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Lead Closed
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Animal Control RFP 2025
BID #: 57
ISSUED: 1/6/2025
DUE: 1/16/2025
VALUE: TBD
100
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Executive Summary
The City of Orange Township is seeking proposals from qualified business organizations or firms to provide Animal Shelter Services and Emergency Animal Control Services for a one-year period, with the option for two one-year renewals. The selected contractor will be responsible for enforcing city and state codes, investigating animal neglect and cruelty cases, providing 24/7 shelter services, emergency animal control services, maintaining sanitary kennel facilities, and providing monthly service reports to the Health Officer. Proposals must be submitted by 11:00 AM on January 16, 2025.
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Bid Postings • Animal Control RFP 2025 Skip to Main Content EMERGENCY ALERT SNAP Recipients - Find Food Sources Near You Read On... Create a Website Account - Manage notification subscriptions, save form progress and more. Website Sign In Search Residents Business UEZ Program How Do I... City Government Departments Home Bid Postings Print Sign up to receive a text message or email when new bids are added! Print Bid Title: Animal Control RFP 2025 Category: Bids and Request for Proposals (RFPs) Status: Closed Description: The Contractor agrees to indemnify and hold harmless the City of Orange Township and all of its officers , agents and employees of and from any and all liability for damages for injury to person and property , including death and against and from all suits and actions and all costs, damages and change of whatsoever kind of nature, including attorneys' fees to which the City of Orange Township maybe put for or on account of any injury or alleged injury to person, including death, or property, resulting from the performance of the Contractor's operations under this Contract, or by or in consequence of any neglect or omission on the part of the Contractor in the performance of operations under the Contract, whether such operations, or in the absence thereof, be by the Contractor or anyone directly or indirectly employed by the Contractor. The Contractor shall hold the City of Orange Township harmless for damages to the Contractor's Equipment utilized during the term of this Contract. Programs of self-insurance are not acceptable. Professional Information and Qualifications Copies of the standardized submission requirements and selection criteria are on file and available from the Office of the City Administrator. Each interested candidate shall submit the following information: Animal Control Officer's current license issued by the State of New Jersey; Name of firm or individual; Address of principal place of business and all other offices and corresponding telephone and fax numbers for all individuals assigned to perform the services; Description of owner's education, experience, qualifications, number of years with the firm and a description of their experience with projects similar to those described above Certificate of Occupancy and two years of Health Inspection reports. At least four (4) references , two (2) of which must have knowledge of service to public entities; The organization's ability to provide the services in a timely fashion (including staffing, familiarity and location of key staff); Cost details, including rates and fees, broken down into specific services to be provided, a flat fee or fee schedule, the names of each of the individuals who will perform the services and the time estimates for each individual, all expenses, and where appropriate, total cost of "not to exceed" amount; and Any other information, which the interested organization deems relevant. Statement of corporate ownership (c.52:25-24.2) Publication Date/Time: 1/6/2025 12:00 AM Closing Date/Time: 1/16/2025 11:00 AM Related Documents: Animal Control RFP 2025 2 Return To Main Bid Postings Page Live Edit Bill Pay Public Notice Agendas & Minutes Job Openings Documents & Forms Notify Me® Contact Us Orange City Hall 29 North Day Street Phone: 973-952-6100 Staff Directory Quick Links Finance Forms, Permits, and License Applications Mayor's Office Public Works Vital Statistics Staff Directory /QuickLinks.aspx Helpful Links Home Site Map Contact Us Accessibility Copyright Notices Privacy Policy /QuickLinks.aspx Government Websites by CivicPlus® Loading Loading Do Not Show Again Close Arrow Left Arrow Right [] Slideshow Left Arrow Slideshow Right Arrow
Document Text
--- Document: Animal Control RFP 2025 2 ---
City of Orange Township Request for Proposals from Business Organizations or Firms Interested in
Providing Animal Shelter Services and Emergency Animal Control Services for the City of Orange
Township
Introduction
CITY OF ORANGE TOWNSHIP FACTS AND FIGURES – The City of Orange Township is a municipal governmental entity.
The City was incorporated in 1860 and operates pursuant to N.J.S.A.40A 11:61-1 et seq. The legislative responsibilities
of the City of Orange are vested in the elected seven-member City Council. The Governing body sets policy, adopts the
operating and capital budgets for the City, enacts ordinances and sets the direction of how the City of Orange will
provide government services. The Mayor is the City’s Chief Executive Officer and carries out the policies adopted by
the Governing Body. The City’s population is approximately 32,000 and it consists of approximately 2.2 square miles
of area. The City employs approximately 400 people and is led by a City Administrator. It owns administration
buildings, courthouse buildings, and parks and recreation facilities. It provides significant and diverse services to its
residents, including those in the senior, disabled, veterans and other communities.
Pursuant
to
the
Fair
and
Open
Process
described
under
NJ.S.A.
19:44A-I,
et
seq.,
the
City of Orange seeks Requests for Proposals ("RFP") for Animal Control Shelter Services and Emergency Animal Control
Services for a one year period with two one year renewal terms at the discretion of the City. The Animal Control
Program’s mission is to enforce City and State codes, rules and regulations and to investigate animal neglect and
cruelty cases.
All candidates are required to comply with N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 et seq. as amended. The
successful contractor will provide the City with a Scope of Services related, but not necessarily limited to:
The contractor shall provide:
Shelter services 24 hours per day/seven (7) days a week.
Emergency Animal Control Services when Municipality ACO unavailable.
Response time within one (1) hour time during normal business hours. Unless deemed an emergency
response time for calls received after hours within four (4) hours. Emergency service is defined as the
care of injured, trapped, sick, and animals whose lives are endangered or pose a danger to humans.
Maintain adequate, sanitary and secure kennel facilities (including isolation cages for sick or diseased
animals) to house and care for stray and impounded animals for the mandatory hold periods.
Provide animal cruelty investigative services.
Contractor shall adhere to the Best Practices in Municipal Animal Control in accordance with the State of
New Jersey Department of Health.
Provide the Health Officer with monthly service reports regarding at a minimum intake and disposition
of animals.
Medical Emergencies:
The Contractor will ensure that licensed veterinarian coverage is available to cover medical emergencies
(7) days a week during business hours. Contractual arrangements are in place for after hour emergencies
with a local veterinary hospital at no charge to the town.
With permission from the City Health Officer, owners may quarantine their own animals.
Dead, owned and stray animals including wildlife on public property will be removed and disposed of in
a professional, dependable, and timely manner at no additional charge when covering for the Municipal
ACO.
I.
The successful candidate shall be required to comply with the following insurance requirements:
A.
The Contractor shall be required to carry full insurance including comprehensive general
liability; workman's compensation insurance; which shall cover all operations of the Contractor, its
employees, agents and servants hereunder, and; motor vehicle and equipment used by the Contractor in
connection with the Contractor's operations under the Contract; Contractor shall provide professional
liability (errors& omissions) insurance for claims arising from any negligent performance of contractors'
services pursuant to the agreement in the amount of $1,000,000 per claim. Said insurance, by endorsement,
shall fully protect the City of Orange Township from liability.
B.
Certificates naming the City of Orange as an additional named insured, and evidencing
such insurance coverage, shall be filed with the City of Orange Township prior to the commencement of
operations hereunder by the Contractor.
The following Certificates of Insurance must be furnished:
1)
Worker's Compensation - Statutory
2)
Comprehensive General Liability:
a.
Minimum limits: $1,000,000.00;
Combined Single Limit Coverage to include:
Premise / Operations; Independent Contractors;
Product / Completed Operations;
Contractual; Personal Injury;
Broad Form Property Damage;
City of Orange as additional insured.
b.
Comprehensive General Liability must be maintained for at least one
year after completion of the contract and its acceptance by the City of
Orange.
3)
Professional Liability Insurance (Errors and Omissions)
a.
Contractor shall provide professional liability (errors & omissions) insurance for claims arising
from any negligent performance of contractors' services pursuant to the agreement in the
amount of $1,000,000 per claim.
C.
Each candidate shall submit proof of business registration certificate with the New Jersey Division of
Taxation (P.L. 2004, C.S7) with its proposal.
D. The Certificate of Insurance shall designate the City of Orange Township as an additional insured and shall
contain a thirty (30) day notice of cancellation whereby the City of Orange will be provided with a written
notification of cancellation. Said insurance must be paid for a minimum of six (6) months into the contract
period at the time of the contract.
E.
Each candidate must ensure compliance with the Mandatory Equal Employment Opportunity Language in
accordance with N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17-27 et seq.
F.
Each candidate must submit evidence of appropriate affirmative action compliance.
It is understood and agreed that the Contractor is an independent Contractor and not an employee of the City of
Orange Township.
The Contractor agrees to indemnify and hold harmless the City of Orange Township and all of its officers, agents and
employees of and from any and all liability for damages for injury to person and property, including death and against
and from all suits and actions and all costs, damages and change of whatsoever kind of nature, including attorneys'
fees to which the City of Orange Township maybe put for or on account of any injury or alleged injury to person,
including death, or property, resulting from the performance of the Contractor's operations under this Contract, or
by or in consequence of any neglect or omission on the part of the Contractor in the performance of operations under
the Contract, whether such operations, or in the absence thereof, be by the Contractor or anyone directly or indirectly
employed by the Contractor.
The Contractor shall hold the City of Orange Township harmless for damages to the Contractor's Equipment utilized
during the term of this Contract. Programs of self-insurance are not acceptable.
Professional Information and Qualifications
Copies of the standardized submission requirements and selection criteria are on file and available from the Office of
the City Administrator. Each interested candidate shall submit the following information:
1.
Animal Control Officer's current license issued by the State of New Jersey;
2.
Name of firm or individual;
3.
Address of principal place of business and all other offices and corresponding telephone and fax numbers
for all individuals assigned to perform the services;
4.
Description of owner's education, experience, qualifications, number of years with the firm and a
description of their experience with projects similar to those described above
5.
Certificate of Occupancy and two years of Health Inspection reports.
6.
At least four (4) references, two (2) of which must have knowledge of service to public entities;
7.
The organization's ability to provide the services in a timely fashion (including staffing, familiarity and
location of key staff);
8.
Cost details, including rates and fees, broken down into specific services to be provided, a flat fee or fee
schedule, the names of each of the individuals who will perform the services and the time estimates for
each individual, all expenses, and where appropriate, total cost of "not to exceed" amount; and
9.
Any other information, which the interested organization deems relevant.
10. Statement of corporate ownership (c.52:25-24.2)
Cost Analysis
Submitters should submit a cost analysis if services will be provided at a flat rate, if all or any services will be billed
through hourly rates and what are the established rate(s).
Submission Evaluation
The City will select the most advantageous submissions based on all of the evaluation factors set forth at the end of
this RFP. The City will make the award(s) that is in the best interest of the City. Each submission must satisfy the
objectives and requirements detailed in this RFP. The successful submitter shall be determined by an evaluation of
the total contents of the Proposals submitted. The City reserves the right to:
a)
Not select any of the submissions;
b)
Select only portions of a particular submitter’s Proposals for further consideration; (However, submitters
may specify portions of the Proposal submission they consider “bundled”.)
c)
Award a contract for the requested services at any time within 90 days of the selection of the most
advantageous proposal; every submission should be valid through this time period.
Submission Requirements
Sealed Proposals (original and two copies) RFPs will be publicly opened and read aloud by the Purchasing Agent in
the City of Orange, City Hall Council Chambers, 29 North Day Street, Orange, NJ at 11:00 a.m. on Thursday,
January 16, 2025.
Proposals forward by facsimile or email transmissions will not be accepted. The City shall not be
responsible for the loss, non-delivery, or physical condition of Proposal sent by mail or courier service.
The City shall not be obligated to explain the results of the evaluation process to any submitter.
The City may require submitters to demonstrate any services described in their submission prior to award.
1.
Standard Requirements of Technical Proposals – Submitters should submit technical Proposal which contain
the following:
a)
An affirmative action statement
b)
A completed Non Collusion Affidavit
c)
A statement that the submitter will comply with the General Terms and Conditions required by the
City and enter into the City’s Professional Services Contract;
d)
A copy of the proposer’s Business Registration certificate;
e)
A completed Partnership Disclosure Statement.
f)
A signed Mandatory Equal Employment Opportunity Language Exhibit A and a current Employee
Information report
g)
Pay to Play
Selection Criteria
The
selection
criteria
used
in
awarding
a
contract
or
agreement
for
the
services
as
described
herein shall include:
1.
Qualifications of the individuals who will perform the tasks and the degree of their respective participation;
2.
Experience and references;
3.
Ability to perform the task in a timely fashion, including staffing and familiarity with the subject matter; and
4.
Cost competitiveness.
Submission Limitations
This RFP is not intended to be an offer, order or contract and should not be regarded as such, nor shall any
obligation or liability be imposed on the City by issuance of this RFP. The City reserves the right at the City’s sole
discretion to refuse any proposal submitted.
Use of Information
Any specifications, drawings, sketches, models, samples, data, computer programs, documentation, technical or
business information and the like (“Information”) furnished or disclosed by the City to the submitter in connection
with this RFP shall remain the property of the City. When in tangible form, all copies of such information shall be
returned to the City upon request. Unless such information was previously known to the submitter, free of any
obligation to keep it confidential, or has been or is subsequently made public by the City or a third party, it shall be
held in confidence by the submitter, shall be used only for the purposes of this RFP, and may not be used for other
purposes except upon such terms and conditions as may be mutually agreed upon in writing.
General Terms and Conditions
A.
The City reserves the right to reject any or all submissions, if necessary, or to waive any informalities in the
submissions, and, unless otherwise specified by the submitter, to accept any item, items or services in the
submissions should it be deemed in the best interest of the City to do so.
B.
In case of failure by the successful submitter, the City of Orange Township may procure the articles or
services from other sources, deduct the cost of the replacement from money due to the submitter under the
contract and hold the submitter responsible for any excess cost occasioned thereby.
C.
The submitter shall maintain sufficient insurance to protect against all claims under Workmen’s
Compensation, General, Professional and Automobile Liability. The submitter shall also maintain Errors &
Omissions insurance.
D. The contract shall be in effect through (to be determined), unless otherwise stated.
E.
Sealed submissions may be hand delivered or mailed consistent with the provisions of the legal notice to
submissions. In the case of mailed submissions, the City assumes no responsibility for submissions received
after the designated date and time and will return late submissions unopened. Submissions will not be
accepted by facsimile or e-mail.
F.
In accordance with Affirmative Action Law, P.L. 1975, c.127 (N.J.A.C. 17:27) with implementation of July 10,
1978, successful submitters must agree to submit individual employer certifications and number or
complete Affirmative Action employee information report (form AA-302). Also, during the performance of
this contract, the contractor agrees as follows: (a) the contractor or subcontractor where applicable, will not
discriminate against any employee because of age, race, creed, color, national origin, ancestry, marital status
or sexual orientation. The contractor will take affirmative action to ensure that such applicants are recruited
and employed and that employees are treated during employment, without regard to their age, race, creed,
color, national origin, ancestry, marital status, sex or handicap, Such action shall include, but not be limited
to the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and section for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants
for employment, notice to be provided by the Public Agency Compliance Officer setting forth provisions of
this non-discrimination clause: (b) 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, sex or handicap; (c) the contractor or subcontractor, where applicable, will send to
each labor Orange or representative or works with which it has a collective bargaining agreement or other
contract or understand, a notice, to be provided by the agency contracting officer advising the labor City of
Orange Township or worker’s representative of the contractor’s commitments under this act and shall post
copies of the notice; (d) the contractor or subcontractor, where applicable, agrees to comply with any
regulations promulgated by the treasurer pursuant to the P.L. 1975, c.127, as amended and supplemented
from time to time.
G. By submission of Proposals, the submitter certifies that the service to be furnished will not infringe upon any
valid patent, trademark or copyright and the successful submitter shall, at its expense, defend any and all
actions or suits charging such infringement, and will save the City harmless in any case of any such
infringement.
H. No submitter shall influence, or attempt to influence, or cause to be influenced, any City officer or employee
to use his/her official capacity in any manner which might tend to impair the objectivity or independence of
judgment of said officer or employee.
I.
No submitter shall cause or influence, or attempt to cause or influence, any City officer or employee to use
his/her capacity to secure unwarranted privileges or advantages for the submitter or any other person.
J.
Should any difference arise between the contracting parties as to the meaning or intent of these instructions
or specifications, the City’s Law Department decision shall be final and conclusive.
K.
The City of Orange Township shall not be responsible for any expenditure of monies or other expenses
incurred by the proposer in making its submission.
The checklist, affidavits, notices and the like presented at the end of this Request for Proposals are a part of this
Request for Proposals and shall be completed and submitted as part of this submission to the City of Orange
Township.
Bid Document Checklist
Required
By owner
Submission Requirement
Initial each
required entry
and if required
sign and submit
the item
[*]
Three original packages and one CD, with signed
Proposals
[*]
Owner/Stockholder Disclosure Certif ication
[*]
Pay to Play Disclosure
[*]
Non-Collusion Affidavit
[*]
RFP Proposal Form, Initialed
[*]
Receipt Of Addendum
[*]
Affirmative Action Language, Signed
Mandatory Equal Employment Opportunity Language
[*]
Americans with Disabilities Act of 1990 Language
[*]
References & Status of Present Contracts
[]
Prevailing Wage
[*]
Business Registration Certificate
(Before Award of Bid)
[*]
Disclosure of Investment Activities in Iran
[]
Equipment Certification
[]
Bid Guarantee
(with Power of Attorney for full amount of Bid Bond)
[]
Public Works Contractor Certificate
[]
Consent of Surety
(with Power of Attorney for full amount of Bid Price
[*]
Letters of Intent and Proposal
STATEMENT OF OWNERSHIP
(OWNERSHIP DISCLOSURE CERTIFICATION)
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 Included with All Bid and
Proposal Submissions
Name of Business:
Address of Business:
Name of person completing this form:
N.J.S.A. 52:25-24.2:
"No corporation, partnership, or limited liability company shall be awarded any contract nor shall any agreement
be entered into for the performance of any work or the furnishing of any materials or supplies, unless prior to the
receipt of the bid or proposal, or accompanying the bid or proposal of said corporation, said partnership, or said
limited liability company there is submitted a statement setting forth 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.
If one or more such stockholder or partner or member is itself a corporation or partnership or limited liability
company, the stockholders holding 10 percent or more of that corporation's stock, or the individual partners owning
10 percent or greater interest in that partnership, or the members owning 10 percent or greater interest in that
limited liability company, as the case may be, shall also be listed. The disclosure shall be continued until names
and addresses of every non-corporate stockholder, and individual partner, and member, exceeding the 10 percent
ownership criteria established in this act, has been listed.
To comply with this section, a bidder with any direct or indirect parent entity which is publicly traded may submit
the name and address of each publicly traded entity and the name and address of each person that holds a 10 percent
or greater beneficial interest in the publicly traded entity as of the last annual filing with the federal Securities and
Exchange Commission or the foreign equivalent, and, if there is any person that holds a 10 percent or greater
beneficial interest, also shall submit links to the websites containing the last annual filings with the federal
Securities and Exchange Commission or the foreign equivalent and the relevant page numbers of the filings that
contain the information on each person that holds a 10 percent or greater beneficial interest."
The Attorney General has advised that the provisions of N.J.S.A. 52:25-24.2, which refer to corporations
and partnerships, apply to limited partnerships, limited liability partnerships, and Subchapter S
corporations.
This Ownership Disclosure Certification form shall be completed, signed and notarized.
Failure of the bidder/proposer to submit the required information is cause for automatic rejection
of the bid or proposal
Part I
Check the box that represents the type of business organization:
☐Sole Proprietorship (skip Parts II and Ill, sign and notarize at the end)
☐Non-Profit Corporation (skip Parts II and Ill, sign and notarize at the end)
☐Partnership
☐Limited Partnership
☐Limited Liability Partnership
☐Limited Liability Company
☐For-profit Corporation (including Subchapters C and S or Professional Corporation)
☐Other (be specific):
Part II
☐
I certify that 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.
OR
I certify that 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 that no member in the limited liability company owns a 10 percent or greater interest
therein, as the case may be.
Sign and notarize the form below, and, if necessary, complete the list below.
(Please attach additional sheets if more space is needed):
Part I I I -
Any Direct or Indirect Parent Entity Which is Publicly Traded:
"To comply with this section, a bidder with any direct or indirect parent entity which is
publicly traded may submit the name and address of each publicly traded entity and the
name and address of each person that holds a 10 percent or greater beneficial interest in
the publicly traded entity as of the last annual filing with the federal Securities and
Exchange Commission or the foreign equivalent, and, if there is any person that holds a 10
percent or greater beneficial interest, also shall submit links to the websites containing the
last annual filings with the federal Securities and Exchange Commission or the foreign
equivalent and the relevant page numbers of the filings that contain the information on each
person that holds a 10 percent or greater beneficial interest."
☐
Pages attached with name and address of each publicly traded entity as well
as the name and address of each person that holds a 10 percent or greater beneficial
interest.
OR
☐
Submit here the links to the Websites (URLs) containing the last annual filings with
the federal Securities and Exchange Commission or the foreign equivalent.
AND
☐
Submit here the relevant page numbers of the filings containing the information on
each person holding a 10 percent or greater beneficial interest.
Subscribed and sworn before me this
day of
,
2
.
(Affiant)
(Notary Public)
My Commission expires:
(Print name of affiant and title if applicable)
(Corporate Seal if a Corporation)
_____________________
______
This Statement MUST BE INCLUDED with RFP Submissions
OWNER DISCLOSURE SECTION
Name of Business______________________________________________________
I certify that the list below contains the names and home addresses of all stockholders
holding 10% or more of the issued and outstanding stock of the undersigned.
OR
I certify that no one stockholder owns 10% or more of the issued and outstanding stock of
the undersigned.
OR
I certify that there are no stockholders
Check the box that represents the type of business organization:
Partnership
Corporation
Sole Proprietorship
Limited Partnership
Limited Liability Corporation
Limited Liability Partnership
Subchapter S Corporation
Other (describe )___________________
POLITICAL CONTRIBUTION DISCLOSURE SECTION POLITICAL CONTRIBUTION
DISCLOSURE SECTION
(The following section must be completed)
I hereby attest that the undersigned business entity, its subsidiaries, assigns or principals controlling
in excess of 10% of the company has neither made a contribution of money, or pledge of
contribution, including in kind to:
1. A campaign committee of a City candidate or holder of public office in excess of $300,
each;
2. Any Municipal party committee in excess of $300 or County party committee in excess of
$500;
3. Any political action committee (PAC) that regularly engages in the support of municipal or
county elections and/or municipal or county parties, in excess of $500;
4. Any group of individuals (principals, partners, and officers) that are defined as the
professional business entity, including an individual’s spouse and any child living at home,
may not in the aggregate contribute in excess of $2,500 to all Plainfield municipal
candidates and office holders, and all Municipal or County political parties and PAC’s, as
described above;
Pursuant to the Municipal Code of the City of Orange Township, Chapter 2, Article 10, Section 19(a),
in the one (1) year period preceding the award of the contract that would, affect its eligibility to
perform this contract, nor will it make a contribution of money, or pledge of contribution, including
in kind, during the term of the contract to any campaign committee of a City of Orange Township
candidate or holder of public office, political party committee in the City of Orange Township and/or
County of Essex, and any political action committee (PAC) that regularly engages in the support of
municipal and/or county elections and/or municipal or county parties.
OR
I hereby attest that the undersigned business entity, its subsidiaries, assigns or principals controlling
in excess of 10% of the company has made reportable political contributions (more than $300 per
election cycle) over the 12 months prior to submission to the committees of the government entities
listed below:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Sign and notarize the form below, and, if necessary, complete the stockholder list below.
Stockholders:
Name:
______________________________
Name: ______________________________
Home Address:
_______________________
________________________________
Home Address: _______________________
__________________________________
Name:
______________________________
Name: ______________________________
Home Address:
_______________________
________________________________
Home Address: _______________________
__________________________________
Subscribed and sworn before me this ___
day of ______, 20 .
(Notary Public)
My Commission expires:
_________________________________
(Affiant)
________________________________
(Print name & title of affiant)
(Corporate Seal)
Seal)
NON-COLLUSION AFFIDAVIT
STATE OF NEW JERSEY
COUNTY OF ESSEX
I AM
SS:
OF THE FIRM OF
UPON MY OATH, I DEPOSE AND S A Y :
I.
THAT I EXECUTED THE SAID SUBMISSION WITH FULL AUTHORITY SO TO DO;
2.
THAT THIS RESPONDENT HAS NOT, DIRECTLY OR INDIRECTLY ENTERED INTO ANY
AGREEMENT, PARTICIPATED IN ANY COLLUSION, OR OTHERWISE TAKEN ANY ACTION
IN RESTRAINT OF FAIR AND OPEN COMPETITION IN CONNECTION WITH THIS
ENGAGEMENT;
3. THAT ALL STATEMENTS CONTAINED IN SAID SUBMISSION AND IN THIS AFFIDAVIT ARE
TRUE AND CORRECT, AND MADE WITH FULL KNOWLEDGE THAT THE CITY OF
PLAINFIELD RELIES UPON THE TRUTH OF THE STATEMENTS CONTAINED IN SAID
SUBMISSION AND IN THE STATEMENTS CONTAINED IN THIS AFFIDAVIT IN AWARDING
THE CONTRACT FOR THE SAID ENGAGEMENT; AND
4. THAT NO PERSON OR SELLING AGENCY HAS BEEN EMPLOYED TO SOLICIT OR SECURE
THIS ENGAGEMENT AGREEMENT OR UNDERSTANDING FOR A COMMISSION,
PERCENTAGE, BROKERAGE OR CONTINGENT FEE, EXCEPT BONA FIDE EMPLOYEES OR
BONA FIDE ESTABLISHED COMMERCIAL SELLING AGENCIES OF THE RESPONDENT.
(N.J.S.A.52: 34-25)
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 .
RFP PROPOSAL FORM
(Contract Title and Bid Number, if applicable (Description of goods/services being bid)
The undersigned proposes to furnish and deliver the above goods/services pursuant to the bid
Specification and made part hereof:
Amount in words
$____________________________________________________________________________
Amount in numbers
__________________________________
_____________________________
Company Name Federal I.D#
or Social Security #
Address
____________________________
______________________________
Signature of Authorized Agent
Type or Print Name
Title: ________________________
_____________________________
______________________________
Telephone Number
Date
______________________________
______________________________
Fax Number
E-mail Address
CITY OF ORANGE TOWNSHIP
ACKNOWLEDGMENT OF RECEIPT OF ADDENDUM
The undersigned Bidder hereby acknowledges receipt of the following Addendum:
ADDENDUM NUMBER
DATE
ACKNOWLEDGE RECEIPT
No addendum were received:
Acknowledged for:
(Name of Bidder)
By: (Signature of Authorized Representative)
Name: (Print or Type)
T i t l e :
Date:
AFFIRMATIVE ACTION COMPLIANCE NOTICE N.J.S.A.10:5-31 and N.J.A.C.17:27
GOODS AND SERVICES CONTRACTS (INCLUDING PROFESSIONAL SERVICES)
This form is a summary of the successful bidder's requirement to comply with the requirements of
N.J.S.A. 10:5-31 and N.J.A.C. 17:27-1 et seq.
The successful bidder shall submit to the public agency, after notification of award but prior to
Execution of this contract, one of the following three documents as forms of evidence:
( a ) 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
(b) A photocopy of a Certificate of Employee Information Report approval, issued in accordance
with N.J.A.C. 17:27-4;
OR
(c) A photocopy of an Employee Information Report (Form AA302) provided by the Division and
distributed to the public agency to be completed by contractor in accordance with
N.J.A.C. 17:27-4;
The successful vendor may obtain the Affirmative Action Employee Information Report
(AA302) from the contracting unit during normal business hour.
The successful vendor (s) must submit the copies of the AA302 Report to the Division of
Contract Compliance and Equal Employment Opportunity in Public Contracts (Division). The
Public Agency copy is submitted to the public agency, and the vendor copy is retained by the
vendor.
The undersigned vendor certifies that he/she is aware of the commitment to comply with the
Requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27.1 et seq. and agrees to furnish the required
forms of evidence.
The undersigned vendor further understands the his/her bid shall be rejected as non-responsive
If said contractor fails to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27-1
et seq.
COMPANY:
SIGNATURE:
PRINT NAME:
DATE:
TITLE:
Attachment 2
(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 opportunity 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 apprentice-
ship. 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 shall 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.
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.
COMPANY: ____________________
SIGNATURE: ______________________
PRINT NAME: _____________________
TITLE: ___________________________
DATE: ________________________
APPENDIXA
AMERICANS WITH DISABILITIES ACT OF 1990
Equal opportunity for individuals with Disability
The contractor and the City of Orange Township, (hereafter "owner") do hereby agree that
the provisions of Title 11 of the Americans with Disabilities Act of 1990 (the "Act") (42 U.S.C. SJ
21 OJ 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 there unto, 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's 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 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 proceeding is brought against the owner or any of its agents,
servants, and employee, 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.
BID DOCUMENT REFERENCE
Name of Form:
BUSINESS REGISTRATION CERTIFICATE
Statutory Reference:
N.J.S.A. 52:32-44 (P.L. 2004, c.57)
Instructions Reference
Statutory and Other requirements VII-D
Description:
Contractor must provide State Division of Revenue
issued Business Registration Certificate with the
bid submission.
Detailed information on this requirement is found in Division of Local Government
Services Local Finance Notices 2004-17 (8/6/04), 2004-24 (11/1/04), 2005-12 (4/27/05)
and on the Division web site at www.nj.gov/dca/lgs/lpcl. These resources and a Frequently
Asked Questions resource should be consulted when question arise.
APPENDIX A
LETTER OF
INTENT
Note: T o b e t y p e d o n R e s p o n d e n t ’ s
L e t t e r h e a d
(No modifications may be made to this letter)
[Insert date]
City of Orange Township
Attention: Nile Clements
Purchasing Agent
29 North Day Street
Orange, New Jersey 07050
Dear Mr. Clements,
The undersigned, as Respondent, has (have) submitted
the attached Proposal Statement in
response to a Request for Proposals (RFP), issued by the City of Orange Township returnable
J a n u a r y 1 6 , 2 0 2 5 in connection with the City's need for Animal Shelter and Emergency
Animal Control Services.
(Name of Respondent) hereby states:
1. The P r o p o s a l Statement contains accurate, factual and complete information.
2.
(Name of Respondent) agrees (agrees) to participate in good faith in the procurement process
as described in the RFP and to adhere to the City's procurement schedule.
3. (Name of Respondent) acknowledges (acknowledge) that all costs incurred by it (them) in
connection with the preparation and submission of the Proposal Statement and any proposal
prepared and submitted in response to the RFP, or any negotiation which results therefrom
shall be borne exclusively by the Respondent.
4.
(Name of Respondent) hereby declares (declare) that the only persons participating
in this Proposal S t a t e m e n t a s Principals are named herein a n d that no person other t h a n
those herein mentioned has any participation i n this Proposal Statement 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 City.
5. (Name of Respondent) declares that this Proposal Statement is made without connection with
any other person, firm or parties who has submitted a Proposal Statement,
except as expressly
set forth bel ow 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 City may mod ify, amend, suspend and
/or terminate the procurement process (in its sole judgment). In any case, the City shall not have
any liabi l ity to the Respondent for any costs incurred by the Respondent with respect to the
procurement activities described in this RFP.
7. (Name of Respondent) acknowledges that any contract executed with respect to the RFP for
“Animal Services” must comply with all a p p l i c a b l e affirmative action and similar l a w .
R e s p o n d e n t hereby agrees to take such actions as are required in order to comply with such
applicabl e laws.
Respondent shall sign and complete the space provided below.
(If a joint venture, appropriate officers of each company shall sign.)
(S ignature of Chief Executive Officer)
(Typed Name and Title)
Dated: _
(Type Name of Firm)*
*If a joint venture, partnership or other formal organization is submitting a Proposal
Statement , each participant s h a l l execute this Letter of Intent.
25
APPENDIX B
LETTER OF PROPOSAL
(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)
City of Orange Township
Attention: Nile Clements, QPA, Chief Financial Officer
29 North Day Street
Orange, New Jersey 07050
Dear Mr. Clements,
The undersigned have reviewed our Proposal Statement submitted in response to the
Request for Proposals (RFP) issued by the City of Orange Township, returnable January 16, 2025
in connection with the City's need f o r
A n i m a l
S h e l t e r
S e r v i c e s
a n d
E m e r g e n c y
A n i m a l
C o n t r o l
S e r v i c e s .
We affirm that the contents of our Proposal Statement (which Proposal Statement is incorporated herein
by reference) are accurate, factual and complete to the best of our knowledge and belief and that the
Proposal Statement 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 space provided below. If a joint venture, the appropriate
officers of each company shall sign).
(Signature of Chief Executi v e Officer)
(Signature of Chief Financial Officer)
_________________________________
________________________________
_________________________________
________________________________
(Typed Name and Title)
(Typed Name and Title)
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Nile Clements
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Timeline
First Discovered
Mar 31, 2026
Last Info Update
Apr 30, 2026
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