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RFQ - Professional Budget Consultant 2025
BID #: 60
ISSUED: 2/3/2025
DUE: 2/13/2025
VALUE: TBD
100
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Green Risk
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Executive Summary
The City of Orange Township is seeking Qualification Statements from individuals for professional budget consulting services. Respondents must be licensed by the State of New Jersey as a Certified Public Accountant and Registered Municipal Accountant, with demonstrated experience in independent municipal audits. The selected consultant will render opinions on the City's financial activities for the 2025 calendar year, from January 1, 2025, through December 31, 2025, and execute the City's agreement, including indemnification, insurance, termination, and licensing provisions.
The scope of work includes reviewing budget documents, assessing revenues, analyzing appropriations, preparing budget workbooks, evaluating property tax impacts, attending meetings, and preparing budget documents for submission to the State of New Jersey. Respondents must have at least 10 years of experience providing professional financial consulting services to governmental entities, with 5 years specifically in New Jersey municipalities.
Qualification Statements are due by 1:00 PM on February 13, 2025. The submission should include a cover page, executive summary with pricing proposals, descriptions of relevant experience, proposed fee schedule, references, and other required compliance documents, including insurance and business registration certificates.
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Bid Postings • RFQ - Professional Budget Consultant 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: RFQ - Professional Budget Consultant 2025 Category: Bids and Request for Proposals (RFPs) Status: Closed Description: The City is requesting Qualification Statements from individuals interested in providing professional budget consulting services to the City. Each respondent to this Request for Qualifications (“RFQ”) must be licensed by the State of New Jersey as both a Certified Public Accountant and Registered Municipal Accountant, and must demonstrate the technical expertise and experience necessary to perform independent audits of municipalities in the State of New Jersey. The successful respondent will be retained for the express purpose of rendering opinions on activities and procedures related to the City’s financial a?airs for the 2025 calendar year ( i.e. , January 1, 2025, through December 31, 2025), and will be required to execute the City’s form of agreement, which includes indemnification, insurance, termination and licensing provisions. A draft agreement is available for review upon request. The successful respondent will work with City Administration to provide the necessary professional consulting services and resources on a timely basis. The scope of work shall broadly include all professional budgetary consulting services the City may require, including without limitation: reviewing the budget document submitted by the Administration for the 2025 calendar year, including all anticipated revenue items and appropriation requirements; reviewing all anticipated revenues to determine maximum available revenues that may be utilized by the City to support the budget, and recommending where, if at all, it may be fiscally-prudent to anticipate or enhance additional revenue items; reviewing all supporting documentation submitted by the Administration to support budget appropriations, including the following: salary and wage requests; departmental expense requests; insurance costs; statutory costs ( e.g. , pension contributions, etc.); solid waste disposal expenses; debt service obligations; and, any other relevant matters; preparing a summarized budget workbook to assist the Municipal Council during the budget evaluation process; providing a detailed analysis of property tax impacts on property owners in the City; attending all Municipal Council meetings and public hearings related to the budget, an any other meetings as may be requested; preparing the budget document for submission to the State of New Jersey in the format as required by the Department of Community A?airs, Division of Local Government Services; and, providing continuous budgetary and other financial advisory services throughout 2025 calendar year as requested by the Administration and/or Municipal Council. Publication Date/Time: 2/3/2025 8:00 AM Closing Date/Time: 2/13/2025 1:00 PM Qualifications: At minimum, respondents must demonstrate the following to be considered: A. at least 10 years of experience providing professional financial consulting services to governmental entities, of which, at least 5 shall be in providing such services to New Jersey municipalities; B. current, valid licensure by the State of New Jersey as a Certified Public Accountant and as a Registered Municipal Accountant; and, C. demonstrated knowledge of the City’s current financial state. Special Requirements: There is no limit to the amount of information or supporting documentation a respondent may submit, however it is strongly suggested that submissions not exceed 30 pages. It should also be noted that the City is not obligated to search for clarification through additional or unformatted information accompanying the formatted response. Where conflicting information is provided, the City may, at its option, either request clarification or consider the information unresponsive. Notwithstanding, all Qualification Statements shall include at least the following information: A. a cover page identifying the RFQ title and listing the respondent’s contact information (e.g., name, address, telephone/fax, email, etc.); B. an executive summary highlighting key points of the respondent’s submission, including all pricing proposals; C. a description of the respondent’s experience, particularly in providing professional budget consulting services to governmental entities; D. a discussion of what the respondent believes the City’s intended budgeting strategy is, identifying any gaps between that strategy and the strategy respondent would recommend; E. a description of the respondent’s business structure (e.g., sole proprietor, corporation, LLC, partnership, etc.) and ownership, including the number of years the respondent has conducted business under his/her/its present name; F. resumes of all principals and professional sta? who would work directly with the City, as well as copies of valid New Jersey Certified Public Accountant and Registered Municipal Accountant licenses, as applicable; G. a list of any subcontractors the respondent proposes to utilize in providing services to the City, as well as the information listed under items 5 and 6 above for each subcontractor; H. a proposed fee schedule, including detailed breakdowns on all fee and cost components, as well as an estimate of the City’s total annual spend for all services provided; I. at least 2 references who can reflect on the respondent’s prior municipal experience, including: 1. name of municipality; 2. contact person and title; and, 3. telephone number and email address; J. a list of any judgments, claims or suits pending or outstanding against the respondent, with explanations regarding the nature and status of each; K. a statement regarding whether the respondent is now or was ever involved in any bankruptcy or reorganization proceedings during the last 10 years, with explanations of any such circumstances; L. proof of errors and omissions insurance with a policy limit of at least $1,000,000.00 per occurrence (the successful respondent will be required to provide a Certificate of Insurance naming the City as an additional insured); M. a signed Mandatory Equal Employment Opportunity Compliance Statement; N. a copy of a Federal Letter of Approval of Equal Employment Opportunity Policies, or New Jersey Certificate of Employee Information Report, or completed AA-302 Employee Information Report; O. a signed Americans with Disabilities Act Compliance Statement; P. a completed Non-Collusion A?davit; Related Documents: RFQ - Professional Budget Consultant 2025 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: RFQ - Professional Budget Consultant 2025 ---
Department of Administration
Christopher Hartwyk Business Administrator
Municipal Building
29 North Day Street, Second Floor
Orange, New Jersey 07050
REQUEST FOR
QUALIFICATIONS
P r o f e s s i o n a l B u d g e t C o n s u l t i n g Services
January 1, 2025 - December 31, 2025
SUBMISSION DEADLINE
1:00 PM – February 13, 2025
RFQ: Professional Budget Consulting Services
January 1, 2025 - December 31, 2025
Page 1
I.
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’s budget.
II. NATURE/SCOPE OF SERVICE
The City is requesting Qualification Statements from individuals interested in providing professional budget
consulting services to the City. Each respondent to this Request for Qualifications (“RFQ”) must be licensed by the State
of New Jersey as both a Certified Public Accountant and Registered Municipal Accountant, and must demonstrate the
technical expertise and experience necessary to perform independent audits of municipalities in the State of New Jersey.
The successful respondent will be retained for the express purpose of rendering opinions on activities and procedures
related to the City’s financial affairs for the 2025 calendar year (i.e., January 1, 2025, through December 31, 2025), and will
be required to execute the City’s form of agreement, which includes indemnification, insurance, termination and
licensing provisions. A draft agreement is available for review upon request.
A.
General Statement of Duties
The successful respondent will work with City Administration to provide the necessary professional consulting
services and resources on a timely basis. The scope of work shall broadly include all professional budgetary consulting
services the City may require, including without limitation:
1.
reviewing the budget document submitted by the Administration for the 2025 calendar year,
including all anticipated revenue items and appropriation requirements;
2.
reviewing all anticipated revenues to determine maximum available revenues that may be utilized
by the City to support the budget, and recommending where, if at all, it may be fiscally-prudent to
anticipate or enhance additional revenue items;
3.
reviewing all supporting documentation submitted by the Administration to support budget
appropriations, including the following:
a.
salary and wage requests;
b.
departmental expense requests;
c.
insurance costs;
d.
statutory costs (e.g., pension contributions, etc.);
e.
solid waste disposal expenses;
f.
debt service obligations; and,
g.
any other relevant matters;
4.
preparing a summarized budget workbook to assist the Municipal Council during the budget
evaluation process;
5.
providing a detailed analysis of property tax impacts on property owners in the City;
6.
attending all Municipal Council meetings and public hearings related to the budget, an any other
meetings as may be requested;
7.
preparing the budget document for submission to the State of New Jersey in the format as required
by the Department of Community Affairs, Division of Local Government Services; and,
8.
providing continuous budgetary and other financial advisory services throughout 2025 calendar
year as requested by the Administration and/or Municipal Council.
B.
Term of Appointment
The successful respondent shall be appointed for a period of 12 months, beginning January 1, 2025, and
continuing through December 31, 2025.
RFQ: Professional Budget Consulting Services
January 1, 2025 - December 31, 2025
Page 2
III. M A N D A T O R Y M I N I M U M QUALIFICATIOINS
At minimum, respondents must demonstrate the following to be considered:
A.
at least 10 years of experience providing professional financial consulting services to governmental
entities, of which, at least 5 shall be in providing such services to New Jersey municipalities;
B.
current, valid licensure by the State of New Jersey as a Certified Public Accountant and as a
Registered Municipal Accountant; and,
C.
demonstrated knowledge of the City’s current financial state.
IV. S U B M I S S I O N REQUIREMENTS
There is no limit to the amount of information or supporting documentation a respondent may submit, however
it is strongly suggested that submissions not exceed 30 pages. It should also be noted that the City is not obligated to
search for clarification through additional or unformatted information accompanying the formatted response. Where
conflicting information is provided, the City may, at its option, either request clarification or consider the information
unresponsive. Notwithstanding, all Qualification Statements shall include at least the following information:
A.
a cover page identifying the RFQ title and listing the respondent’s contact information (e.g., name,
address, telephone/fax, email, etc.);
B.
an executive summary highlighting key points of the respondent’s submission, including all
pricing proposals;
C.
a description of the respondent’s experience, particularly in providing professional budget
consulting services to governmental entities;
D.
a discussion of what the respondent believes the City’s intended budgeting strategy is, identifying
any gaps between that strategy and the strategy respondent would recommend;
E.
a description of the respondent’s business structure (e.g., sole proprietor, corporation, LLC,
partnership, etc.) and ownership, including the number of years the respondent has conducted
business under his/her/its present name;
F.
resumes of all principals and professional staff who would work directly with the City, as well as
copies of valid New Jersey Certified Public Accountant and Registered Municipal Accountant
licenses, as applicable;
G.
a list of any subcontractors the respondent proposes to utilize in providing services to the City, as
well as the information listed under items 5 and 6 above for each subcontractor;
H.
a proposed fee schedule, including detailed breakdowns on all fee and cost components, as well as
an estimate of the City’s total annual spend for all services provided;
I.
at least 2 references who can reflect on the respondent’s prior municipal experience, including:
1.
name of municipality;
2.
contact person and title; and,
3.
telephone number and email address;
J.
a list of any judgments, claims or suits pending or outstanding against the respondent, with
explanations regarding the nature and status of each;
K.
a statement regarding whether the respondent is now or was ever involved in any bankruptcy or
reorganization proceedings during the last 10 years, with explanations of any such circumstances;
L.
proof of errors and omissions insurance with a policy limit of at least $1,000,000.00 per occurrence
(the successful respondent will be required to provide a Certificate of Insurance naming the City as
an additional insured);
M.
a signed Mandatory Equal Employment Opportunity Compliance Statement;
N.
a copy of a Federal Letter of Approval of Equal Employment Opportunity Policies, or New Jersey
Certificate of Employee Information Report, or completed AA-302 Employee Information Report;
O.
a signed Americans with Disabilities Act Compliance Statement;
P.
a completed Non-Collusion Affidavit;
RFQ: Professional Budget Consulting Services
January 1, 2025 - December 31, 2025
Page 3
Q.
a completed Business Ownership Disclosure for the respondent and each proposed subcontractor;
R.
a completed Political Contribution Disclosure for each principal with 10% or greater ownership
interest in the respondent and/or any proposed subcontractor; and,
S.
a valid New Jersey Business Registration Certificate for the respondent and each proposed
subcontractor.
Each respondent must submit 1 bound original, 5 paper copies, and a digital copy of the complete Qualification
Statement, no later than 1:00 PM, prevailing time, on February 13, 2025, addressed to:
City of Orange Township
Department of Law
ATTN: Gracia Robert Montilus, Esq., City Attorney
29 North Day Street, Second Floor
Orange, New Jersey 07050
The Qualification Statement and all required forms must be signed in ink by the respondent, or a person authorized to
do so on his/her/its behalf.
Submissions may be sent by mail, courier service (e.g., FedEx, UPS, etc.), or delivered by hand—email or fax is not
permitted. Qualification Statements received after the submission deadline will be rejected without notice. All questions
regarding this RFQ must be submitted in writing to the City Attorney at the address above.
V. SUBMISSION EVALUATION & CONTRACT AWARD
The Administration’s objective in soliciting Qualification Statements is to enable the City to select professionals
that will provide high quality and cost-effective services. The City Attorney will review all timely submissions for
completeness and minimum compliance, and only those that demonstrate the capability and willingness to provide
high quality services in the manner required will be evaluated by the Administration.
A.
Evaluation Methodology
Each submission will be evaluated to determine if the respondent has met the professional and administrative
requirements described in this RFQ, with greater consideration given to:
1.
the extent to which the submission complies with the requirements set forth under Section IV
above;
2.
the extent to which the respondent’s approach to budgeting strategies fits with the City’s financial
goals—the respondent should describe his/her/its specific approach and how it will meet the City’s
needs;
3.
the respondent’s prior experience; and,
4.
the respondent’s cost proposal—the successful respondent will be that who proposes the greatest
value to the City, and whose pricing is appropriate to the work scope, which may not necessarily be
the respondent with the lowest proposed cost.
The successful respondent shall be determined by an evaluation of the Qualification Statement submitted, and the City
is under no obligation to explain the results of the evaluation process to any respondent or other third party.
B.
Contract Award
A contract will be awarded a professional service agreement under a “fair and open” process as defined under the
New Jersey Campaign Contributions and Expenditures Reporting Act, N.J.S.A. 19:44A-1 et seq. The Municipal Council will
take action on this RFQ within 60 days of the submission deadline.
[REMAINDER OF PAGE INTENTIONALLY BLANK]
RFQ: Professional Budget Consulting Services
January 1, 2025 - December 31, 2025
Page 4
VI. GENERAL TERMS & CONDITIONS
The following are general terms and conditions applicable to this RFQ that may not be explained elsewhere.
A.
City’s Rights
The City reserves the right to modify all procurement schedules with notice to applicable potential respondents.
Furthermore, the City reserves, holds and may exercise, at its sole discretion, the following rights and options with regard
to this RFQ and the procurement process:
1.
the right to investigate any respondent as the City deems necessary or convenient to clarify the
information provided as part of the Qualification Statement, and to request additional information
to support the information included in any submission;
2.
the right to suspend or terminate the procurement process described in this RFQ at any time, and
if terminated, the right to commence a new procurement process without any obligation to the
Respondents;
3.
the right to reject any or all submissions, and/or to waive any immaterial deficiencies in any
Qualification Statement, should it be deemed in the City’s best interest; and,
4.
all other rights provided under applicable law.
B.
Cost of Preparation & Submission
Each Qualification Statement and all information required to be submitted pursuant to the RFQ shall be
prepared at the respondent’s sole cost and expense. Any claims against the City, its officers, officials or employees for
reimbursement of costs or expenses associated with preparation of the Qualification Statement or other information
required by the RFQ will be rejected.
C.
Disposition of Submission
By responding to this RFQ, respondents acknowledge that all submissions shall become property of the City and
will not be returned. In accordance with the law, the successful respondent’s entire submission will become publicly
available following the contract award.
[REMAINDER OF PAGE INTENTIONALLY BLANK]
REQUEST FOR QUALIFICATIONS
P r o f e s s i o n a l B u d g e t C o n s u l t i n g Services
January 1, 2025 - December 31, 2025
S U B M I S S I O N 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)
1 bound original, 5 paper copies, and 1 electronic copy of entire submission
* 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)
M A N D A T O R Y E Q U A L E M P L O Y M E N T O P P O R T U N I T Y C O M P L I A N C E 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]
M A N D A T O R Y E Q U A L E M P L O Y M E N T O P P O R T U N I T Y C O M P L I A N C E S T A T E M E N T (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)
N O N - C O L L U S I O N 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 #
B U S I N E S S O W N E R S H I P D I S C L O S U R E C E R T I F I C A T I O N (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)
P O L I T I C A L C O N T R I B U T I O N 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]
P O L I T I C A L C O N T R I B U T I O N D I S C L O S U R E (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
S o u t h O r a n g e - M a p l e w o o d 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)
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Contacts
Gracia Robert Montilus, Esq.
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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