trenton RFP2026-24-ENGINEERING-DESIGN-AND-CONSTRUCTION-INSPECTION-SERVICES-PW-ENGINEERING.pdf

City of Trenton

319 East State Street, Trenton, New Jersey

SOLICITATION FOR REQUEST FOR PROPOSALS

THROUGH A FAIR AND OPEN PROCESS IN ACCORDANCE WITH N.J.S.A.

19:44A-20.4 ET SEQ.

ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES

FOR

SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE

UPGRADES UTILIZING UEZ FUNDS

FOR A PERIOD OF ONE (1) YEAR

FOR THE

CITY OF TRENTON

DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT

To be received on:

AUGUST 7, 2026, at 11:00AM

DIVISION OF PURCHASING

RFP2026-24

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR

THE CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

(REQUIRED WITH SUBMISSION OF PROPOSAL)

The following checklist is provided as assistance to the development of the proposal

Response. It in no way supersedes or replaces the requirements of the proposal.

Please initial on the lines below for each document/section attesting to the fact that you have read and/or included the documents with your proposal.

Must Read and Initial

A. CITY OF TRENTON ACKNOWLEDGMENT OF RECEIPT OF ADDENDA (Mandatory) ________________

B. STATEMENT OF OWNERSHIP DISCLOSURE (Mandatory) ________________

C. NON-COLLUSION AFFIDAVIT (Mandatory) ________________

D. MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE EXHIBIT A (Mandatory) ________________

E. AFFIRMATIVE ACTION REGULATIONS QUESTIONNAIRE (Mandatory) ________________

F. AMERICANS WITH DISABILITIES ACT OF 1990 (Mandatory) ________________

G. CERTIFICATION OF NON-DEBARMENT FOR FEDERAL GOVERNMENT CONTRACTS (Mandatory) ________________

H. POLITICAL CONTRIBUTION DISCLOSURE FORM (Mandatory) ______________

I. DISCLOSURE INVESTED ACTIVITIES IN IRAN (Prior to award) _______________

J. PROHIBITED INVESTED ACTIVITIES IN RUSSIA AND BELARUS (Prior to award) ________________

K. NEW JERSEY BUSINESS REGISTRATION CERTIFICATE (Prior to award) ________________

L. THREE (3) REFERENCES REQUIRED ________________

M. ETHICS COMPLAINT DISCLOSURE ________________

N. CITY OF TRENTON RESIDENT EMPLOYMENT POLICY ________________

O. PROPOSAL PAGE (Mandatory) ________________

PAGES MUST BE ONE-SIDED – DO NOT BIND, BIDDERS DO NOT CHANGE ANY FORMS

Proposers may visit the City of Trenton’s Procurement Website Bids and RFPs and prior to submitting sealed bid/proposal for any changes, addendums and cancellations at www.trentonnj.org/bids

Per NJLFN 2026-01, legal advertisements are posted on the City’s Procurement

Website at www.trentonnj.org/bids

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR

THE CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

TABLE OF CONTENT

• Check list

• Table of Content

• Legal advertisement

• Register to do business with the City of Trenton

• Procurement forms

CITY OF TRENTON ACKNOWLEDGMENT OF RECEIPT OF ADDENDA

STATEMENT OF OWNERSHIP DISCLOSURE

NON-COLLUSION AFFIDAVIT

REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS

EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE (EXHIBIT A)

AMERICANS WITH DISABILITIES ACT OF 1990

CERTIFICATION OF NON-DEBARMENT FOR FEDERAL GOVERNMENT CONTRACTS

POLITICAL CONTRIBUTION DISCLOSURE FORM

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN

CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS

NEW JERSEY BUSINESS REGISTRATION CERTIFICATE

• Instructions for Proposers

• City of Trenton Resident Employment Policy

• City of Trenton Ethics Complaint Disclosure

• Scope of Services

• Proposal

PAGES MUST BE ONE-SIDED – DO NOT BIND

Please submit one (1) original signed copy and two (2) additional copies

Proposers may visit the City of Trenton’s Procurement Website prior to submitting their sealed proposal for any changes, addendums and cancellations at www.trentonnj.org/bids.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR

THE CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

CITY OF TRENTON

INVITATION FOR REQUEST FOR PROPOSALS

RFP2026-24

The City of Trenton is soliciting proposals through a fair and open process in accordance with

N.J.S.A. 19:44A-20.4 et seq. for:

ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR

SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES

UTILIZING UEZ FUNDS

FOR THE DEPARTMENT OF HOUSING AND ECONOMIC DEVELOPMENT

PROPOSERS MAY LOG ON TO A VIRTUAL PROPOSAL OPENING ON AUGUST 7, 2026, AT

11:00AM TO:

https://www.zoomgov.com/j/1653028021?pwd=ERbe0nFmAFmfTkayRyo6rDHHXoq7

MM.1

The City of Trenton requires submission of sealed proposals by AUGUST 7, 2026, AT 11:00AM to Isabel

C. Garcia, QPA, Purchasing Agent, Division of Purchasing, 1st floor, 319 East State Street, Trenton, NJ 08608.

Scope of Services, Requirements, Evaluation Criteria and other proposal information may be obtained from the City of Trenton’s Procurement Website from the following www.trentonnj.org/bids. Questions must be submitted in writing to igarcia@trentonnj.org.

Scope of services and other proposal information, such as addendums, cancellations and notices prior to the bid opening date and time may be obtained on the City’s Purchasing

Website at www.trentonnj.org/bids, failure to do so shall result in the rejection of your bid submission.

Legal advertisements will be posted on the City of Trenton procurement website www.trentonn.org/bids per LFN202601.

Proposers shall comply with the requirements of P.L. 1975 C127. (N.J.S.A. 17:27et seq.)

City of Trenton 609-989-3139

Isabel C. Garcia, QPA

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

REGISTER TO DO BUSINESS WITH THE CITY OF TRENTON

An e-notification and/or text message will be sent to all vendors currently registered with the City of Trenton, directing them to bidding opportunities, notices, cancellations, postponements, bid results, awarded contract information and addendums on the City of Trenton Division of Purchasing website. It is highly recommended that interested Respondents register on the City of Trenton’s

Purchasing website. Proposers may visit the City of Trenton’s Procurement Website prior to submitting their sealed proposal for any changes, addendums and cancellations.

REGISTER AT:

www.trentonnj.org/bids

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RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

CITY OF TRENTON

ACKNOWLEDGMENT OF RECEIPT OF ADDENDA

(MANDATORY)

The undersigned Respondent hereby acknowledges receipt of the following

Addenda:

Addendum Number Dated

(ICG)

Acknowledged for:

(Name of Respondent)

By:

(Signature of Authorized Representative)

Name:

Title:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

(MANDATORY)

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

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

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/Memb er and Corresponding Entity Listed in Part II

Address

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

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 <name of contracting unit> 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 <type of contracting unit> to notify the <type of contracting unit> 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 <type of contracting unit> to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print):

Signature:

Date:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

NON-COLLUSION AFFIDAVIT

(MANDATORY)

The undersigned bidder or agent, being duly sworn on oath, says that he/she has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding.

He/She further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, free gift, commission or thing of value on account of such sale.

OATH AND AFFIRMATION

I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND

INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE

TRUE AND CORRECT.

Dated this day of , (Name of Organization)

(Title of Person Signing)

(Signature)

ACKNOWLEDGEMENT

STATE OF ) COUNTY OF )) ss

Before me, a Notary Public, personally appeared the above name and swore that the statements contained in the foregoing document are true and correct.

Subscribed and sworn to me this day of , .

Notary Public Signature

My Commission Expires:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

(REVISED 4/10)

EXHIBIT A

(MANDATORY)

EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127)

N.J.A.C. 17:27 et seq.

GOODS, GENERAL SERVICES, AND PROFESSIONAL SERVICES CONTRACTS

During the performance of this contract, the contractor agrees as follows:

The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality, or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affection-al or sexual orientation, gender identity or expression, disability, nationality, or sex. Such equal employment opportunities shall include, but not be limited to the following: employment, up-grading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public

Agency Compliance Officer setting forth provisions of this nondiscrimination clause.

The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.

The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and post copies of the notice in conspicuous places available to employees and applicants for employment.

The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act.

The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. l7:27-5.2.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

EXHIBIT A (Cont)

The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universities, and labor unions, that it does not discriminate on the basis of age, race, creed, col-or, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.

The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New

Jersey and as established by applicable Federal law and applicable Federal court decisions.

In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.

The 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:

Letter of Federal Affirmative Action Plan Approval.

Certificate of Employee Information Report; or

Employee Information Report Form AA-302 (electronically provided by the Division and distributed to the public agency through the Division’s website at:

http://www.state.nj.us/treasury/contract_compliance.

The contractor and its subcontractors shall furnish such reports or other documents to the Division of Purchase & Property, CCAU, EEO Monitoring Program as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Purchase & Property, CCAU, EEO Monitoring Program for conducting a compliance investigation pursuant to N.J.A.C. 17:27-1.1 et seq.

Date: Signature:

Company:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS

N.J.S.A. 10:5-31et seq., N.J.A.C. 17:27

(MANDATORY)

If awarded a contract, all procurement and service contractors will be required to comply with the requirements of P.L.1975, C.127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the notification of intent to award the contract or receipt of the contract, whichever is sooner, the contractor should present one of the following to the Purchasing Agent:

1. A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an existing federally approved or sanctioned Affirmative

Action Plan (good for one year from the date of the letter).

OR

2. A photocopy of the approved Certificate of Employee Information

Report.

OR

3. An Affirmative Action Employee Information Report (Form AA302)

OR

4. All successful construction contractors must submit within three days of the signing of the contract an Initial Project Manning Report (AA201) for any contract award that meets or exceeds the Public Agency proposal threshold (available upon request).

NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE

AFFIRMATIVE ACTION REGULATIONS OF P.L. 1975, c. 127 (N.J.A.C. 17:27)

The following questions must be answered by all Respondents:

1. Do you have a federally approved or sanctioned Affirmative Action

Program?

YES NO

If yes, please submit a copy of such approval.

2. Do you have a Certificate of Employee Information Report Approval?

YES NO

If yes, please submit a copy of such a certificate.

The undersigned contractor certifies that he is aware of the commitment to comply with the requirements of P.L.1975, c.127 and agrees to furnish the required documentation pursuant to the law.

DATE:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

AMERICANS WITH DISABILITIES ACT OF 1990 – (MANDATORY)

Equal Opportunity for Individuals with Disability

The CONTRACTOR and the OWNER do hereby agree that the provisions of Title II 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 aid, 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 a proposal 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 incurs 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 full 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

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM 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.

DATE:

COMPANY NAME

SIGNATURE:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

ALERT: NOTICE OF AMENDMENT TO N.J.A.C. 17:27

Change In Procedure for Administering Equal Employment Opportunity Compliance in

Public Contracts.

The Department of Treasury, Division of Equal Employment Opportunity Compliance in

Public Contracts amended N.J.A.C. 17:27, Governing the Affirmative Action Employment

Practices for public agencies, contractors, subcontractors and business firms to comply with the Equal Employment Opportunity Standards mandated by N.J.S.A 10:5-36 et seq.

(P.L 1975, C. 127).

• The amendment clarifies the requirements for demonstrating Good Faith Efforts to hire minorities and women in the construction trades and the contracting agency's obligation to comply with EEO Requirements.

• The amendment imposes a $150.00 fee for the issuance and renewal of a Certificate of Employee Information Report.

MISSION:

To ensure that any firm contracting with the City of Trenton provides Equal Opportunity in

Employment Public Agencies and Vendors shall comply with EEO requirements in order to ensure equal employment opportunities in public contracting for minorities and women. Refer to the following information detailing Vendor and City obligations.

VENDOR OBLIGATIONS

Contractors or subcontractors shall agree to make Good Faith Efforts to afford equal employment opportunities to minority and women workers consistent with Good Faith

Efforts to meet targeted City employment goals established in accordance with

N.J.A.C. 17:27-5.2, or good faith efforts to meet targeted county employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.

• Vendors shall complete form AA302, submit to the Division of Public Contracts Equal

Employment Opportunity Compliance with a $150.00 fee and forward a copy of form

AA302 to the City of Trenton.

• After notification of award but prior to execution of goods, services and professional services contracts (including bid exempt contracts) evidence must be submitted to the

City.

The Certificate of Employee Information Report serves as evidence of compliance with regulations. The AA302 is not an acceptable form of evidence.

CONSTRUCTION CONTRACTS

The City supplies the construction contractor with form AA201, the Initial Project

Workforce Report for submittal to the City of Trenton and Division of Public Contracts

Equal Employment Opportunity Compliance.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

STANDARD BID DOCUMENT REFERENCE

Name of Form: FEDERAL NON-DEBARMENT CERTIFICATION

Statutory Reference: N.J.S.A. 52:32-44.1 (P.L. 2019, c.406)

Description:

Meets statutory criteria for certification of non-debarment by a federal government agency.

Summary of the Certification Requirements under N.J.S.A. 52:32-44.1

Pursuant to state law any natural person, company, firm, association, corporation, or other entity prohibited, or “debarred,” from contracting with the federal government agencies, shall also be prohibited from contracting for public work in the state of New Jersey. This prohibition also extends to any affiliate organization(s) held by or subject to the control of an entity of that prohibited person or entity.

Prior to awarding a contract for public work a local units must obtain written certification from the contracting person or entity through the form below, attesting to their non-debarment from contracting with federal government agencies. Contracting units are reminded that they must fill in the boilerplate information in the certification sections of Parts II through IV regarding their name and type of contracting unit before using the form.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

CERTIFICATION OF NON-DEBARMENT

FOR FEDERAL GOVERNMENT CONTRACTS

N.J.S.A. 52:32-44.1 (P.L. 2019, c.406)

This certification shall be completed, certified to, and submitted to the contracting unit prior to contract award, except for emergency contracts where submission is required prior to payment.

PART I: VENDOR INFORMATION

Individual or Organization Name

Physical Address of Individual or Organization

Unique Entity ID (if applicable)

CAGE/NCAGE Code (if applicable)

Check the box that represents the type of business organization:

Sole Proprietorship (skip Parts III and IV) Non-Profit Corporation (skip Parts III and IV)

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

Limited Partnership Limited Liability Partnership (LLP)

Other (be specific): ______________________________________________

PART II – CERTIFICATION OF NON-DEBARMENT: Individual or Organization

I hereby certify that the individual or organization listed above in Part I is not debarred by the federal government from contracting with a federal agency. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the <name of contracting unit> is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award by <type of contracting unit> to notify the <type of contracting unit> 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 <type of contracting unit>, permitting the <type of contracting unit> to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print):

Signature: Date:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

PART III – CERTIFICATION OF NON-DEBARMENT: Individual or Entity Owning Greater than 50 Percent of Organization

Section A (Check the Box that applies)

Below is the name and address of the stockholder in the corporation who owns more than 50 percent of its voting stock, or of the partner in the partnership who owns more than 50 percent interest therein, or of the member of the limited liability company owning more than 50 percent interest therein, as the case may be.

Name of Individual or Organization

Physical Address

No one stockholder in the corporation owns more than 50 percent of its voting stock, or no partner in the partnership owns more than 50 percent interest therein, or no member in the limited liability company owns more than 50 percent interest therein, as the case may be.

Section B (Skip if no Business entity is listed in Section A above)

Below is the name and address of the stockholder in the corporation who owns more than 50 percent of the voting stock of the organization’s parent entity, or of the partner in the partnership who owns more than 50 percent interest in the organization’s parent entity, or of the member of the limited liability company owning more than 50 percent interest in organization’s parent entity, as the case may be.

Stockholder/Partner/Member Owning Greater Than 50 Percent of Parent Entity

No one stockholder in the parent entity corporation owns more than 50 percent of its voting stock, no partner in the parent entity partnership owns more than 50 percent interest therein, or no member in the parent entity limited liability company owns more than 50 percent interest therein, as the case may be.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

Section C – Part III Certification

I hereby certify that no individual or organization that is debarred by the federal government from contracting with a federal agency owns greater than 50 percent of the Organization listed above in Part I or, if applicable, owns greater than 50 percent of a parent entity of <name of organization>.

I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the <name of contracting unit> is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award <type of contracting unit> to notify the <type of contracting unit> 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 <type of contracting unit>, permitting the <type of contracting unit> to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

Part IV – CERTIFICATION OF NON-DEBARMENT: Contractor – Controlled Entities

Section A

Below is the name and address of the corporation(s) in which the Organization listed in Part I owns more than 50 percent of voting stock, or of the partnership(s) in which the Organization listed in Part I owns more than 50 percent interest therein, or of the limited liability company or companies in which the Organization listed above in Part I owns more than 50 percent interest therein, as the case may be.

Name of Business Entity Physical Address

**Add additional sheets if necessary**

The Organization listed above in Part I does not own greater than 50 percent of the voting stock in any corporation and does not own greater than 50 percent interest in any partnership or any limited liability company.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

Section B (skip if no business entities are listed in Section A of Part IV)

Below are the names and addresses of any entities in which an entity listed in Part III A owns greater than 50 percent of the voting stock (corporation) or owns greater than 50 percent interest (partnership or limited liability company).

Name of Business Entity Controlled by Entity Listed in Section A of Part IV

**Add additional Sheets if necessary**

No entity listed in Part III A owns greater than 50 percent of the voting stock in any corporation or owns greater than 50 percent interest in any partnership or limited liability company.

Section C – Part IV Certification

I hereby certify that the Organization listed above in Part I does not own greater than 50 percent of any entity that that is debarred by the federal government from contracting with a federal agency and, if applicable, does not own greater than 50 percent of any entity that in turns owns greater than 50 percent of any entity debarred by the federal government from contracting with a federal agency. I further acknowledge: that I am authorized to execute this certification on behalf of the above-named organization; that the <name of contracting unit> is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the date of contract award by <type of contracting unit> to notify the <type of contracting unit> 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 <type of contracting unit>, permitting the <type of contracting unit> to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print): Title:

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

(MANDATORY)

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM

Required Pursuant To N.J.S.A. 19:44A-20.26

Part I – Vendor Information

Vendor Name:

Address:

City: State: Zip:

The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.

Signature Printed Name Title

Part II – Contribution Disclosure

Check here if disclosure is provided in electronic form.

Contributor Name Recipient Name Date Dollar Amount

This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract.

Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $200 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

Continuation Page

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM

Required Pursuant To N.J.S.A. 19:44A-20.26

Page of

Vendor Name:

Contributor Name Recipient Name Date Dollar Amount

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM

Contractor Instructions

Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of N.J.S.A.

19:44A-20.26. This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to:

• any continuing political committee (a.k.a., political action committee)

• any candidate committee of a candidate for, or holder of, an elective office:

o of the public entity awarding the contract o of that county in which that public entity is located o of another public entity within that county o or of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county

The disclosure must list reportable contributions to any of the committees that exceed $200 per election cycle that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and

19:44A-16 for more details on reportable contributions.

N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a natural person. This includes the following:

• individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity or 10% of the stock in the case of a business entity that is a corporation for profit

• all principals, partners, officers, or directors of the business entity or their spouses

• any subsidiaries directly or indirectly controlled by the business entity

• IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity and filing as continuing political committees, (PACs).

When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the disclosure.

Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an amount determined by the Commission which may be based upon the amount that the business entity failed to report.

The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement.

The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details

(along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act.

The contractor must also complete the attached Ownership Disclosure Certification. This will assist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of

Education contracts.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

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").

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.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A PERIOD OF ONE (1) YEAR FOR THE

CITY OF TRENTON, DEPARTMENT OF HOUSING & ECONOMIC DEVELOPMENT, VIRTUAL PROPOSAL OPENING DATE ON AUGUST 7, AT 11:00AM

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.

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.

RFP2026-24 ENGINEERING SERVICES, DESIGN AND CONSTRUCTION INSPECTION SERVICES FOR SIDEWALKS IMPROVEMENTS PROJECT

CONSISTING OF SIDEWALK REPLACEMENT, REPAIR, AND ADA COMPLIANCE UPGRADES UTILIZING UEZ FUNDS FOR A…