Professional Services Packet 12/8/2022

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ISSUED: 12/8/2022

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This document, the "Professional Services Packet" from the Borough of Elmer, outlines the standardized forms, requirements, and legal conditions for contractors providing professional services to the Borough. It details comprehensive insurance requirements, including minimum coverage limits for General Liability (e.g., $1,000,000 per occurrence, $2,000,000 general aggregate), and mandates the Borough of Elmer be listed as an "Additional Insured." Additionally, it includes a sample contract template, mandatory Equal Employment Opportunity (EEO) language, and a bid checklist specifying required submission documents such as professional licenses, certificates of good standing, proposed compensation, resumes, and New Jersey Business Registration Certificates. The packet emphasizes compliance with various New Jersey statutes, including EEO provisions (N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27). Contractors are required to furnish certificates of insurance, corporate disclosure statements, and non-collusion affidavits. While it sets out the terms for engaging professional services, it is a general requirements document rather than a specific bid solicitation with a defined project scope or submission deadline.

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--- Document: Professional Services Packet 12/8/2022 Document ---
 
 
 
 
 
 
 
 
 
 
 
 
CONTRACT 
FORMS 


INSURANCE REQUIREMENTS 
 
1. The Contractor(s) shall provide and pay for insurance coverage of such type and in such 
amounts as will completely protect the Contractor and the Borough, its elected officials, 
officers, agents, servants, employees and assigns against any and all risks of loss (including costs 
of defense) or liability arising out of this Contract. 
 
2. The insurance should be furnished by insurance companies with an “A-(Excellent) VI” or better 
rating as published in the most recent editions of Best Insurance Key Rating and shall be 
authorized to conduct business in the State of New Jersey. 
 
3. It is recognized that in some instances that insurance may be acceptable which is underwritten 
by an insurance company that is not reported in the Best Guide, or the coverage is extended 
under a self insurance program. This insurance, or self insurance, must be in conformity with the 
rules and regulations of the Commissioner of Insurance of the State of New Jersey. Any 
Insurance or self insurance of this type is subject to the review and acceptance by the Boroughs 
Risk Manager or Legal Counsel. Furthermore, written proof of acceptability by the Office of the 
Commissioner of Insurance may be necessary. 
 
4. The Contractor(s) shall furnish the Borough with Certificate\s of Insurance. Policies for general 
Liability must be endorsed to include the Borough of Elmer as an “Additional Insured”. The 
Certificate of Insurance shall set out the types of coverage, the limits of liability, describe the 
operation by reference to the contract and provide for thirty (30) days written notice to the 
Borough of cancellation or non-renewal. All of the Contractors deductibles or retentions shall 
be the sole responsibility of the Contractor. Those in excess of $10,000 are to be disclosed and 
are subject to approval by the Borough. If requested actual policy copies or incurred loss 
information may be required. 
 
5. The policies and specified limits of coverage must be effective prior to the commencement of 
work and must remain in force until the end of the Contract. 
 
6. The Contractor(s) shall obtain and furnish the Borough, certificates of insurance for any 
subcontractors showing policies in force with coverage and limits described under these 
insurance requirements. 
 
7. The Certificate of Insurance are to be signed by a person authorized by the insuring company to 
bind coverage on its behalf. Neither approval by the Borough nor failure to disapprove 
Certificates of Insurance furnished by the Contractor shall release the Contractor from full 
responsibility for all liability including costs of defense. Insurance is required as a measure of 
protection and the Contractor’s liability is not limited thereby. 


8. The Certificate of Insurance must be submitted to the Borough and shall be subject to the 
approval of the Borough Counsel or Risk Manager. 
 
9. If at any time during the term of the Contract or any extension thereof, if any of the required 
policies of insurance should expire, change or be canceled, it will be the responsibility of the 
Contractor, prior to the expiration, change or cancellation, to furnish to the Borough a 
Certificate of Insurance indicating renewal or a replacement of the policy so that there will be no 
lapse in coverage. In the event of any interruption of any coverage for any reason, all payments 
and work under the contract shall cease and not be resumed until coverage has been restored 
and a current Certificate of Insurance received and approved. 
 
10. Insurance maintained by the Borough shall be considered as Excess over Contractors Insurance. 
Insurance maintained by the Borough does not provide protection for contractors liability. 
 
11. Certificates of Insurance shall show the certificate Holder and Additional Insured as 
 
Borough of Elmer  
120 South Main Street 
Elmer, NJ 08318 
 
 
SPECIFIC COVERAGE REQUIREMENTS 
 
The following are the minimum mandatory types of coverage to be carried under the preceding 
requirements: 
 
General Liability in a comprehensive form, with minimum limits as follows: 
 
Each Occurrence 
$1,000,000 
Damage to rented or leased property 
$ 100,000 
Medical Expense 
$ 
5,000 
Personal and Adv. Injury 
$1,000,000 
General Aggregate 
$2,000,000 


 
 
SAMPLE CONTRACT 
 
 
 
THIS AGREEMENT made this 
day of 
, 20 , between the Borough of 
Elmer, a governmental corporation of the State of New Jersey, hereinafter referred to as 
“BOROUGH” and having its principal offices at 120 South Main Street, Elmer, NJ 08318 
 
And: 
 
Hereinafter referred to as “CONTRACTOR” 
 
WITNESSETH: 
 
That the CONTRACTOR for and in consideration of the payments made to it by the BOROUGH at the 
time and in the manner set forth hereinafter set forth does hereby and agree to provide and deliver the 
services of 
in strict accordance with requirements attached 
and set forth and in accordance with the proposal of the CONTRACTOR, a copy of which is attached 
hereto and made a part hereof and as submitted to the BOROUGH and awarded to the CONTRACTOR. 
 
The Notice to Bidders, Specifications, Requirements, General Conditions, any Supplemental Conditions, 
if any, are all incorporated by reference and comprise the Contract Documents. 
 
Signed Mandatory Equal Employment Opportunity Language, Certificate of Employee Information 
Report as required by NJSA 19:5-31 et seq. and Business Registration Certificate shall accompany the 
submittal and further attached to the Contract document when executed. 
 
In consideration of the faithful performance on this contract, its covenants and agreements entered into 
and the acceptance thereof by the BOROUGH, The BOROUGH does hereby agree to pay to the 
Contractor in accordance with the payment schedule established in the RFP and upon presentation of a 
verified voucher. 
 
IN WITNESS WHEREOF the parties have caused these presents to be signed by their duly authorized 
officers and sealed with their seals, the day and year first above written. 
 
ATTEST: 
BOROUGH OF ELMER 
 
 
 
 
WITNESS: 
CONTRACTOR 
 
 
Name and Title 


 
 
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE 
N.J.S.A.10:5-31 ET SEQ. (P.L. 1975, c. 127) 
N.J.A.C. 17:27 
 
 
 
During the performance of this Contract, the Contractor agrees as follows: 
 
 
 
The contractor r 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 Public Agency Compliance Officer setting forth 
provisions of this nondiscrimination clause. 
 
The contractor or subcontractor, where applicable, will in all solicitations or advertisements for 
employee’s placed by or on behalf of the contractor, state that all qualified applicants will receive 
consideration for employment without regard to age, race, creed, color, national origin, ancestry, 
marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or 
sex. 
 
The contractor or subcontractor will send to each labor union with which it has a collective bargaining 
agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the 
contractor’s commitments under this chapter and shall post copies of the notice in conspicuous places 
available to employees and applicants for employment. 
 
The contractor or subcontractor, where applicable agrees to comply with any regulations promulgated 
by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time 
and the Americans with Disabilities Act. 
 
The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment 
goals established in accordance with N.J.A.C. 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, and labor 
unions, that it does not discriminate on the basis of age, race, 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 targeted employment goals, the contractor or subcontractor agrees to review to 
all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are 
taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or 
sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the 
statutes and court decisions of the State of New jersey, and applicable federal law and applicable 
Federal court decisions. 
 
The contractor shall submit to the public agency, after notification of award by 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 (electronically provided by the Division and distributed to the 
public agency through the Divisions website at www.state.nj.us/treasury/contract_compliance) 
 
The contractor and its subcontractors shall furnish such reports or other documents to the Division of 
Public Contracts Equal Employment Opportunity Compliance as may be requested by the office from 
time to time in order to carry out the purposes of these regulations, and public agencies shall furnish 
such information as may be requested by the Division of Public Contracts Equal Employment 
Opportunity Compliance for conducting a compliance investigation pursuant to Subchapter 10 of the 
Administrative Code at N.J.A.C. 17:27. 
 
 
 
Name: 
 
 
Signature: 
 
 
Title: 
 
 
Date: 
 


BID CHECK LIST 
 
 
 
 
FAILURE TO SUBMIT ANY OF THESE ITEMS IS MANDATORY CAUSE FOR REJECTION OF RFP 
 
 
 
1. Professional License (shall be licensed for a period of not less than five (5) years)   
 
 
2. Certificate of Good Standing 
 
3. Proposed 2023 Compensation  
 
 
 
 
 
   ____ 
 
4. Resume including the following information 
 
(a) Full name and business address; 
(b) A listing of all post high school education of the applicant; 
(c) Dates of licensure in the State of New Jersey and any other state; 
(d) A listing of any professional affiliations or membership in any professional societies 
or organizations with an indication as to any offices held therein; 
(e) The number of licensed professionals employed by/affiliated with the business 
entity or the business entity which employs the applicant; 
(f) A listing of all special accreditations held by the individual licensed professional or 
business entity; 
(g) A listing of all previous public entities served by the business entity or licensed 
professional, indicating the dates of service and the position held. 
 
 
5. Copy of New Jersey Business Registration Certificate 
 
6. 
Signed Affirmative Action Statement 
 
7. Corporate Disclosure Statement Pursuant to N.J.S.A. 40A:11-16 
 
8. Non-Collusion Affidavit 
 
This Checklist must be signed and return with all items: 
Print Name of Entity:   
 
 
Date:   
 
 
Print Name and Title: 
 
 
Signature:   
 


 
Name of Business: 
Principal Place of Business: 
DISCLOSURE STATEMENT 
Partnership   
 
Corporation   
 
Sole Proprietorship   
 
 
 
I certify that the list below contains the names and home addresses of all stock 
holders holding 10% or more of the issued and outstanding stock of the undersigned. If 
one or more of the below is itself a corporation or partnership, I have annexed the 
names and addresses of anyone owning a 10% or greater interest therein. 
 
  
I certify that no one stockholder owns 10% or more of the issued and outstanding 
stock of the undersigned. 
 
Please check appropriate boxes above and sign below 
 
Stockholder Name 
Street Address 
City and State 
 
 
 
 
 
 
 
 
I further certify that no officer or employee of the Borough of Elmer has any interest, 
direct or indirect in this corporation or partnership or in this contract. 
 
I certify that the foregoing statements made by me are true. I am aware that if any of 
the foregoing statements made by me are willfully false, I am subject to punishment. 
SWORN and SUBSCRIBED To 
BEFORE ME THIS 
 DAY 
OF 
, 20      
 
 
Signature of Notary Public: 
Signature: 
Notary public of:   
 
  
 
Print Name: 
My Commission Expires:   
 
  
 
Title of Person Signing 


NON-COLLUSION AFFIDAVIT 
 
(State of New Jersey) 
County of   
 
 
I, 
 of 
in the County 
of 
and the State of 
 
, 
Of full age, being duly sworn according to law on my oath, depose and say, that: 
 
I am 
of the firm of 
, the 
contractor submitting the enclosed RFP, and that I executed said RFP with full with full authority 
to do so, that said bidder has not directly or indirectly entered into any agreement, participated 
in any collusion, or otherwise taken any action in restraint of free, competitive bidding in 
connection with the above named project, and that all statements contained within and in this 
affidavit are true and correct, and made with full knowledge that the Borough of Elmer relies 
upon the truth of the statements contained I said proposal and in the statements contained in 
this affidavit in awarding the contract for said proposal. 
 
I warrant that no requirement or commitment was made in reference to any political 
contribution to any party, person, or elected official and that no undisclosed benefits of any kind 
were promised to anyone connected with Borough government or any political party in 
reference hereto. 
 
I further warrant that no person or selling agency has been employed or retained to solicit or 
secure such contract upon 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 Contractor 
 
I further warrant and represent that I have never been convicted of or acknowledged nor 
admitted to any payment of kickbacks or unlawful gifts to any government official or employee 
for which conduct the Borough of Elmer deems me disqualified from doing business with 
Woolwi9ch Borough under such circumstances. 
 
I also understand that the above disqualification does not apply to any vendor who cooperates 
with the prosecution and gives supporting testimony on behalf of the prosecution in the course 
of a judicial inquiry. 


SWORN and SUBSCRIBED To 
BEFORE ME THIS 
 DAY 
OF 
, 20      
 
 
Signature of Notary Public: 
Signature of Affiant: 
Notary public of:   
 
  
 
Print Name: 
My Commission Expires:   
 
  
 
Title of Person Signing 


AFFIRMATIVE ACTION INFORMATION 
 
 
Please complete the following: 
 
 
Company Name  
 
 
Our Company has an Affirmative Action Plan Approval: 
 
YES 
 
No   
 
 
a) If yes, submit a photographic copy of the approval 
Our Company has a New Jersey Certificate of Employee Information Report: 
YES 
 
No   
 
 
a) If yes, submit a photographic copy of the Certificate 
 
Our company has neither of the above, therefore send us Form AA-302 (Affirmative Action 
Employee Information Report) 
Send AA- 302   
 
 
 
 
I certify that the above information is correct to the best of my knowledge. 
Name:   
 
Signature:   
 
 
Title:   
 
 
Date:

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Professional Services Packet 12/8/2022 Document

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Apr 27, 2026

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