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2026 Rfp
BID #: RFQ/RFP 2026
ISSUED: 12/1/2025
DUE: 12/16/2025
VALUE: TBD
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Executive Summary
The Borough of Englishtown is seeking statements of qualifications and proposals from professional service providers for the 2026 calendar year. The RFQ/RFP covers a range of professional and specialized services, including but not limited to Borough Attorney, Bond Attorney, Borough Engineer, and Insurance Risk Management Consultant. Submissions must be received at the Office of the Municipal Clerk, 15 Main Street, Englishtown, NJ 07726, by December 16, 2025, at 11:00 AM. All communications concerning this RFQ/RFP should be directed to Crystal Calise, Acting Municipal Clerk. Addenda and updates will be posted on www.englishtownnj.com.
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Document Text
--- Document: 2026 Rfp Document ---
Borough of Englishtown – RFQ/RFP 2026
BOROUGH OF ENGLISHTOWN
REQUEST FOR QUALIFICATIONS/PROPOSALS (RFQ/RFP)
For Professional and Specialized Services – Calendar Year 2026
Notice to Respondents:
The Borough of Englishtown is seeking statements of qualifications and proposals from professional service providers for the 2026 calendar year. Submissions will be received at the Office of the Municipal Clerk, located at 15 Main Street, Englishtown, NJ 07726.
Issue Date: December 1, 2025
Submission Deadline: December 16, 2025, at 11:00 AM
Contact: Crystal Calise, Acting Municipal Clerk
Email: clerk@englishtownnj.com |
Professional Services Solicited:
• Borough Attorney (Legal Counsel)
• Bond Attorney
• Special Counsel – Conflicts
• Redevelopment Attorney
• Borough Auditor
• Borough Engineer (and Engineer Pool)
• Insurance Risk Management Consultant
• Municipal Prosecutor & Public Defender
• Zoning/Planning Combined Board Attorney & Engineer
Label submissions: “RFQ/RFP 2026 – [Specific Position Title]”
Deliver or mail to:
Office of the Municipal Clerk
Borough of Englishtown
15 Main Street, Englishtown, NJ 07726
Visit www.englishtownnj.com for addenda and updates.
REQUEST FOR QUALIFICATIONS/PROPOSALS
FOR THE PROVISION OF:
BOND ATTORNEY,
SPECIAL COUNSEL FOR CONFLICTS,
REDEVELOPMENT ATTORNEY,
BOROUGH AUDITOR,
BOROUGH ENGINEER,
BOROUGH ENGINEER POOL,
INSURANCE RISK MANAGEMENT CONSULTANT
PROSECUTOR
PUBLIC DEFENDER
ZONING/PLANNING COMBINED BOARD ATTORNEY
ZONING/PLANNING COMBINED BOARD ENGINNER
NOTE: To receive addenda to this Request for Proposals, please check www.englishtownnj.com
ISSUE DATE: December 1,2025
DUE DATE: December 16, 2025 at 11:00 o’clock a.m.
Issued by: Borough of Englishtown
Kimberly Humphrey, QPA
GLOSSARY
The following definitions shall apply to and are used in this Request for Qualifications: "Borough" - refers to the Borough of Englishtown.
“Cost Proposal” – refers to a statement of hourly rates and costs for the services provided.
“Due Date” – refers to the date and time by which Qualifications/Proposals must be received by the Borough in order to be considered for award of the contract or position.
"Qualification Statement/Proposal" - refers to the complete responses to this RFQ/RFP/RFP submitted by the Respondents.
"Qualified Respondent" - refers to those Respondents who (in the sole judgment of the Borough) have satisfied the qualification criteria set forth in this RFQ/RFP.
"RFQ/RFP" - refers to this Request for Qualifications, including any amendments thereof or supplements thereto.
"RFP" - refers to this Request for Proposals, including any amendments thereof or supplements thereto.
"Respondent" or "Respondents" - refers to the interested firm(s) that submit a Qualification Statement/Proposal/Proposal.
SECTION 1
INTRODUCTION AND GENERAL INFORMATION
Introduction and Purpose.
The Borough is soliciting Qualification Statement/Proposals from interested persons and/or firms for the provision of professional services and extraordinary unspecifiable services as advertised. Through a Request for Qualification/Proposal process described herein, persons and/or firms interested in assisting the Borough with the provision of such services must prepare and submit a Qualification Statement/Proposal/ in accordance with the procedure and schedule in this RFQ/RFP. The Borough will review proposals only from those firms that submit a Qualification Statement/Proposal that includes all the information required to be included as described herein (in the sole judgment of the Borough). The Borough intends to qualify person(s) and/or firm(s) that (a) possess the professional, financial and administrative capabilities to provide the proposed services, and (b) will agree to work under the compensation terms and conditions determined by the Borough to provide the greatest benefit to the taxpayers of the Borough. The Borough will consider Qualification Statement/Proposals only from individuals, firms or organizations that have demonstrated the capability and willingness to provide high quality services as required by the Borough.
Procurement Process and Schedule.
The selection of Qualified Respondents is not subject to the bidding provisions of the Local Public Contracts Law, N.J.S.A. 40A:11-1 et seq. The Borough has structured a procurement process that seeks to obtain the desired results described above, while establishing a competitive process to assure that each person and/or firm is provided an equal opportunity to submit a Qualification Statement/Proposal and will be evaluated in accordance with the criteria set forth.
Qualification Statement/Proposals will be reviewed and evaluated by the Borough consisting of the Mayor, Governing Body and Borough Administrator (collectively, the “Review Team”).
All communications concerning this RFQ/RFP or the RFQ/RFP process shall be directed to the Borough’s designated contact person, in writing.
Designated Contact Person:
Crystal Calise
Acting Municipal Clerk
clerk@englishtownnj.com
Qualification Statement/Proposals must be submitted to, and be received by, the Borough, via mail or hand delivery, by the due date. Qualification Statement/Proposals will not be accepted by facsimile transmission or e-mail.
Subsequent to issuance of this RFQ/RFP, the Borough (through the issuance of addenda to all firms that have received a copy of the RFQ/RFP) may modify, supplement or amend the provisions of this RFQ/RFP in order to respond to inquiries received from prospective Respondents or as otherwise deemed necessary or appropriate by (and in the sole judgment of) the Borough.
TABLE 1
ANTICIPATED PROCUREMENT SCHEDULE
ACTIVITY DATE
Issuance of RFQ/RFP December 1st, 2025
Due Date for Receipt of Qualification Statement/Proposals/Proposals......December 16th 2025
at 11:00 a.m.
3. Opening of Proposals*.................................................................................. December 16th 2025
at 11:00 a.m. 4. Anticipated Date for Award of Contract*..................................................... Jan. 1, 2026
Dates for items marked with a “*” are approximate and subject to change based upon the needs of
the Borough.
Section 1.3. Conditions Applicable to RFQ/RFP.
Upon submission of a Qualification Statement/Proposal in response to this RFQ/RFP, the Respondent acknowledges and consents to the following conditions relative to the submission and review and consideration of its Qualification Statement/Proposal:
This document is an RFQ/RFP.
This RFQ/RFP does not commit the Borough to issue an award.
All costs incurred by the Respondent in connection with responding to this RFQ/RFP shall be borne solely by the Respondent.
The Borough reserves the right (in its sole judgment) to reject for any reason any and all responses and components thereof and to eliminate any and all Respondents responding to this RFQ/RFP from further consideration for this procurement with rights and accordance to the law.
The Borough reserves the right (in its sole judgment) to reject any Respondent that submits incomplete responses to this RFQ/RFP, or a Qualification Statement/Proposal that is not responsive to the requirements of this RFQ/RFP.
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The Borough reserves the right, without prior notice, to supplement, amend or otherwise modify this RFQ/RFP or otherwise request additional information through issuance of addenda to all prospective Respondents who have received a copy of this RFQ/RFP, and who have provided their contact information to the Borough. All addenda will be posted on the borough website.
All Proposals shall become the property of the Borough and will not be returned.
All Proposals will be made available to the public at the appropriate time, as determined by the Borough (in the exercise of its sole discretion) in accordance with law.
The Borough may request additional information from Respondents, including requiring Respondents to send representatives to the Borough for interviews.
Any and all Proposals not received by the Borough by the Due Date will be rejected.
Neither the Borough, nor their respective staffs, consultants or advisors (including but not limited to the Review Team) shall be liable for any claims or damages resulting from the solicitation or preparation of the Qualification Statement/Proposal/ Proposal, nor will there be any reimbursement to Respondents for the cost of preparing and submitting a Qualification Statement/Proposal/Proposal or for participating in this procurement process.
Section 1.4. Rights of Borough.
The Borough reserves, holds and may exercise, at its sole discretion, the following rights and options with regard to this RFQ/RFP and the procurement process in accordance with the provisions of applicable law:
To determine that any Qualification Statement/Proposal received complies or fails to comply with the terms of this RFQ/RFP.
To supplement, amend or otherwise modify the RFQ/RFP through issuance of addenda to all prospective Respondents who have received a copy of this RFQ/RFP, and who have provided their contact information to the Borough.
To waive any technical non-conformance with the terms of this RFQ/RFP.
To change or alter the schedule for any events called for in this RFQ/RFP upon the issuance of notice to all prospective Respondents who have received a copy of this RFQ/RFP.
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To conduct investigations of any or all of the Respondents, as the Borough deems necessary or convenient, to clarify the information provided as part of the Qualification Statement/Proposal and to request additional information to support the information included in any Qualification Statement/Proposal.
To suspend or terminate the procurement process described in this RFQ/RFP at any time (in its sole discretion). If terminated, the Borough may determine to commence a new procurement process or exercise any other rights provided under applicable law without any obligation to the Respondents.
The Borough shall be under no obligation to complete all or any portion of the procurement process described in this RFQ/RFP.
Addenda or Amendments to RFQ/RFP.
During the period provided for the preparation of responses to the RFQ/RFP, the Borough may issue addenda, amendments or answers to written inquiries. All addenda will be posted on the borough website. It will be the responsibility of the respondents to obtain any and all addenda.
Cost of Qualification Statement/Proposal Preparation.
Each Qualification Statement/Proposal and all information required to be submitted pursuant to the RFQ/RFP shall be prepared at the sole cost and expense of the Respondent. There shall be no claims whatsoever against the Borough, its staff or consultants for reimbursement for the payment of costs or expenses incurred in the preparation of the Qualification Statement/Proposal or other information required by the RFQ/RFP.
Qualification Statement/Proposal Format.
Responses should cover all information requested in the Questions to be answered in this RFQ/RFP. Responses which in the judgment of the Borough fail to meet the requirements of the RFQ/RFP or which are in any way conditional, incomplete, obscure, contain deletions from requested information, or contain errors may be rejected.
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SECTION 2 SCOPE OF SERVICES
The Borough seeks to award a contract for the positions listed below. It is the intent of the Borough to solicit Proposalsfrom Respondents that have expertise in the provision of the services required by the position or contract sought. Firms and/or persons responding to this RFQ/RFP must be able to demonstrate that they will have the continuing capabilities to perform these services.
BOND ATTORNEY,
SPECIAL COUNSEL FOR CONFLICTS,
REDEVELOPMENT ATTORNEY,
BOROUGH AUDITOR,
BOROUGH ENGINEER,
BOROUGH ENGINEER POOL,
INSURANCE RISK MANAGEMENT CONSULTANT,
PUBLIC DEFENDER,
PROSECUTOR,
ZONING/PLANNING COMBINED BOARD ATTORNEY
ZONING/PLANNING COMBINED BOARD ENGINEER
SECTION 3 SUBMISSION REQUIREMENTS
Section 3.1 General Requirements.
The Qualification Statement/Proposal submitted by the Respondent must meet or exceed the professional, administrative and financial qualifications set forth in this Section 3 and shall incorporate the information requested below. Two (2) Original Copies of the RFQ/RFP and One (1) flash drive are required.
In addition to the information required as described below, a Respondent may submit supplemental information that it feels may be useful in evaluating its Qualification Statement/Proposal. This information may include documents such as a firm profile or brochure. Respondents are encouraged to be clear, factual, and concise in their presentation of information.
Section 3.2 Administrative Information Requirements.
The Respondent shall, as part of its Qualification Statement/Proposal, provide the following information:
A summary page containing information requested in this Qualification Statement/Proposal.
An executed Letter of Qualification (See Appendix A to this RFQ/RFP).
Name, address and telephone number of the firm or firms submitting the Qualification Statement/Proposal pursuant to this RFQ/RFP, and the name of the key contact person.
A description of the business organization (i.e., corporation, partnership, join venture, sole practitioner, etc.) of each firm, its ownership and its organizational structure.
Provide the names and business addresses of all Principal(s) of the firm or firms submitting the Qualification Statement/Proposal. For purposes of this RFQ/RFP, “Principals” means persons possessing an ownership, interest in the Respondent. If the Respondent is a corporation, “Principals” shall include each investor who would have any amount of operational control over the Respondent and every stockholder having an ownership interest of 10% or more in the firm.
If a firm is a partially owned or a fully-owned subsidiary of another firm, identify the parent company and described the nature and extent of the parents’ approval rights over the activities of the firm submitting a Qualification Statement/Proposal. Describe the approval process.
If the Respondent is a partnership or a joint venture or similar organization, provide comparable information as required in (b) above for each member of the partnership, joint venture or similar organization.
An executed Letter of Intent (See Appendix B).
The number of years your organization has been in business under the present name.
The number of years the business organization has been under the current management.
A statement that the Respondent is in compliance with all applicable affirmative action (or similar) requirements with respect to its business activities, together with evidence of such compliance.
Any judgments, pending claims and / or litigations within the last five years in which Respondent has been adjudicated liable for professional malpractice. If yes, please explain.
Whether the business organization is now or has been involved in any bankruptcy or re- organization proceedings in the last ten (10) years. If yes, please explain.
Confirm appropriate federal and state licenses to perform activities.
A copy of Errors and Omissions and Malpractice Insurance with minimum limits of coverage of $1,000,000 and a hold harmless to the Borough of xx.
A copy of Respondent’s State of New Jersey Business Registration Certificate.
A completed Disclosure of Investment Activities in Iran form
Section 3.3 Professional Information Requirement.
Respondent shall submit a description of its overall experience in providing the type of services sought in the RFQ/RFP. At a minimum, the following information on past experience should be included as appropriate to the RFQ/RFP.
Description and scope of work by Respondent.
Name, address and contact information of references.
Explanation of perceived relevance of the experience to the RFQ/RFP.
Describe the services that Respondent would perform directly.
Describe those portions of the Respondent’s services, if any, that are sub- contracted out. Identify all subcontractors the Respondent anticipates using in connection with this project.
Does the Respondent normally employ union or non-union employees?
Resumes of key employees.
A narrative statement of the Respondent’s understanding of the Borough’s needs
and goals.
List all immediate relatives of Principal(s) of Respondent who are Borough employees or elected officials of the Borough. For purposes of the above, immediate relative” means a spouse, parent, stepparent, brother, sister, child, stepchild, direct-line aunt or uncle, grandchild, and in-laws by reason of relation.
SECTION 4 INSTRUCTIONS TO RESPONDENTS
Submission of Qualification Statement/Proposals/Proposals.
A Respondent must submit an original and two (2) copies and flash drive of their RFQ/RFP to the designated contact person:
Crystal Calise, Clerks Office
Borough of Englishtown
15 Main Street
Englishtown, NJ 08826
To be responsive, Proposals must provide all requested information, and must be in strict conformance with the instructions set forth herein:
Proposals must be received by the Borough no later than the due date and must be mailed or hand-delivered. Proposals forwarded by facsimile or e- mail will not be accepted. Proposals received after this time will not be considered. The Borough will not bear responsibility for delays in delivery for any reason.
Proposals and all related information must be stapled or bound and signed by the Respondent. If Respondent is other than a natural person, the Proposal must be signed by an individual with power to bind 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, together with instructions that the submission should not be opened prior to the Due Date. (Suggested format: “RFQ/RFP for . Do not open until December 16, 2025”)
SECTION 5 EVALUATION
The Borough’s objective in soliciting Proposals is to enable it to select a firm, individual, or organization that will provide high quality and cost-effective services to the taxpayers of Englishtown. The Borough will consider Qualification Statement/Proposals only from firms, individuals, or organizations that, in the Borough’s judgment, have demonstrated the capability and willingness to provide high quality services to the taxpayers of the Borough in the manner described in this RFQ/RFP.
Qualification Statement/Proposals will be evaluated by the Borough on the basis of the most advantageous submission, all relevant factors considered. The evaluation will consider the following:
Experience and reputation in the field;
Knowledge of the Borough and the subject matter addressed under the contract;
Availability to accommodate the requirements of the Borough;
Other factors demonstrated to be in the best interest of the Borough;
Costs to the Borough; and
Confidence by the Mayor and Council in the Applicant’s ability to perform the services of Respondent.
APPENDIX A LETTER OF QUALIFICATION
(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)
Date:
Kim Humphrey, Administrator, QPA
Borough of Englishtown
15 Main Street
Englishtown, NJ 08826
Re: LETTER OF QUALIFICATION
Dear Ms. Humphrey,
The undersigned has/have reviewed my/our Qualification Statement/Proposal submitted in response to the Request for Qualifications (RFQ/RFP) issued by the Borough of Englishtown ("Borough"), dated December 16, 2025, in connection with the Borough’s need for a___________ .
I/We affirm that the contents of the enclosed Qualification Statement/Proposal (which Qualification Statement/Proposal is incorporated herein by reference) is accurate, factual and complete to the best of our knowledge and belief and that the Qualification Statement/Proposal is submitted in good faith upon express understanding that any false statement may result in the disqualification of
(Respondent).*
Signed:
Printed:
Title:
* If a joint venture, partnership or other formal organization other than a natural person is submitting a Qualification Statement/Proposal, this Letter of Qualification must be signed by an individual with the legal authority to bind the organization.
APPENDIX B LETTER OF INTENT
(Note: To be typed on Respondent's Letterhead. No modifications may be made to this letter)
Date:
Kim Humphrey, Administrator, QPA
Borough of Englishtown
15 Main Street
Englishtown, NJ 08826
Re: LETTER OF INTENT
Dear Ms. Humphrey:
The undersigned, as Respondent, has (have) submitted the attached Qualification Statement/Proposal in response to a Request for Qualifications (RFQ/RFP), issued by the Borough of Englishtown ("Borough"), dated December 16, 2025, in connection with the Borough’s need for a ___________________________.
(“Respondent”)* HEREBY STATES:
The Qualification Statement/Proposal contains accurate, factual and complete information.
Respondent agrees to participate in good faith in the procurement process as described in the RFQ/RFP and to adhere to the Borough's procurement schedule.
Respondent acknowledges that all costs incurred by it (them) in connection with the preparation and submission of the Qualification Statement/Proposal and any other documents prepared and submitted in response to the RFQ/RFP, or any negotiation which results therefrom shall be borne exclusively by the Respondent.
Respondent hereby declares that the only persons anticipated by respondent to perform the professional services or extraordinary unspecifiable services for which this Qualification Statement/Proposal is submitted are named herein and that no person other than those herein mentioned has any participation in this Qualification Statement/Proposal or in any contract to be entered into with respect thereto. Additional persons may subsequently perform professional services or extraordinary services for which this Qualification Statement/Proposal is submitted, but only if acceptable to the Borough. Respondent declares that this Qualification Statement/Proposal is made without connection with any other person, firm or parties who has submitted a Qualification Statement/Proposal, except as expressly set forth below and that it has been prepared and has been submitted in good faith and without collusion or fraud.
Respondent acknowledges and agrees that the Borough may modify, amend, suspend and/or terminate the procurement process (in its sole judgment). In any case, the Borough shall not have any liability to the Respondent for any costs incurred by the Respondent with respect to the procurement activities described in this RFQ/RFP.
Respondent acknowledges that any contract executed with respect to the provision of professional services or extraordinary unspecifiable services must comply with all applicable affirmative action and similar laws. Respondent hereby agrees to take such actions as are required in order to comply with such applicable laws.
Respondent shall provide a listing of respondent’s hourly rates and any and all other charges for any
and all other services to be provided.
Signed:
Printed:
Title:
Dated:
* If a joint venture, partnership or other formal organization other than a natural person is submitting a Qualification Statement/Proposal, this Letter of Qualification must be signed by an individual with the legal authority to bind the organization.
APPENDIX C
BUSINESS ENTITY DISCLOSURE CERTIFICATION AND POLITICAL CONTRIBUTION FORM
BUSINESS ENTITY DISCLOSURE CERTIFICATION FOR NON-FAIR AND OPEN CONTRACTS
Required Pursuant To N.J.S.A. 19:44A-20.8
BOROUGH OF ENGLISHTOWN
Part I – Vendor Affirmation
The undersigned, being authorized and knowledgeable of the circumstances, does hereby certify that
has not made and will not make any reportable contributions pursuant to N.J.S.A. 19:44A-1 et seq. that, pursuant to P.L. 2004, c. 19 would bar the award of this contract in the one year period preceding January 1, 2026_ to any of the following named candidate committee, joint candidates committee; or political party committee representing the elected officials of the Borough of Englishtown as defined pursuant to N.J.S.A. 19:44A-3(p), (q) and (r).
Part II – Ownership Disclosure Certification
I certify that the list below contains the names and home addresses of all owners holding 10% or more of the issued and outstanding stock of the undersigned.
Check the box that represents the type of business entity:
Partnership Corporation Sole Proprietorship Subchapter S Corporation
Limited Partnership Limited Liability Corporation Limited Liability Partnership
Part 3 – Signature and Attestation:
The undersigned is fully aware that if I have misrepresented in whole or part this affirmation and certification, I and/or the business entity, will be liable for any penalty permitted under law.
Name of Business Entity: Signed: Title: Print Name: Date:
STOCKHOLDER DISCLOSURE CERTIFICATION
Name of Business:
I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned.
OR
I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned.
Check the box that represents the type of business organization:
Partnership Corporation Sole Proprietorship
Limited Partnership Limited Liability Corporation Limited Liability Partnership
Subchapter S Corporation
Sign and notarize the form below, and, if necessary, complete the stockholder list below.
Stockholders:
EXHIBIT A
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127) N.J.A.C. 17:27 et seq.
GOODS, GENERAL SERVICES, AND PROFESSIONAL SERVICES CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, 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, up- grading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprentice-ship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.
The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. l7:27-5.2.
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 all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.
The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents:
Letter of Federal Affirmative Action Plan Approval; Certificate of Employee Information Report; or
Employee Information Report Form AA-302 (electronically provided by the Division and distributed to the
public agency through the Division’s website at: http://www.state.nj.us/treasury/contract_compliance/.
The contractor and its subcontractors shall furnish such reports or other documents to the Division of Purchase & Property, CCAU, EEO Monitoring Program as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Purchase & Property, CCAU, EEO Monitoring Program for conducting a compliance investigation pursuant to N.J.A.C. 17:27-1.1 et seq.
(2016)
APPENDIX A
AMERICANS WITH DISABILITIES ACT OF 1990
Equal Opportunity for Individuals with Disability
The contractor and the Borough of Englishtown of Englishtown, NJ, (hereafter “owner”) do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U.S.C. S121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the owner pursuant to this contract, the contractor agrees that the performance shall be in strict compliance with the Act. In the event that the contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the owner in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the owner, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner’s grievance procedure, the contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense.
The owner shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, If any action or administrative proceeding is brought against the owner or any of its agents, servants, and employees, the owner shall expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the owner or its representatives.
It is expressly agreed and understood that any approval by the owner of the services provided by the contractor pursuant to this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the owner pursuant to this paragraph.
It is further agreed and understood that the owner assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor’s obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.
STATEMENT OF OWNERSHIP (OWNERSHIP DISCLOSURE CERTIFICATION)
N.J.S.A. 52:25-24 (P.L. 1977, c.33, as amended by P.O. 2016, c.43) THIS STATEMENT SHALL BE INCLUDED WITH ALL SUBMISSIONS
Failure of the bidder/proposer to submit the required information is cause
for automatic rejection of the bid or proposal
Name of Business:
Address of Business:
Name of person completing this form:
N.J.S.A. 52:25-24.2:
“No corporation, partnership or limited liability company shall be awarded any contract nor shall any agreement be entered into for the performance of any work or the furnishing of any materials or supplies, unless prior to the receipt of the bid or proposal or accompanying the bid or proposal of said corporation, said partnership or said limited liability company there is submitted a statement setting forth the names and addresses of all stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be.
If one or more such stockholder or partner or member is itself a corporation or partnership or limited liability company, the stockholders holding 10 percent or more of that corporation’s stock or the individual partners owning 10 percent or greater interest in that partnership or the members owning 10 percent or greater interest in that limited liability company, as the case maybe, shall also be listed. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner and ember, exceeding the 10 percent ownership criteria established in this act, has been listed.
To comply with this section, a bidder with any direct or indirect parent entity which is publicly traded may submit the name and address of each publicly traded entity and the name and address of each person that holds a 10 percent or greater beneficial interest in the publicly traded entity as of the last annual filing with the Federal Securities and Exchange Commission or the foreign equivalent, and, if there is any person that holds a 10 or greater beneficial interest, also shall submit links to the websites containing the last annual filings with the federal Securities and Exchange Commission or the foreign equivalent and the relevant page numbers or the filings that contain the information one each person that holds a 10 percent or greater beneficial interest.”
The Attorney General has advised that the provisions of N.J.S.A. 52:25-24.2, which refer to corporations and partnerships apply to limited partnerships, limited liability partnerships and Subchapter S Corporations.
THIS OWNERSHIP DISCLOSURE CERTIFICATION FORM SHALL BE COMPLETED,
SIGNED AND NOTARIZED.
Part 1
Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, sign and notarize at the end)
Non-Profit Corporation (skip Parts II and III, sign and notarize at the end)
Partnership Limited Partnership Limited Liability Partnership
Limited Liability Company For profit Corporation (including Subchapters C & S or Professional
Corporation
Other (be specific):
Part II
I certify that the list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a 10 percent or greater interest therein or of all members in the limited liability company who own a 10 percent of greater interest therein, as the case may be.
OR
I certify that no one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein or that no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be.
Sign and notarize the form below, and, if necessary, complete the list below.
Name:
Name:
Address:
Address:
Name:
Name:
Address:
Address:
Name:
Name:
Address:
Address:
Part III – Any Direct or Indirect Parent Entity Which is Publicly Traded:
“To comply with this section, a bidder either any direct or indirect parent entity which is publicly traded may submit the name and address of each publicly traded entity and the name and address of each person that holds a
10 percent or greater beneficial interest in the publicly traded entity as of the last annual filing with the Federal
Securities and Exchange Commission or the foreign equivalent, and, if there is any person that holds a 10 percent or greater beneficial interest, also shall submit links to the websites containing the last annual filings with the Federal Securities and Exchange Commission or the foreign equivalent and the relevant page numbers of the filings that contain the information on each person that holds a 10 percent or greater beneficial interest.”
Pages attached with name and address of each publicly traded entity as well as the name and address of each person that holds a 10 percent or greater beneficial interest.
OR
Submit here the links to the Websites (URLs) containing the last annual filings with the federal Securities and
Exchange Commission or the foreign equivalent.
AND
Submit here the relevant page numbers of the filings containing the information on each person holding a 10 percent or greater beneficial interest.
(Affiant) (Print name of affiant and title, if applicable)
Subscribed and sworn before me this of
_, 20 .
CORPORATE SEAL, (Notary Public) IF CORPORATION
My Commission expires:
NON-COLLUSION AFFIDAVIT
State of New Jersey County of
ss:
I residing in (name of affiant) (name of municipality)
in the County of and State of of full age, being duly sworn according to law on my oath depose and say that:
I am of the firm of , (title or position) (name of firm)
the bidder making this Proposal for the bid proposal entitled , (title of bid proposal)
and that I executed the said Proposal with full authority to do so that said bidder had not, directly or indirectly entered into any agreement(s), 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 in said Proposal and in this affidavit are true and correct, and made with full knowledge that the
relies upon the truth of the statements contained in said Proposal and in this
(name of contracting unit)
affidavit in awarding the contract for the said Project.
I further warrant that no person or selling agency has been employed or retained to solicit or secure such 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
(Signature)
Type or print name of affiant under signature
Subscribed and sworn to before me this day of , 20
Notary Public Signature
My Commission expires 20 .
BUSINESS REGISTRATION OF PUBLIC BIDDERS BUSINESS REGISTRATION CERTIFICATE
The New Jersey State Bidder Business Registration Program to local government contracts requires any “Business Organization” (meaning individual, partnership, association, joint stock company, trust, corporation, or other legal business entity or successor thereof) to submit a copy of their Business Registration Certificate when submitting a bid or proposal OR prior to award.
FAILURE TO DO SO IS A FATAL DEFECT THAT CANNOT BE CURED
******************************************************* GOODS AND SERVICES CONTRACTS
N.J.S.A. 52:32-44 imposes the following requirements on Bidders and all subcontractors that knowingly provide goods or perform services for a Bidder fulfilling this contract:
1. the Bidder shall provide written notice to its subcontractors to submit proof of business registration to the Bidder;
2. prior to receipt of final payment from a contracting agency, a Bidder must submit to the contracting agency an accurate list of all subcontractors or attest that none was used;
3. during the term of this contract, the Bidder and its affiliates shall collect and remit, and shall notify all
subcontractors and their affiliates that they must collect and remit to the Director, New Jersey Division of Taxation, the use tax due pursuant to the Sales and Use Tax Act, (N.J.S.A. 54:32B-1 et seq.) on all sales of tangible personal property delivered into this State.
A Bidder, subcontractor or supplier who fails to provide proof of business registration or provides false business registration information shall be liable to a penalty of $25 for each day of violation, not to exceed $50,000 for each business registration not properly provided or maintained under a contract with a contracting agency. Information on the law and its requirements is available by calling (609) 292-9292.
SAMPLE OF BUSINESS REGISTRATION CERTIFICATE (original and downloaded version)
EITHER OF THE ABOVE CERTIFICATES IS ACCEPTABLE AND RESPONSIVE
DEBARRED, SUSPENDED AND DISQUALIFIED CONSULTANT AFFIDAVIT
STATE OF NEW JERSEY )
) COUNTY OF )
I, of the Borough of , in the County of and the State of being of full age, being duly sworn according to law on my oath depose and say:
I am , an officer of the firm(s) of
, the Professional making the proposal for the above named work; I executed the said proposal with full authority to do so; said Professional at the time of making this proposal {as applicable, insert “is” or “is not”} included on the State of New Jersey, State Treasurer’s List of Debarred, Suspended and Disqualified Professionals; and all statements contained in said proposal and in this affidavit are true and correct and made with the full knowledge that the Borough of Englishtown as the Local Unit relies upon the truth of the statements contained in said proposal and in the statements contained in this affidavit in awarding the contract for said work:
Has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal, state or local government agency within the past 3 years;
Does not have a proposed debarment pending; and
III. Has not been indicted, convicted, or had a civil judgment rendered against (it) by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
The undersigned further warrants that should the name of the firm making this proposal appear on the State Treasurer’s List of Debarred, Suspended and Disqualified Consultants at any time prior to, and during the life of the contract, including the Guaranteed Period, that the Local Unit shall be immediately so notified by the signatory of this Eligibility Affidavit.
(Insert Exceptions - For any exception noted, indicate to whom it applies, initiating agency, and dates of action. Providing false information may result in criminal prosecution or administrative sanctions. If no exceptions, insert “None”.)
Subscribed and Sworn
Before me this day
of , 20
Name and address of Consultant
Notary Public
My commission expires:
Name and Title
Signed: Signature of Officer or Individual
Here’s a clean, ready-to-use municipal certification form adapted specifically for **the Borough of Englishtown , based on the official NJ DCA LFN 2023-11 model form. You can include it directly in vendor packets or bid solicitations.
BOROUGH OF ENGLISHTOWN
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN, RUSSIA, OR BELARUS
(P.L. 2012, c. 25 and P.L. 2022, c.3)
Bidder/Vendor: __________________________________________
Address: _______________________________________________
City, State, ZIP: _________________________________________
Contact Person: _________________________________________
Email/Phone: ____________________________________________
---
### PART 1 – CERTIFICATION
Pursuant to N.J.S.A. 52:32-55 et seq. and N.J.S.A. 52:32-60.1, the undersigned certifies, to the best of their knowledge, that:
(A) The bidder/contractor is not engaging in investment activities in Iran, Russia, or Belarus as described under the above statutes;
AND
(B) The bidder/contractor is not on the list of persons or entities identified by the New Jersey Department of the Treasury as engaged in such prohibited activities.
☐ I certify that no prohibited activities are taking place as of the date of this certification.
☐ I am unable to certify as above and will provide a detailed explanation on a separate sheet.
---
PART 2 – SIGNATURE
I, the undersigned, being authorized to certify on behalf of the vendor, hereby affirm that the information provided herein is true, accurate, and complete.
Signature: ___________________________________________
Printed Name: _______________________________________
Title: ______________________________________________
Company: ___________________________________________
Date: ______________________
*Please return this completed certification with your bid or proposal submission.*
*Failure to complete this form may result in disqualification of the vendor.*
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Timeline
First Discovered
Apr 1, 2026
Last Info Update
Apr 1, 2026
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