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East Brunswick Township Request for Qualifications – Due January 22, 2020 at 10:00 a.m.
BID #: 3
ISSUED: 12/27/2019
DUE: 1/22/2020
VALUE: TBD
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Executive Summary
The Township of East Brunswick is soliciting qualifications from various professionals for appointments from January 1, 2020, through December 31, 2020, and for special projects on a project-by-project basis. Sealed submissions are due to the Township Clerk on Wednesday, January 22, 2020, at 10:00 AM prevailing time, at the Municipal Building. The RFQ process includes the issuance of the RFQ, receipt and evaluation of qualification statements, and the award of professional services agreements. Qualification Statements received after the deadline will be returned unopened.
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Bid Postings • East Brunswick Township Request for Qualifica Skip to Main Content Home Contact Us Accessibility Site Map /QuickLinks.aspx About EB Community Departments Government Recreation & Parks Public Safety Search Township Home Page Recreation & Parks Public Safety Township Clerk Home Bid Postings Print Sign up to receive a text message or email when new bids are added! Print Bid Title: East Brunswick Township Request for Qualifications – Due January 22, 2020 at 10:00 a.m. Category: Request for Qualifications Status: Closed Description: TOWNSHIP OF EAST BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY SOLICITATION OF QUALIFICATIONS FOR VARIOUS PROFESSIONALS FOR APPOINTMENT FROM JANUARY 1, 2020 THROUGH DECEMBER 31, 2020 AND SPECIAL PROJECTS ON A PROJECT-BY-PROJECT BASIS NOTICE IS HEREBY GIVEN that sealed submissions will be received by the Township Clerk, or designated representative, for the Township of East Brunswick, on Wednesday, January 22, 2020, 10:00 AM prevailing time, in the Large Conference Room, Municipal Building, One Jean Walling Civic Center Drive, East Brunswick NJ 08816, then opened and reviewed for completeness for the following: LEGAL SERVICES • Library Board Attorney • Library Board Conflict Attorney • Library Board Labor Relations Attorney • Township Special Legal Conflict Counsel PUBLIC DEFENDER • Public Defender Publication Date/Time: 12/24/2019 12:00 AM Publication Information: SOLICITATION OF QUALIFICATIONS FOR VARIOUS PROFESSIONALS Closing Date/Time: 1/22/2020 10:01 AM Contact Person: Nennette Perry Township Clerk \ Registrar East Brunswick Township One Civic Center Drive P O Box 1081 East Brunswick NJ 08816 732-390-6850 Fax 732-238-8848 nperry@eastbrunswick.org Related Documents: RFQs due January 22, 2020 Return To Main Bid Postings Page Live Edit Legal Notices & Public Documents Recreation & Parks Registration Solid Waste & Recycling Taxes, Utilities & Online Payments EB Codebook Ice Arena Contact Us East Brunswick Municipal Building 1 Jean Walling Civic Center Drive | East Brunswick, NJ 08816 Phone Directory | Email Home Contact Us Accessibility Site Map /QuickLinks.aspx Quick Links Bid Opportunities OPRA Requests Job Vacancies CivicReady Alerts Public Documents & Legal Notices /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: RFQs due January 22, 2020 --- TOWNSHIP OF EAST BRUNSWICK, MIDDLESEX COUNTY, NEW JERSEY SOLICITATION OF QUALIFICATIONS FOR VARIOUS PROFESSIONALS FOR ΑΡΡΟΙΝΤΜENT FROM JANUARY 1, 2020 THROUGH DECEMBER 31, 2020 AND SPECIAL PROJECTS ON A PROJECT-BY-PROJECT BASIS NOTICE IS HEREBY GIVEN that sealed submissions will be received by the Township Clerk, or designated representative, for the Township of East Brunswick, on Wednesday, January 22, 2020, 10:00 AM prevailing time, in the Large Conference Room, Municipal Building, One Jean Walling Civic Center Drive, East Brunswick NJ 08816, then opened and reviewed for completeness for the following: LEGAL SERVICES Library Board Attorney Library Board Conflict Attorney Library Board Labor Relations Attorney Township Special Legal Conflict Counsel PUBLIC DEFENDER • Public Defender Standardized submission requirements and selection criteria are on file and available in the Township Clerk's office, One Jean Walling Civic Center Drive, East Brunswick NJ 08816 or on the Township's official website www.eastbrunswick.org in the Request for Qualifications\Proposals section. All professional service contractors are required to comply with the requirements of N.J.S.A. 52:32-44 (Business Registration of Public Contractors), N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 et seq. (Contract Compliance and Equal Employment Opportunities in Public Contracts). Submissions by Corporations and Partnerships shall include a completed Disclosure of Ownership from N.J.S.A. 52:25-24.2 and shall include a completed Non-Collusion Affidavit. The Township reserves the right to reject any and all submissions due to any defects or waive informalities and accept any submissions that in their judgement will be in the best interest of the Township. ATTEST: Nennette Perry, Township Clerk REQUEST FOR QUALIFICATIONS 1860 SHIP OF EAST BRUNSWICK NJ OL-HEART PLAN HOME EDUCATION COMMERCE PURPOSE PROGRESS OF MIDDLESEX COUNTY ISSUE DATE: December 27, 2019 DUE DATE: January 22, 2020 @ 10:00 a.m. Issued by: Township of East Brunswick 1Jean Walling Civic Center East Brunswick, New Jersey 08816 Tel.(732) 390-6850 Fax. (732) 238-8845 www.eastbrunswick.org Legal Publication Date: East Brunswick Township website December 27, 2019 GLOSSARY The following definitions shall apply to and are used in this Request for Qualifications: • • • • • "Township" - refers to the Township of East Brunswick, its officers and elected and appointed officials, employees and advisors and consultants. "Due Date" - refers to the date and time by which Qualification Statements must be received by the Township in order to be considered for award of the contract or position. "Qualification Statement" - refers to a Respondent's complete response to this RFQ. "Qualified Respondent" refers to those Respondents who (in the sole judgment of the Township) have satisfied the qualification criteria set forth in this RFQ. "RFQ" refers to this Request for Qualifications, including any amendments thereof or supplements thereto. "Respondent" or "Respondents" refers to the interested individuals and firms that submit Qualification Statements. "Services" - refers to the professional services the Township seeks in this RFQ process. "Successful Respondent" refers to the Respondent selected by the Township to perform the Services. 1.1 SECTION 1 INTRODUCTION AND GENERAL INFORMATION Introduction and Purpose. The Township is soliciting Qualification Statements from interested persons and/or firms for the provision of the professional services described herein. Through a Request for Qualification process, persons and/or firms interested in assisting the Township with the provision of such services must prepare and submit a Qualification Statement in accordance with the procedure and schedule in this RFQ. The Township will review only Qualification Statements that include all the required information as described herein. The Township intends to qualify persons and/or firms that (a) possess the professional capabilities to provide the proposed services; (b) will agree to work under the compensation terms and conditions set forth; and (c) have demonstrated the capability and willingness to provide high quality services to the Township. 1.2 Procurement Process and Schedule. The selection of Qualified Respondents is subject to the New Jersey Local Unit Pay-to-Play Law, N.J.S.A. 19:44A-20.4 et seq. The Township has structured a competitive procurement process which insures that anyone interested in providing the services sought has an opportunity to submit a Qualification Statement in response to this RFQ. The Township will evaluate responses to this RFQ in accordance with the criteria set forth in Section 5. Based upon the totality of the information contained in the Qualification Statement, and from the Respondents' references, the Township will determine which Respondents are qualified. Each Respondent that meets the requirements of the RFQ (in the sole judgment of the Township) will be designated as a Qualified Respondent, and will be considered for selection by the Township. 2 Request for Qualifications The RFQ process commences with the issuance of this RFQ. The steps involved in the process and the anticipated completion dates are stated in the Anticipated Procurement Schedule. The Township reserves the right to, among other things, amend, modify or alter the Procurement Schedule upon notice to all potential Respondents who have provided contact information to the Clerk upon receipt of this RFQ. Qualification Statements must be received by the Township's Designated Contact Person, via mail or hand delivery, by 10:00 A.M. prevailing time on the Due Date. Qualification Statements received after 10:00 A.M. on the Due Date will be returned unopened. All communications concerning this RFQ or the RFQ process shall be directed to the Township's Designated Contact Person, in writing. The Designated Contact Person is: Nennette Perry, Municipal Clerk Township of East Brunswick 1 Jean Walling Civic Center Drive East Brunswick, New Jersey 08816-1081 ANTICIPATED PROCUREMENT SCHEDULE ACTIVITY DATE 1. Issuance of Request for Qualifications December 27, 2019 2. Receipt of Qualification Statements/ Due Date January 22, 2020 3 Completion of Evaluation of Qualification Statements January 24, 2020 4. Award of Professional Services Agreements January 27, 2020* *Or Next Available Council Meeting 1.3 Conditions Applicable to RFQ. Upon submitting a Qualification Statement in response to this RFQ, the Respondent acknowledges and consents to the following conditions: This document is an RFQ and does not constitute an RFP. This RFQ does not commit the Township to issue an RFP. All costs incurred by the Respondent in connection with responding to this RFQ shall be borne solely by the Respondent. There shall be no claims whatsoever against the Township, its staff or consultants for reimbursement or payment of costs or expenses incurred in the preparation of the Qualification Statement or other information required by the RFQ. The Township reserves the right to reject for any reason any and all responses and components thereof. The Township reserves the right to reject any Respondent that submits incomplete responses to this RFQ, or a Qualification Statement that is not responsive to the requirements of this RFQ. 3 Request for Qualifications 1.4 • • The Township reserves the right, without prior notice, to supplement, amend, or modify this RFQ, or to request additional information. All Qualification Statements shall become the property of the Township and will not be returned. All Qualification Statements will be made available to the public at the appropriate time, as determined by the Township in accordance with law. Any Qualification Statements not received by the Township timely will be rejected. The Township shall not be liable for any claims or damages alleged to have been incurred as a result of this RFQ process, including the Township's review of Qualification Statements and its award of contracts. Rights of Township. The Township reserves the following rights with regard to this RFQ and the procurement process in accordance with the provisions of applicable law: • • • • • To determine that any Qualification Statement received complies or fails to comply with the terms of this RFQ. To supplement, amend or otherwise modify the RFQ through issuance of addenda to all prospective Respondents who have received a copy of this RFQ. To waive any technical non-conformance with the terms of this RFQ. To change or alter the schedule for any events called for in this RFQ upon the issuance of notice to all prospective Respondents who have received a copy of this RFQ. To conduct investigations of any or all of the Respondents, as the Township deems necessary or convenient, to clarify the information provided as part of a Qualification Statement, and to request additional information to support the information included in any Qualification Statement. To suspend or terminate the procurement process described in this RFQ at any time, commence a new procurement process, or exercise any other rights provided under applicable law without any obligation to the Respondents. The Township shall be under no obligation to complete all or any portion of the procurement process described in this RFQ. 1.5 Addenda or Amendments to RFQ. After the issuance of the RFQ, but no later than five (5) business days prior to the Due Date, the Township may issue addenda, amendments or answers to written inquiries. Addenda will be noticed by the Township and will constitute a part of the RFQ. All responses to the RFQ shall be prepared with full consideration of any addenda issued. 4|Request for Qualifications 1.6 Proposal Format. Responses should cover all information requested in Section 3 of this RFQ. Responses that do not 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 The Township seeks Qualification Statements from Respondents that have expertise in the provision of services as outlined in the Notice of Solicitation. Refer to Appendix A for Scope of Services by particular profession. 3.1 General Requirements. SECTION 3 SUBMISSION REQUIREMENTS Respondent's Qualification Statement must meet or exceed the professional, administrative and financial qualifications set forth in this Section 3 and shall incorporate the information requested below. In addition to the information described below, Respondents are invited to submit supplemental information that may be useful to the Township in evaluating the Qualification Statement. This information may include, for example, a firm profile or brochure. 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 documentation and 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 Intent (See Exhibit A). 3. Name, address and telephone number of the individual or firm submitting the Qualification Statement and the name of the key contact person. 4. A statement that the Respondent has complied with all applicable affirmative action (or similar) requirements with respect to its business activities (e.g. N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 as amended) and evidence of such compliance. (See Exhibit B) 5. The number of years Respondent has been in practice. 6. Any judgments within the last three years in which Respondent has been adjudicated liable for professional malpractice. If any, please provide the docket numbers. 5 Request for Qualifications 3.3 7. 8. Whether Respondent or its firm is now or has been involved in any bankruptcy or re- organization proceedings in the last ten years. If so, please provide the docket numbers. A statement that principals have no immediate relatives who are Township employees or elected officials. Professional Information Requirements. 1. Respondent shall submit a description of its overall experience in providing the same or similar Services. At a minimum, the following information should be included as appropriate: a. Description and scope of Respondent's work experience. b. Three business references, including contact information. с. 2. Explanation of perceived relevance of Respondent's experience to the RFQ. Describe those portions of the Respondent's services, if any, that are sub-contracted. Identify all subcontractors the Respondent anticipates using in connection with the Services. 3. Resumes of key employees who will be assigned to provide the Services. 3.4 Services Fees. 1. Refer to Scope of Services. 2. Respondents should take careful note of the following: a. Respondent shall be reimbursed for out-of-pocket expenses that shall include, but not be limited to: b. с. (i) Faxes and conference calls; (ii) (iii) (iv) Payment of filing, application fees, review fees and similar charges; Outside printing, reproduction, binding, collating, graphic services; Messenger service and overnight mail. Charges incurred under (iii) and (iv) must be pre-approved by the Township. Respondent shall send monthly invoices to the Township detailing the Services performed. The Township shall require that upon performing Services totaling 70 percent of the encumbered amount, whether or not all Services have been invoiced to the Township, the Respondent shall provide the Township with an estimate of additional funds that may be necessary to conclude the matter. Additional funds must be approved by resolution of the Township Council. The Township expects its professional service providers to maintain time-management control systems to ensure compliance with this RFQ requirement. 6 Request for Qualifications 4.1 SECTION 4 INSTRUCTIONS TO RESPONDENTS Submission of Qualification Statements. Respondents must submit an original and two copies of its Qualification Statement to the Designated Contact Person: Nennette Perry, Municipal Clerk Township of East Brunswick 1 Jean Walling Civic Center Drive East Brunswick, New Jersey 08816-1081 To be responsive, Qualification Statements must provide all requested information, and must be in strict conformance with the instructions set forth herein: 4.2 1. 2. 3. 4. Qualification Statements must be received by the Township no later than the Due Date, and must be mailed or hand-delivered. Qualification Statements forwarded by facsimile or email will not be considered. Qualification statements received after the designated time on the Due Date will be returned, unopened, to the sender. The Respondent is solely responsible for delays in delivery. Qualification Statements and all Forms (Exhibits A through J) and other related information must be stapled or bound, and signed by the Respondent. If Respondent is other than a natural person, the Qualification Statement must be signed by an individual with power to bind the Respondent. The name of the Respondent and the position or contract for which the submission is being made must be printed on the outside of the package containing Respondent's submission. The Township will, in its sole discretion, determine whether to qualify more than one Respondent for the Services. Respondents are reminded that the forms attached to this RFQ must be completed and submitted with their Qualifications Statements. See also, Exhibit C for a list of documents that must be submitted with the proposal and those that that successful Respondents must present to the Township prior to the Township's executing a contract for services with the Respondent. Legislation Compliance Respondents are to submit a Certification of Political Contribution pursuant to N.J.S.A. 19:44A- 20.4 et seq. with their proposals. A Certification form is provided as Exhibit G. 7 Request for Qualifications SECTION 5 EVALUATION The Township's objective in soliciting Qualification Statements is to enable it to select a firm, individual, or organization that will provide high quality and cost effective services to the taxpayers of the Township. The Township will consider Qualification Statements only from firms, individuals, or organizations that, in the Township's judgment, have demonstrated the capability and willingness to provide high quality services to the taxpayers of the Township in the manner described in this RFQ. The Township will consider all relevant factors, including, but not limited to: 1. 2. Qualifications of firm, specifically as they relate to this Project. Related project experience of the firm(s) and the individuals who would be assigned to the Project. 3 Familiarity with the Township. 4. Available resources to complete project. This criterion would include the analytical, design tools, personnel, resources or methodologies commonly used by the firm that may be applicable to the project categories. 5. Other factors determined to be in the best interest of the Township. 8|Request for Qualifications Exhibit A LETTER OF INTENT (To be prepared on Respondent's Letterhead. No modifications may be made to this letter) Date: Nennette Perry, Municipal Clerk Township of East Brunswick 1 Jean Walling Civic Center Drive East Brunswick, New Jersey 08816-1081 Re: Letter of Intent Dear Ms. Perry: The undersigned, as Proposer, has (have) submitted the attached Proposal in response to a Request for Proposals Qualifications (RFP\RFQ), issued by the Township of East Brunswick dated in connection with the "Scope of Services". The undersigned hereby states: 1. The Proposal contains accurate, factual and complete information to the best of our knowledge and belief. The Proposal is submitted in good faith. I/we understand that any false statement may result in my/our disqualification. 2. Proposer agrees to participate in good faith in the procurement process described in the RFP and to adhere to the Township's procurement schedule. 3. Proposer acknowledges that all costs incurred by it (them) in connection with the preparation and submission of the Proposal, amendments thereto, and any other documents prepared and submitted in response to the RFP, or any negotiation which results therefrom shall be borne exclusively by the Proposer 4. Proposer hereby declares that the only persons anticipated by Proposer to perform the professional services for which this Proposal is submitted are named herein and that no person other than those herein named participated in this Proposal or will participate in any contract to be entered into between Proposer and the Township. Proposer declares that this Proposal is made without connection with any other person, firm or parties who has submitted a Proposal, except as expressly set forth below, and that it has been prepared and submitted in good faith and without collusion or fraud. 5. Proposer acknowledges and agrees that the Township may modify, amend, suspend and/or terminate the procurement process (in its sole judgment). 6. Proposer acknowledges that if it becomes the Successful Proposer and is awarded a contract to provide the Services, it shall comply with all applicable affirmative action and equal employment opportunity laws Signed: Printed: Title: *If a joint venture, partnership or organization other than a natural person is submitting a Proposal, this Letter of Qualification must be signed by an individual with the authority to bind the organization. 9 Request for Qualifications Exhibit B EXHIBIT A - MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE PER N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27-1.1 et seq. GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS During the performance of this contract, the contractor agrees as follows: The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will 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, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. 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 selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause. The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. The contractor or subcontractor, 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 agency contracting officer advising the labor union or workers' representative of the contractor's commitments under this act 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. 17:27-5.2, or a binding determination of the applicable county employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2. 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. 10 Request for Qualifications Exhibit B, Continued 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 shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents: Letter of Federal Affirmative Action Plan Approval Certificate of Employee Information Report Employee Information Report Form AA302 The contractor and its subcontractors shall furnish such reports or other documents to the Div. of Contract Compliance & EEO as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Div. of Contract Compliance & EEO for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27-1.1 et seq. 11 Request for Qualifications Exhibit C CHECKLIST FOR ITEMS TO BE SUBMITTED WITH QUALIFICATIONS STATEMENT FAILURE TO SUBMIT ANY OF THESE ITEMS IS MANDATORY CAUSE FOR REJECTION OF RFP\RFQ Read, Acknowledged, Signed & Submitted Respondent's Initial 1 2 Letter of Intent (Ex. A) 3 4 5 6 7 8 Affirmative Action Letter, Certificate or Employee Information Report AA-302 (Ex. B) (Submit Copy of State Certificate of Employee Information Report Prior to Contract Award) Disclosure Statement (Ex. D) Non-Collusion Affidavit (Ex. E) Certification of Political Contributions (Ex. G) Proposal Form (Ex. H) Acknowledgement of Receipt of Addenda (Ex. I) Disclosure of Investment Activities in Iran (Ex. J) DOCUMENTS REQUIRED PRIOR TO CONTRACT EXECUTION 1 2 READ ONLY 1 Business Registration Certificate (BRC) from the State of New Jersey Department of Treasury, Division of Revenue) (N.J.S.A. 52:32-44) (SUBMISSION OF CERTIFICATE WITH RESPONSE PREFERRED) Certificate of Insurance Evidencing Comprehensive Liability, Property/Casualty ($2 million aggregate/$1million per occurrence) (or less if Umbrella coverage is present); Workers Compensation (statutory limits); and Professional Malpractice (if applicable) ($2 million aggregate/$1 million per occurrence) naming Township as additional insured. Americans With Disability Act of 1990 Language (Ex. F) Signature: The undersigned hereby acknowledges that he/she has submitted the required documents with the Qualifications Statement and will submit the remaining required documents prior to execution of a contract with the Township. Name of Respondent/ Firm: Print Name and Title: Signature: Date: 12 Request for Qualifications EXHIBIT D STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, с.43) This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or proposal. Name of Organization: Organization Address: Part I - Check the box that represents the type of business organization: Sole Proprietorship (skip Parts II and III, execute certification in Part IV) Non-Profit Corporation (skip Parts II and III, execute certification in Part IV) For-Profit Corporation (any type) Limited Liability Company (LLC) Partnership Limited Partnership Limited Liability Partnership (LLP) Other (be specific): Part II The list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more if its stock, of any class, or of all individual partners in the partnership who own a 10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV) (Please attach additional sheets if more space is needed): Name of Individual or Business Entity Home Address (for Individuals) or Business Address Part III - DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II 13 Request for Qualifications If a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #'s Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part II other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Corresponding Entity Listed in Part II Home Address (for Individuals) or Business Address Part IV - Certification I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the bidder/proposer; that the Township of East Brunswick is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the completion of any contracts with Township of East Brunswick to notify the Township of East Brunswick in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the Township of East Brunswick to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): Signature: Title: Date: 14 Request for Qualifications Exhibit E NON-COLLUSION AFFIDAVIT of the City of and the State of of full age, being duly sworn I, In the County of according to law on my oath depose and say that: I am of the firm of the Proposer herein, and I executed the Proposer with full authority to do so; that the Proposer has not directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive proposing in connection with the above-named Vendor, and that all statements contained in the Proposal and in this affidavit are true and correct, and made with full knowledge that the Township of East Brunswick relies upon the truth of the statements contained in the Proposal and the statement in this affidavit in awarding the contract. I further warrant that no person or selling agency has been employed or retained to solicit or secure a contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by (Name of Vendor) 15 | Request for Qualifications Signature Print or Type Name and Title Exhibit F AMERICANS WITH DISABLITIES ACT OF 1990 EQUAL OPPORTUNITY FOR INDIVIDUALS WITH DISABLITY The RESPONDENT and the TOWNSHIP OF EAST BRUNSWICK (herein referred to as the TOWNSHIP) do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U.S.C. S12101 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs and activities provided or made available by public entities, and the rules and regulation promulgated pursuant thereunto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the TOWNSHIP pursuant to this contract, the RESPONDENT agrees that the performance shall be in strict compliance with the Act. In the event the RESPONDENT, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the RESPONDENT shall defend the TOWNSHIP in any action or administrative proceeding commenced pursuant to this Act. The RESPONDENT shall indemnify, protect, and save harmless the TOWNSHIP, 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 the alleged violation. The RESPONDENT shall, at its own expense, appear, defend, and pay any and, all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the TOWNSHIP'S grievance procedure, the RESPONDENT agrees to abide by any decision of the TOWNSHIP, which is rendered pursuant to, said grievance procedure. If any action or administrative proceeding result in an award of damages against the TOWNSHIP or if the TOWNSHIP incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure the RESPONDENT shall satisfy an discharge the same at its own expense. The TOWNSHIP shall, as soon as practicable after a claim has been made against it, give written notice thereof to the RESPONDENT along with full and complete particulars of the claim. If any action or administrative proceeding is brought against the TOWNSHIP or any of its agents, servants, and employees, the TOWNSHIP shall expeditiously forward or have forwarded to the RESPONDENT every demand, complaint, notice, summons, pleading, or other process received by the TOWNSHIP or its representatives. It is expressly agreed and understood that any approval by the TOWNSHIP of the services provided by the RESPONDENT pursuant to this contract will not relieve the RESPONDENT of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the TOWNSHIP pursuant to this paragraph. It is further agreed and understood that the TOWNSHIP assumes no obligation to indemnify or save harmless the RESPONDENT, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the RESPONDENT expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the RESPONDENT'S obligations assumed in this Agreement, nor shall they be construed to relieve the RESPONDENT from any liability, nor preclude the TOWNSHIP from taking any other actions available to it under any other provisions of this Agreement or otherwise at law. 16 Request for Qualifications Name of Business Entity: (Proposer) Contact Person: Exhibit G CERTIFICATION OF POLITICAL CONTRIBUTIONS (Name and Title) Proposal Submitted for: (i.e., Township Engineer; Labor Counsel, etc.) Date of Proposal: STATE OF NEW JERSEY ) SS: COUNTY OF I am (title) ) ., being duly sworn, upon his/her oath deposes and says: of the Proposer referenced above. I have read Township of East Brunswick Ordinance No. 06-13 Establishing Restrictions on the Award of Contracts to Professional Entities and Certain Other Entities Who Make Certain Political Contributions, and pursuant to Section 3 (a) thereof, and I state that the Proposer has not made any contributions in violation of Section 1 of Ordinance No. 06-13 and amended by Ord. 19-23. 17 Request for Qualifications Exhibit H PROPOSAL FORM COMPLETE IF REQUIRED BY SCOPE OF SERVICES To the Municipal Clerk of the Township of East Brunswick: The Proposer whose signature is below declares that he/she has reviewed the RFP\RFQ. In the event this Proposal is accepted, and the Township awards a contract to this Proposer for the Services, Proposer agrees to perform the Services as set forth under Section 2 of the RFP\RFQ following total amount: Name of Proposer (Print) Signature $ (Proposal amount in numbers) $ (Proposal amount in words) 18 Request for Qualifications Title Date Exhibit I ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA The undersigned hereby acknowledges receipt of the following Addenda: Addendum Number Acknowledged for Name of Proposer By Signature of Authorized Representative Name
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Nennette Perry
Township Clerk \ Registrar · Township Clerk
hidden@email.com
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Timeline
First Discovered
Mar 31, 2026
Last Info Update
Apr 30, 2026
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