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Litigation/Defense Counsel Services Workers' Compensation Council Services & Special Conflict
BID #: 42
ISSUED: 11/1/2024
DUE: 12/5/2024
VALUE: $150.00
100
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Executive Summary
The City of Orange Township is seeking qualifications from individuals and firms to provide Litigation/Defense Counsel Services, Worker’s Compensation Counsel Services, and Special Conflict Counsel Services. Selected attorneys will be added to a pool to provide legal services as needed, coordinated through the City’s Third Party Insurance Administrator (T.P.A.). Legal services provided under the selected contract will be billed at an hourly rate of $150.00 per hour.
The appointment of successful respondents will be for a 12-month period, beginning January 1, 2025, and continuing through December 31, 2025. Qualification Statements must be submitted to the Office of Procurement by mail or hand delivery by 1:00 PM on December 5, 2024. Facsimile or email submissions will not be accepted.
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--- Document: RFQ - Litigation Defense Counsel, Workers Compensation Counsel and Special Conflict Counsel -2025 ---
Department of Law
Gracia Robert Montilus, City Attorney
Municipal Building
29 North Day Street, Second Floor
Orange, New Jersey 07050
REQUEST FOR
QUALIFICATIONS
Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services &
Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
SUBMISSION DEADLINE
1:00 PM – December 5, 2024
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 1
ABOUT THE CITY OF ORANGE TOWNSHIP
The City of Orange Township (“City”) is located in Essex County, New Jersey, and is home to approximately 31,000
residents across 4 wards (North, South, East and West). Administration of City government is overseen by an elected
Mayor and a 7-member Municipal Council (1 member from each ward and 3 at-large members), with day-to-day
operations delegated to the City’s several departments. Through the Business Administrator, the Department of
Administration is responsible for, among other things, overseeing the annual development of and advising the Mayor
and Municipal Council on matters involving the City.
PURPOSE OF REQUEST
The City is requesting proposals from qualified individuals and firms to provide Litigation/Defense Counsel Services,
Worker’s Compensation Counsel Services and Special Conflict Counsel Services. Proposal will be evaluated in accordance with
the criteria set forth in this Request for Qualifications (RFQ). Using this RFQ, the City intends to establish a pool of attorneys
who will be available to provide legal services as needed which shall be coordinated through the City’s Third Party
Insurance Administrator (hereinafter “T.P.A.”). One or more individual/firms may be selected to provide services. If
selected, the governing body will approve a resolution listing the individual and firms as approved Litigation/Defense
Counsel, Workers’ Compensation Counsel or Special Legal Counsel based on an hourly rate of $150.00 per hour.
Litigation matters requiring the defense of actions arising under the Torts Claims Act, N.J.S.A. 59:9-1 Et Seq., the
Conscientious Employee Protection Act, N.J.S.A. 34:19-1 Et Seq. (CEPA), Laws Against Discrimination, N.J.S.A. 10:5-
1 Et Seq. (LAD), 42 U.S.C. Sec. 1983 or actions involving disputes over contracts and/or challenges to government
actions shall be billed at the hourly rate of $150.00 per hour. Matters involving Special Conflict Counsel shall be billed
at the hourly rate of $150.00 per hour.
FORM AS TO SELECTION
If selected to provide services, the successful Respondent shall be forwarded a letter of engagement that shall
be binding on the Respondent and Respondent’s law firm, which includes indemnification, insurance, termination
and licensing provisions. It is also agreed and understood that the acceptance of the representation shall be considered
a release in full of all claims against the City arising out of, or by reason of, the work done and materials furnished
under this award.
TERM OF APPOINTMENT
The successful respondent shall be appointed for a period of twelve (12) months, beginning January 1, 2025
and continued through December 31, 2025.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 2
SECTION I
INTRODUCTION AND GENERAL INFORMATION
1.1
Introduction and Purpose
The City of Orange Township is soliciting Qualification Statements from interested persons and/or firms to provide
professional services, as more particularly described herein. Through a Request for Qualification process described
herein, person and/or firms interested in assisting the City with the provision of such services must prepare and submit
a Qualification Statement in accordance with the procedure and schedule in this RFQ. The City of Orange Township
will review Qualification Statements only from those persons and/or firms that submit a Qualification Statement which
includes all information required to be included as described herein (in the sole judgment of the City).
The City intends to qualify person(s) and/or firm(s) that (a) possess the professional, financial and administrative
capabilities to provide the proposed services, and (b) will agree to work under the level of compensation, terms and
conditions determined by the City to provide the greatest benefit to the taxpayers of the City.
1.2
Procurement Process and Schedule
The selection process is in accordance with the “New Jersey Local Unit Pay-to-Play”, Law and municipal ordinances
establishing the “pay-to-play” criteria. The City has structured a procurement process that seeks to obtain the desired
results described above, while establishing a competitive fair and open process to assure that each person and/or firm
is provided an equal opportunity to submit a Qualification Statement in response to the RFQ. Qualification Statements
will be evaluated in accordance with the criteria set forth in Section 2 of this RFQ, which will be applied in the same
manner to each Qualification Statement received.
Qualification Statements will be reviewed and evaluated by the City Attorney of the City of Orange Township. The
Qualification Statements will be reviewed to determine if the Respondent has met the minimum professional,
administrative and financial areas described in this RFQ. Based upon the totality of the information contained in the
Qualification Statement, including information about the reputation and experience of each Respondent, the City
Attorney will evaluate and determine which Respondents are qualified (professionally, administratively and
financially) to be submitted to the Municipal Council for approval.
The RFQ process commences with the issuance of this RFQ. The steps involved in the process and the anticipated
completion dates are set forth in Table 1, Procurement Schedule. The City reserves the right to, among other things,
amend, modify or alter the Procurement Schedule upon notice to all potential Respondents.
All communications concerning this RFQ or the RFQ process shall be directed to the City’s Designated Contact Person,
in writing.
Qualification Statements must be submitted to, and be received by the Office of Procurement, via mail or hand delivery,
by 1:00 p.m. on THURSDAY, DECEMBER 5, 2024. Qualification Statements will not be accepted by facsimile or e-
mail transmissions. Qualification Statement shall be opened in the City Attorney’s Office, located on the 2nd floor of
Orange City Hall, Orange, New Jersey.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 3
TABLE I
ANTICIPATED PROCUREMENT SCHEDULE
ACTIVITY DATE
1.
Publication of Request for Qualifications October 31, 2024.
2.
Commence Issuance of Request for Qualification Packages October 31, 2024.
3.
Receipt of Qualification Statement December 5, 2024.
1.3.
Conditions Applicable to RFQ.
Upon submission of a Qualification Statement in response to this RFQ, the Respondent acknowledges and
consents to the following conditions relative to the submission and review and consideration of its Qualification
Statement:
This document is an RFQ and does not constitute a Request for Proposals (RFP).
This RFQ does not commit the City to issue an RFQ.
All costs incurred by the Respondent in connection with responding to this RFQ shall be borne solely by the
Respondent.
The City reserves the right (in its sole judgment) to reject for any reason any and all responses and to eliminate
any and all Respondents responding to this RFQ from further consideration for this procurement.
The City reserves the right, without prior notice, to supplement, amend, or otherwise modify this RFQ, or
otherwise request additional information.
All Qualification Statements shall become the property of the City and will not be returned.
All Qualification Statements will be made available to the public at the appropriate time, as determined by the
City (in the exercise of its sole discretion) in accordance with law.
The City may request Respondents to send representatives to the City for interviews.
Any and all Qualification Statements not received by the City’s Law Department Procurement by 1:00 p.m. on
THURSDAY, DECEMBER 5, 2024, will be rejected.
Neither the City, nor its officers, officials or employees shall be liable for any claims or damages resulting from
the solicitation or preparation of the Qualification Statement, nor will there be any reimbursement to
Respondents for the cost of preparing and submitting a Qualification Statement or for participating in this
procurement process.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 4
1.4.
Rights of City.
The City reserves the right to reject any and all submissions, if necessary, or to waive any informalities in submissions
and to accept any item, items or services in the submissions that are in the best interest of the City. The City of Orange
Township reserves the right to terminate services upon notice to the submitter.
1.5. Addenda or Amendments to RFQ
During the period provided for the preparation of responses to the RFQ, the City may issue addenda, amendments
or answers to written inquiries. Those addenda will be noticed by the City and will constitute a part of the RFQ. All
responses to the RFQ shall be prepared with full consideration of the addenda issued prior to the Qualification
Statement submission date.
1.6
Qualification Statement Format.
Qualification Statements must cover all information requested in this RFQ. Qualification Statements which in the
judgment of the City fail to meet the requirements of the RFQ or which are in any way conditional, incomplete, obscure,
contain additions or deletions from requested information, or contain errors may be rejected.
SECTION 2
SCOPE OF SERVICES
It is the City’s intent to solicit Qualification Statements from Respondents that have expertise in providing
professional legal services as described below and as set forth in the attached Notice of Solicitation for Responses.
Respondents must demonstrate that they will have the continuing capabilities to perform these services.
The City Attorney of the City of Orange Township seeks litigation and defense counsel to provide outside
counsel for the defense and representation of the City, its officers and employees. The subject matter of such litigation
includes, but is not limited to, Tort Claims Act, N.J.S.A. 59:1-1 et seq., Conscientious Employee Protection Act, N.J.S.A.
34:19-1 et seq. (CEPA) Claims Laws Against Discrimination, N.J.S.A. 10:5-1 et seq. (LAD) claims, 42 U.S.C. sec. 1983
actions and contract matters and/or challenges to governmental action. Counsel will have a close working relationship
with the City’s Law Department.
The City is requesting Qualification Statements for Litigation/Defense Counsel, Workers’ Compensation
Counsel and Special Conflict Counsel. Counsel will, on an “as needed” basis, be assigned and required to provide
representation in all aspects or litigation, including but not limited to, preparation of pleadings, motions, and discovery
documents; participation in all discovery including attendance at all depositions; participation in and attendance at
settlement conferences, pre-trial motions and trials.
Counsel may be called upon to attend meetings.
Counsel may also be called upon to provide other types of legal services of a specialized nature.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 5
SECTION 3
SUBMISSION REQUIREMENTS
3.1
General Requirements
The Qualification Statement submitted by the Respondent must meet or exceed the professional, administrative
and financial qualification set forth in this Section 3 and shall incorporate the information requested below.
In addition to the information required as described below, a Respondent may submit supplemental
information that it feels may be useful in evaluating its Qualification Statement. Respondents are encouraged to be
clear, factual, and concise in their presentation of information.
3.2
Administrative Information Requirements.
The Respondent shall, as part of its Qualification Statement, provide the following information:
1.
An executive summary (not to exceed two (2) pages) of the information contained in all the other parts of
the Qualification Statement.
2.
An executed Letter of Qualification.
3.
Name, address and telephone number of the Respondent submitting a Qualification Statement pursuant
to this RFQ, and the name of the key contact person.
4.
A description of the business organization (i.e., corporation, partnership, joint venture, etc.) of each
Respondent, its ownership and its organizational structure.
(a) Provide the names and business addresses of all Principals of the Respondent submitting the
Qualification Statement. For purposes of this RFQ, “Principals” means person possessing an
ownership interest in the Respondent. If the Respondent is a corporation, “Principals” shall include
each investor who has any operational control over the Respondent, and every stockholder having an
ownership interest of 10% or more in the firm.
(b) If a Respondent is a partially owned or a fully-owned subsidiary of another firm, identify the parent
company and describe the nature and extent of the parents’ approval rights over the activities of the
Respondent submitting a Qualification Statement. Describe the approval process.
(c) If the Respondent is a partnership or a joint venture or similar organization, provide comparable
information as required in (b) above for each member of the partnership, joint venture or similar
organization.
(d) A statement that the Respondent has complied with all applicable affirmative action (or similar)
requirements with respect to its business activities, together with evidence of such compliance.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 6
5.
The number of years Respondent has been in business under the present name.
6.
The number of years Respondent has been under the current management.
7.
Any judgments within the last three (3) years in which Respondent has been adjudicated liable for
professional malpractice. If yes, please explain.
8.
Whether the Respondent is now or has been involved in any bankruptcy or reorganization proceeding in
the last ten (10) years. If yes, please explain.
9.
Confirm appropriate federal and state licenses to perform activities.
10.
An executed letter of intent.
3.3 Professional Information Requirements
a.
Respondent shall submit a description of its overall experience in providing the type of services sought
in the RFQ. At a minimum, the following information on past experience should be included as appropriate to the
RFQ:
1. Description and scope of work by Respondent.
2. Name, address and contact information of references.
3. Explanation of perceived relevance of the experience to the RFQ.
b.
Brief description of Respondent’s relevant clients including municipal government clients during the
last three (3) years.
c.
Resumes of key employees.
d.
Names and resumes of attorneys who will be assigned to provide legal services to the City.
e.
A narrative statement of the Respondent’s understanding of the City’s needs and goals.
f.
List all immediate relatives of Principal(s) of Respondent who are City employees or elected officials
of the City. For purposes of the above, “immediate relative” means a spouse, parent, stepparent, brother, sister, child,
stepchild, direct-line aunt or uncle, grandparent, grandchild and in-laws.
g.
Proof by way of a Certificate of Insurance reflecting the firm’s coverage for a minimum of $500,000 of
Professional Liability Insurance.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 7
h.
A listing of all other engagements where services of the types being proposed were provided in the
past five (5) years. This should include other municipal governments and other levels of government. Contact
information for the recipients of the similar services must be provided. The City may obtain references from any of the
parties listed.
i.
Respondent must demonstrate a proven record of litigation experience in either Federal court, Superior
court, Appellate and the Workers’ Compensation.
SECTION 4
INSTRUCTIONS TO RESPONDENTS
Submission of Qualification Statements
Respondents must submit an original and two (2) copies of their Qualification Statement to the Designated Contact
Person:
Qualification Statements must be received by the City no later than 1:00 p.m. on December 5, 2024, and must be mailed
or hand-delivered. Qualification Statements forwarded by facsimile or e-mail will not be accepted.
To be responsive, Qualification Statements must provide all requested information, and must be in strict conformance
with the instructions set forth herein. Qualification Statements and all related information must be bound, and signed
and acknowledged by the Respondent.
SECTION 5
EVALUATION
The City’s objective in soliciting Qualification Statements is to enable it to select a Respondent that will provide high
quality and cost effective services to the citizens of City of Orange Township. The City will consider Qualification
Statements only from Respondents that, in the City’s sole judgment, have demonstrated the capability and willingness
to provide high quality services to the citizens of the City in the manner described in this RFQ.
Qualification Statements will be evaluated by the City on the basis of which is the most advantageous, experience and
other factors considered. The evaluation will consider:
1.
Experience and reputation in the field;
2.
Knowledge of the municipal corporation;
3.
Availability to accommodate the required meetings of the City;
4.
Litigation experience and results in the areas of law described in Section 2 of this RFQ;
5.
Pertinent government experience; and
6.
Other factors demonstrated to be in the best interest of the City.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 8
The City will select the most advantageous Qualification Statements based on all of the evaluation factors set forth in
the RFQ. The City will make the award(s) that is in the best interest of the City.
Each Qualification Statements must satisfy the objectives and requirements detailed in this RFQ except as otherwise
stated. Successful Respondents shall be determined by an evaluation of the total content of the Qualification Statement
submitted. The City reserves the right to not select any of the Qualification Statements.
The City shall not be obligated to explain the results of the evaluation process to any Respondent.
SECTION 6
GENERAL TERMS AND CONDITIONS
1. The City reserves the right to reject any or all Qualification Statements, if necessary, or to waive any information
in the Qualification Statements, and, unless otherwise specified by the Respondent, to accept any item, items
or services in the Qualification statement should it be deemed in the best interest of the City to do so.
2. Each Qualification Statement must be signed by the person authorized to do so.
3. Qualification Statements may be hand delivered or mailed consistent with the provisions of the legal notice to
Respondents. In the case of mailed Qualification Statements, the City assumes no responsibility for
Qualification Statements received after the designated date and time and will return late Qualification
Statements unopened. Qualification Statements will not be accepted by facsimile or e-mail.
4. In accordance with Affirmative Action Law, P.L. 1975/ c.127 (N.J.A.C. 17:27) with implementation of July 10,
1978, successful Respondents must agree to submit individual employer certifications and numbers or
complete Affirmative Action employee information report (form AA-302). Also, during the period of
engagement, the respondent for contractor wherever stated agrees as follows: (a) the respondent where
applicable, will not discriminate against any employee because of age, race, creed, color, national origin,
ancestry, marital status or affectional or sexual orientation. The respondent 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 respondent 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 nondiscrimination clause; (b) the respondent, where applicable, will in all
solicitations or advertisements for employees placed by or on behalf of the respondent, 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 respondent, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other respondent
understanding, a notice, to be provided by the agency contracting officer advising the labor union or worker’s
representative of the respondent’s commitments under this act and shall post copies of the notice; (d) the
contractor, 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.
RFQ: Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services
& Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
Page 9
5. No Respondent 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.
6. No Respondent shall cause or influence, or attempt to cause or influence, any City officer or employee to use
his/her official capacity to secure unwarranted privileges or advantages for the respondents or any other
person.
7. Should any difference arise between the contracting parties as to the meaning or intent of these instructions or
specifications, the City’s decision shall be final and conclusive.
8. The City shall not be responsible for any expenditure of monies or other expenses incurred by the Respondent
in making its proposal.
9. The award of a contract will be subject to City of Orange’s “Contractor Pay-to-Play Reform” Ordinance §4-70,
et seq.
10. Pursuant to N.J.S.A. 52:32-44, Respondents should submit a copy of their Business Registration Certificate with
their Qualification Statement.
END OF GENERAL INSTRUCTIONS
REQUEST FOR QUALIFICATIONS
Litigation/Defense Counsel Services
Workers’ Compensation Counsel Services &
Special Conflict Counsel Services
January 1, 2025 - December 31, 2025
SUBMISSION CHECKLIST
This checklist must be completed and submitted along with all Qualification Statements. A submission that
does not contain all items listed in the checklist will be rejected.
Qualification Statement
Proof of Required Insurance Coverage
Mandatory Equal Employment Opportunity Compliance Statement
Federal Letter of Approval of Equal Employment Opportunity Policies, New Jersey Certificate of
Employee Information Report or AA-302 Employee Information Report
Americans with Disabilities Act Compliance Statement
Non-Collusion Affidavit
Business Ownership Disclosure
Political Contribution Disclosure
New Jersey Business Registration Certificate*
Authorized signatures on all documents (and notarized, as applicable)
Letter of Intent
Letter of Qualification
1 bound original and 2 paper copies.
* NOTE: N.J.S.A. 52:32-44 prohibits the City from entering any contract for goods or services unless the other party to the
contract provides a copy of valid business registration certificates for itself and any subcontractors it intends to utilize
in providing services.
The undersigned hereby acknowledges the above listed requirements.
For
(Individual or Firm Name)
By:
(Signature)
(Date)
(Printed Name)
(Title)
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127); N.J.A.C. 17:27
Goods, Professional Service and General Service Contracts
During the performance of this contract,
, (“contractor” or “subcontractor”,
as appropriate), 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,
affectional 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, upgrading, 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 City
of Orange Township (“City”) 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, where applicable, will send to each labor union or representative or workers
with which it has a collective bargaining agreement or other contract or understanding, a notice, to be provided
by the City advising the labor union or workers’ representative of the contractor’s commitments under the law,
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 employ minority and women workers
consistent with the applicable county employment goals established in accordance with N.J.A.C. l7:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but
not limited to, employment agencies, placement bureaus, colleges, universities, labor unions, that it does not
discriminate on the basis of age, creed, color, 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 applicable 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, 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 or subcontractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, 1 of the following 3 documents:
1. Federal Letter of Approval of Equal Employment Opportunity Policies;
2. Certificate of Employee Information Report; or,
3. Completed Employee Information Report Form AA302.
[REMAINDER OF PAGE INTENTIONALLY BLANK]
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT (cont’d)
N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127); N.J.A.C. 17:27
Goods, Professional Service and General Service Contracts
The contractor or subcontractor shall furnish such reports or other documents to the City as may be requested
from time to time in order to carry out the purposes of these regulations, and the City may furnish such
information as may be requested by the New Jersey Division of Purchase & Property, Contract Compliance
Administration Unit, EEO Monitoring Program for purposes of conducting a compliance investigation pursuant
to N.J.A.C. 17:27-10 et seq.
The undersigned hereby acknowledges the above listed requirements.
For
(Individual or Firm Name)
By:
(Signature)
(Date)
(Printed Name)
(Title)
MANDATORY AMERICANS WITH DISABILITIES ACT COMPLIANCE STATEMENT
42 U.S.C. §§ 12101 et seq.
Goods, Professional Service and General Service Contracts
During the performance of this contract,
, (“contractor”), agrees as follows:
The provisions of Tile 11 of the Americans With Disabilities Act of 1990 (“Act”), 42 U.S.C. §§ 12101 et seq., which
prohibit 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 part of this contract. In providing any aid, benefit, or service on behalf of the City of Orange Township
(“City”) pursuant to this contract, the contractor agrees that performance shall be in strict compliance with the
Act. In the event that the contractor or subcontractor, or its agents, servants, employees, or subcontractors
violates or are alleged to have violated the Act during the performance of this contract, the contractor shall
defend the City in any action or administrative proceeding commenced pursuant to this Act. The contractor
shall indemnify, protect, and save harmless the City, 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 complaints brought pursuant to the City’s grievance procedure, the
contractor agrees to abide by any decision of the City rendered pursuant to said grievance procedure. If any
action or administrative proceeding results in an award of damages against the City, or if the City incurs any
expenses to cure a violation of the Act pursuant to its grievance procedure, the contractor shall satisfy and
discharge the same at its own expense.
The City 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 City or any of its agents, servants and employees, the City shall expeditiously forward or have
forwarded to the contractor every demand, complaint, notice summons, pleading, or other process received by
the City and/or its representatives.
It is expressly agreed and understood that any approval by the City 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 City pursuant hereto.
It is further agreed and understood that the City 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 contract. Furthermore, the contractor expressly understands and agrees that the provisions
of this indemnification shall in no-way limit the contractor’s obligations assumed in the contract, and shall not
be construed to relieve the contractor from any liability or preclude the City from taking any other actions
available to it under any other provisions of the contract or the law.
The undersigned hereby acknowledges the above listed requirements.
For
(Individual or Firm Name)
By:
(Signature)
(Date)
(Printed Name)
(Title)
NON-COLLUSION AFFIDAVIT
STATE OF NEW JERSEY
:
COUNTY OF
: ss.
I,
, on behalf of the firm of
, upon
my oath or affirmation, hereby depose and say:
1.
That I executed the documents submitted herein with full authority so to do;
2.
That neither I nor the firm has 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 contract;
3.
That all statements contained in the documents submitted herewith, and in this Affidavit are
true and correct, and made with full knowledge that the City of Orange Township will rely upon the
truth of the statements contained therein in making determinations regarding award of this
contract; 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 proposer.
See N.J.S.A. 52:34-25.
The undersigned hereby acknowledges the above listed requirements.
For
(Individual or Firm Name)
By:
(Signature)
(Date)
(Printed Name)
(Title)
Sworn before me on this
day of
, 202_.
(Notary Public)
BUSINESS OWNERSHIP DISCLOSURE
Pursuant to N.J.S.A. 52:25-24.2, the City of Orange Township (“City”) is prohibited from awarding a contract to any business
entity unless, the business entity provides the City with a statement setting forth the names and addresses of all
individuals with 10.00% or more ownership interest therein at the time of proposal.
A. Business Entity Name & Organization
Legal Name of Business Entity:
Type of Entity:
“C” Corporation
“S” Corporation
Limited Liability Company
General Partnership
Limited Partnership
Limited Liability Partnership
B. Ownership Information
No single person or entity has 10.00% or greater ownership interest in the business entity.
Names and addresses for all persons or entities with at least 10.00% ownership interest in the business entity, along
with corresponding ownership interest percentages, are as follows (attach additional sheets as necessary):
Name
Address
Ownership %
If any owner identified above is a business entity list the names and addresses of all persons and/or entities owning at
least 10.00% of each such entity, repeating this process until the names and addresses of all non-businesses owning at
least 10.00% of the business and all related entities are disclosed (attach additional sheets as necessary):
Name
Address
Ownership %
If the business entity has a direct or indirect parent entity which is publicly traded, and any person holds a 10.00%
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 SEC (or foreign equivalent) that contain the name and
address of each person holding a 10.00% 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 necessary):
URL of Last Annual SEC (or foreign equivalent) Filing
Page #
BUSINESS OWNERSHIP DISCLOSURE CERTIFICATION (cont’d)
C. General Disclosures
The following questions must be answered as to the business entity and all parties identified in Part B above (“owner”).
To the extent the answer to any question is “yes”, a separate explanation identifying the relevant party(ies) and the
circumstances involved must be appended to this Disclosure.
Has the business or any owner been a party in litigation brought within the last 5 years involving laws
governing hours of labor, minimum wage standards, discrimination in wages or child labor?
Yes
No
Has the business or any owner ever been charged with, convicted of, under indictment, on parole, on
probation or a plaintiff in, any criminal or civil offense other than a minor motor vehicle violation?
Yes
No
Has the business or any owner ever been subject to, or have pending, any disciplinary action by any
administration, governmental or regulatory body?
Yes
No
Has the business or any owner ever been subject to any order resulting from any criminal, civil or
administrative proceeding brought by any administrative governmental, or regulatory agency?
Yes
No
Has the business or any owner ever been denied any license on the grounds of moral turpitude by any
administrative, governmental or regulatory agency?
Yes
No
Has the business or any owner been informed that it/he/she is the target of any current investigation
with respect to possible violations of state or federal securities, antitrust or criminal laws?
Yes
No
Has the business or any owner ever been denied a business-related license or had any such license
suspended or revoked by any administrative, governmental or regulatory agency?
Yes
No
Has the business or any owner ever been debarred, suspended or disqualified from contracting with
any federal, state or municipal agency?
Yes
No
Has the business or any owner ever been in receivership or adjudicated bankrupt?
Yes
No
Has the business or any owner ever been in default on a personal or business loan?
Yes
No
D. Certification
I hereby certify that the foregoing information and any attachments hereto are true and complete. I acknowledge that:
(a) I am authorized to execute this certification on behalf of the business entity and all parties listed in Parts A and B
above; (b) the City will rely on the information contained herein and the business and all owners are under a continuing
obligation to notify the City in writing of any changes to the information contained herein; and, (c) I am aware that it is
a criminal offense to make a false statement or misrepresentation in this certification, and if I do, the City will reject this
submission and I may be subject to prosecution.
For
(Individual or Firm Name)
By:
(Signature)
(Date)
(Printed Name)
(Title)
POLITICAL CONTRIBUTION DISCLOSURE
Pursuant to N.J.S.A. 19:44A-20.26, this form must be submitted not later than 10 days prior to the award of any contract
with the City of Orange Township (“City”).
A. Instructions
All persons and business entities contracting with the City must disclose contributions to:
1.
any continuing political committee (i.e., political action committee); and/or,
2.
any candidate committee of a candidate for, or holder of, an elective office of the
City, the County of Essex, another public entity within the County of Essex, and/or
the legislative district where the City is located, (see Part B below).
The disclosure must list reportable contributions to any of the committees that exceed $200.00 per election cycle, made
during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8; N.J.S.A. 19:44A-16. For business entities, this
requirement applies to:
•
individuals with an ownership interest or control of more than 10.00% of the
profits or assets of the business entity;
•
all principals, partners, officers, or directors of the business entity and their
respective spouses;
•
any subsidiaries directly or indirectly controlled by the business entity;
•
any New Jersey-based IRS Code § 527 organization, directly or indirectly controlled
by the business entity and filing as a continuing political committee (i.e., PAC).
When the contractor is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be
deemed to be a contribution [by the contractor].” N.J.S.A. 19:44A-20.26(b).
Any contractor that fails to comply with these disclosure provisions shall be subject to a fine imposed by the New Jersey
Election Law Enforcement Commission in an amount based upon the amount that the contractor 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, N.J.S.A. 47:1A-1 et seq.
B. List of Agencies & Elected Officials Required for Disclosure
State:
Governor, and Legislative Leadership Committees
Legislative Districts:
21, 27, 28, 29, 34, 36, and 40
1 State Senator and 2 members of the General Assembly per district
County:
County Executive; Commissioners; County Clerk; Sheriff; Surrogate; Registrar of Deeds
Municipalities (mayor and members of governing body, regardless of title):
Belleville Township
Irvington Township
City of Orange Township
Bloomfield Township
Livingston Township
Roseland Borough
Caldwell Borough
Maplewood Township
South Orange Village
Cedar Grove Township
Millburn Township
Verona Township
City of East Orange
Montclair Township
West Caldwell Township
Essex Fells Borough
City of Newark
West Orange Township
Fairfield Township
North Caldwell Borough
Glen Ridge Borough
Nutley Township
[CONTINUED ON NEXT PAGE]
POLITICAL CONTRIBUTION DISCLOSURE (cont’d)
B. List of Agencies & Elected Officials Required for Disclosure (cont’d)
Boards of Education (members of the board):
Belleville Public School District
Irvington Public School District
Roseland Public School District
Bloomfield Public School District
Livingston Public School District
South Orange-Maplewood PSD
Caldwell-West Caldwell PSD
Millburn Public School District
Verona Public School District
Cedar Grove Public School District
Newark Public School District
West Essex Regional PSD
Essex Fells Public School District
North Caldwell Public School District
West Orange Public School District
Fairfield Public School District
Nutley Public School District
Glen Ridge Public School District
Orange Public School District
C. Contractor Information
Legal Name of Business Entity:
Address:
D. Reportable Contribution Disclosure
Pursuant to N.J.S.A. 19:44A-20.26, this disclosure must include all reportable political contributions (more than $200.00
per election cycle) over the 12 months prior to submission (attach additional sheets as necessary).
No reportable contributions.
Contributor
Recipient
Date
Amount
E. Certification
The undersigned, being authorized, hereby certifies that the submission provided herein complies with the provisions
of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.
By:
(Signature)
(Date)
(Printed Name)
(Title)
LETTER OF QUALIFICATION
Date
Attn: Gracia Robert Montilus
City Attorney
City of Orange Township
29 N. Day Street
Orange, NJ 07050
RE:
Request for Qualifications
Dear Mr. Montilus:
The undersigned has reviewed our Qualification Statement submitted in response to the Request for
Qualifications (RFQ) issued by the City of Orange (“City”), dated October 31, 2024, in connection with the City’s need
for ___________________________________ Services.
We affirm that the contents of our Qualification Statement (which Qualification Statement is incorporated
herein by reference) are accurate, factual and complete to the best of our knowledge and belief and that the Qualification
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 spaces provided below. If a joint venture, appropriate officers of each
company shall sign.)
Signature of Chief
Signature of Chief
Executive Officer
Financial Officer
Typed Name and Title
Typed name and Title
(Type Name of Firm) *
(Type Name of Firm)*
Dated:
Dated:
*
If a joint venture, partnership or other formal organization is submitting a RFQ, each participant
shall execute this Letter of Qualification.
LETTER OF INTENT
Date
Attn: Gracia Robert Montilus
City Attorney
City of Orange Township
29 N. Day Street
Orange, NJ 07050
RE:
Request for Qualifications
Dear Mr. Montilus:
The undersigned has reviewed our Qualification Statement submitted in response to the Request for
Qualifications (RFQ) issued by the City of Orange (“City”), dated October 31, 2024, in connection with the City’s need
for___________________________ Services.
(Name of Respondent)__ HEREBY STATES:
1.
The Qualification Statement contains accurate, factual and complete information.
2.
(Name of Respondent) agrees to participate in good faith in the procurement process as described in
the RFQ and to adhere to the City’s procurement schedule.
3.
(Name of Respondent) acknowledges that all costs incurred by it in connection with the preparation
and submission of the Qualification Statement and any proposal prepared and submitted in response to the RFQ, or
any negotiation which results therefrom shall be borne exclusively by the Respondent.
4.
(Name of Respondent) hereby declares that the only persons participating in this Qualification
Statement as Principals are named herein and that no person other than those herein mentioned has any participation
in the Qualification 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 Qualification Statement is made without connection with any
other person, firm or parties who has submitted a Qualification Statement, except as expressly set forth below 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 modify, amend, suspend and/or
terminate the procurement process (in its sole judgment). In any case, the City shall not have any liability to the
Respondent for any costs incurred by the Respondent with respect to the procurement activities described in this RFQ.
7.
(Name of Respondent) acknowledges that any contract executed with respect to the provision of [insert services]
must comply with all applicable affirmative action and similar laws. Respondent hereby agrees to take such actions as are required
in order to comply with such applicable laws. (Respondent shall sign and complete the space provided below. If a joint venture,
appropriate officers of each company shall sign.)
(Signature of Chief Executive Officer)
(Typed Name and Title)
(Type Name of Firm)
Dated:___________
*If a joint venture, partnership or other formal organization is submitting a RFQ, each participant shall execute this
Letter of Intent.
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Gracia Robert Montilus
City Attorney · Department of Law
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Timeline
First Discovered
Mar 31, 2026
Last Info Update
Apr 30, 2026
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