSURE THAT ALL REQUIREMENTS OF

THE BID SOLICITATION HAVE BEEN MET.

""PLEASE SEE OWNERSHIP DISCLOSURE FORM INFORMATION AND STATE PRICE SHEET INFORMATION NOTES BELOW""

STANDARD PROCUREMENT FORMS, REGISTRATIONS AND CERTIFICATIONS

THAT MUST BE SUBMITTED BY THE BIDDER AND ARE INCLUDED IN THIS PACKET

FORM IS

REQUIRED

OFFER AND ACCEPTANCE PAGE

ti OWNERSHIP DISCLOSURE FORM - Bidder must meet Ownership Disclosure requirements at the time of the Quote opening.

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN FORM

DISCLOSURE OF INVESTIGATIONS AND OTHER ACTIONS INVOLVING VENDOR

MACBRIDE PRINCIPLES FORM

ti SUBCONTRACTOR UTILIZATION PLAN - If this bid solicitation has a subcontracting set-aside requirement, the vendor must consult the Division of Revenue & Enterprise Services New Jersey Selective Assistance Vendor Information database at https://www20.state.nj.us/TYTR SAVl/vendorSearch.jsp for information reaardina reaistered small businesses and/or disabled veteran businesses.

SOURCE DISCLOSURE FORM

CONFIDENTIALITY AND COMMITMENT TO DEFEND

CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS PURSUANT TO P.L. 2022,C3

PROCUREMENT SPECIFIC FORMS, REGISTRATIONS AND CERTIFICATIONS

THAT MUST BE SUBMITTED BY THE BIDDER, BUT ARE NOT INCLUDED IN THIS PACKET

FORM IS

REQUIRED

ti STATE-SUPPLIED PRICE SHEET• Failure to submit the information required will result in the Quote being ineligible for Award.

STATE OF NEW JERSEY SECURITY DUE DILIGENCE THIRD-PARTY INFORMATION SECURITY QUESTIONNAIRE

PUBLIC WORK REGISTRATION CERTIFICATE

AFFIDAVIT OF APPAREL

STANDARD PROCUREMENT FORMS, REGISTRATIONS AND CERTIFICATIONS

THAT MUST BE SUBMITTED BY THE BIDDER PRIOR TO AWARD, BUT ARE NOT INCLUDED IN THIS PACKET

FORM IS

REQUIRED

LJ

PROOF OF BUSINESS REGISTRATION

You may register your business HERE or obtain a copy of the Business Registration Certificate HERE.

CERTIFICATE OF INSURANCE / ACORD

□ PROOF OF AFFIRMATIVE ACTION COMPLIANCE

Submit one of the following:

• NEW JERSEY CERTIFICATE OF EMPLOYEE INFORMATION REPORT

• FEDERAL LETTER OF APPROVAL VERIFYING A FEDERALLY APPROVED OR SANCTIONED AFFIRMATIVE ACTION PROGRAM (Dated within 1 year of the Quote submission)

• AFFIRMATIVE ACTION EMPLOYEE INFORMATION REPORT (FORM AA302)

*All forms are available on the Division's website: https://www.state.nj.us/treasury/purchase/forms.shtml

DPP Rev. 1.24.2024