T3054 Attachment 2 011419~1.pdf
PDF 114 KB Posted
- Solicitation number
- 19DPP00307
- Issued by
- Hudson County, New Jersey
About this file
The provided document is an attachment to a Request for Proposal (RFP) for the New Jersey Department of Transportation State Safety Oversight (NJDOT SSO) program. The RFP seeks to secure contractor services to provide light rail/fixed guide state safety oversight support services for jurisdictions within Mercer County and the City of Trenton, New Jersey. The RFP requires potential contractors to disclose any potential conflicts of interest with various entities associated with the light rail/fixed guide systems, including Newark Light Rail, Kinkisharyo, AECOM, 21st Century Rail Corp., HudsonBergen Light Rail, New Jersey Transit, River LINE, Bombardier, Port Authority Transit Corp, and Delaware River Port Authority. Contractors must complete and submit the NJDOT SSO Potential Conflict of Interest (COI) Disclosure form as part of their response.
The RFP does not provide details on pricing, set-asides, incumbents, funding requirements or sources, or contract term and renewal options. The document focuses solely on the COI disclosure requirements for potential contractors.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| T3054 Attachment 1 011419~1.docx | DOCX document | |
| T3054 BS Checklist 011419~1.docx | DOCX document | |
| T3054 Bid Amendment 1 020819.docx | DOCX document | |
| T3054 Bid Solicitation 011419.docx | DOCX document | |
| T3054 Revised Bid Solicitaiton 020819.docx | DOCX document | |
| T3054 VB Data Sheet 011419.docx | DOCX document | |
| T3054 Price Sheet 011419.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Employee Last Name First Name MI Employment Type Contractor/T‐3054
NJDOT SSO POTENTIAL CONFLICT OF INTEREST (COI) DISCLOSURE
(If "yes", please describe below.)
(If "yes", please describe below.)
(If "yes", please describe below.)
(If "yes", please describe below.)
(If "yes", please describe below.)
Do you have a Potential COI with Newark Light Rail? (If "yes", please describe below.)
Do you have a Potential COI with Kinkisharyo?
Do you have a Potential COI with AECOM?
Do you have a Potential COI with 21st Century Rail Corp.?
Do you have a Potential COI with Hudson‐Bergen Light Rail?
Do you have a Potential COI with New Jersey Transit?
You are required to disclose whether or not you have a potential conflict of interest (COI) based on current employment, financial investment, or close familial relationship with an entity shown below or any vendor supplying services to such entity.
Title Employment Duties
YESNO
YESNO
YESNO
YESNO
YESNO
YESNO
NJDOT SSO: COI Disclosure ‐ Last updated: 3/28/2018
ATTACHMENT #2
Do you have a Potential COI with River LINE?
(If "yes", please describe below.)
Do you have a Potential COI with Bombardier (If "yes", please describe below.)
Do you have a Potential COI with Port Authority Transit Corp? (If "yes", please describe below.)
Do you have a Potential COI with Delaware River Port Authority? (If "yes", please describe below.)
Disclosure Certification (Sign Date)
YESNO
YESNO
YESNO
YESNO
SSO Internal Notes
SSO Reviewer
SSO Review Date
SSO PM Date
SSO Resolution Plan
Approved
Disapproved
SSO Start DateSSO Manager
FOR INTERNAL SSO USE:
File details come from the government source that posted it. Updated .