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Lead Closed
This opportunity is no longer accepting submissions.
2024 Affordable Housing Planner
BID #: 37
ISSUED: 11/12/2024
DUE: 12/3/2024
VALUE: TBD
100
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Executive Summary
The Borough of Kenilworth is seeking proposals from qualified professionals to serve as the Affordable Housing Planner for 2024. The selected planner will provide services on an as-needed basis for projects related to the Borough's Affordable Housing initiatives, including professional planning, technical administrative consulting, attending meetings, preparing reports, assisting Borough personnel, providing advisory services, assisting with litigation, and preparing redevelopment studies and plans. Vendors must have a minimum of 10 years of experience in providing Planner services and a minimum of 5 years servicing governmental agencies.
Sealed proposals, labeled "2024 Affordable Housing Planner," must be submitted to Theodore Georgiou, Qualified Purchasing Agent, at 567 Boulevard, Kenilworth, N.J. 07033, by Tuesday, December 3, 2024, at 11:00 a.m. Submissions must include standard proposal forms and other required documentation as outlined in the RFP checklist. Specifications are available on the Borough website, in-person at the Borough Clerk's Office, or by emailing purchasingofficer@kenilworthnj.org. UNLOCK The Borough reserves the right to reject any or all submissions.
Web Content
BID/RFP/RFQ Postings • 2024 Affordable Housing Planner Skip to Main Content Create a Website Account - Manage notification subscriptions, save form progress and more. Website Sign In Search Government Departments Community How Do I... Home BID/RFP/RFQ Postings Print Sign up to receive a text message or email when new bids are added! Print Bid Title: 2024 Affordable Housing Planner Category: RFP / RFQ Postings Status: Closed Publication Date/Time: 11/12/2024 8:30 AM Closing Date/Time: 12/3/2024 11:00 AM Related Documents: Kenilworth RFP - 2024 Affordable Housing Planner Return To Main BID/RFP/RFQ Postings Page Live Edit Agendas & Minutes Notify Me® Report a Concern Recycling & Sanitation Online Bill Pay Legal Notices Kenilworth, New Jersey Borough Hall 567 Boulevard Kenilworth, NJ 07033 908-276-9090 Staff Directory Permits, Licenses & Applications Police Municipal Court /QuickLinks.aspx Home Contact Us Accessibility Site Map Copyright 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: Kenilworth RFP - 2024 Affordable Housing Planner --- Page 1 of 26 Borough of Kenilworth County of Union, State of New Jersey 567 Boulevard Kenilworth, NJ 07033 THEODORE GEORGIOU, CMFO, QPA, CTC Qualified Purchasing Agent REQUEST FOR PROPOSALS E-MAIL: purchasingofficer@kenilworthnj.org Sealed proposals will be received by the Qualified Purchasing Agent for the Borough of Kenilworth on Tuesday, December 3, 2024 at 11:00 a.m., prevailing time, in the Council Chambers of Kenilworth Borough Hall, 567 Boulevard, Kenilworth, N.J. 07033 at which time and place proposals will be opened for: 2024 AFFORDABLE HOUSING PLANNER Submissions must be made on the standard proposal forms, be enclosed in a sealed package bearing the name and address of the bidder and labeled with “2024 Affordable Housing Planner” on the outside, addressed to Theodore Georgiou, Qualified Purchasing Agent at 567 Boulevard, Kenilworth, N.J. 07033. Specifications may be obtained on the Borough website at www.kenilworthborough.com, in- person at the Office of the Borough Clerk, or by e-mailing a request to purchasingofficer@kenilworthnj.org. All professional service contractors are required to comply with the requirements of N.J.S.A. 52:32-44, N.J.S.A. 10:5-31 et seq., and N.J.A.C. 17:27 et seq. The Borough reserves the right to reject any or all submissions due to any defects or waive informalities and accept any submissions that in their judgment will be in the best interest of the Borough. Theodore Georgiou, CMFO, QPA, CTC Qualified Purchasing Agent Page 2 of 26 BOROUGH OF KENILWORTH GENERAL INSTRUCTIONS 1. INTENT OF SOLICITATION The Borough of Kenilworth is soliciting a Request for Proposals (RFP) for the provision of professional services, as more particularly described herein. Vendors interested in providing services to the Borough through the provision of such services must prepare and submit a proposal inclusive of a Submission Form / Qualification Statement in accordance with the procedure and schedule in this RFP. The Borough intends to qualify person(s) and/or firm(s) that: (1) possess the professional, financial and administrative capabilities to provide the proposed services, and (2) comply with the terms and conditions determined by the municipality to provide the greatest benefit to the taxpayers, and operational efficiencies of the Borough of Kenilworth. 2. REQUIREMENTS FOR SUBMISSION A. Proper and Timely Receipt – Submissions considered timely shall be submitted and received, in hand, no later than Tuesday, December 3, 2024 at 11:00 a.m. as listed in the public notice of this solicitation to the attention of: Theodore Georgiou, QPA Qualified Purchasing Agent 567 Boulevard Kenilworth, New Jersey 07033 B. Number of Copies Required - One (1) originally signed (in ink) copy along with one (1) digital copy (via CD or USB drive) of each proposal shall be submitted. Vendors should not submit more than the required number of copies as outlined herein. C. Transmittal Instructions - Proposals must be submitted in sealed envelopes clearly marked with the vendor name as well the service for which the Qualification is being submitted. Each Qualification must be provided on a Submission Form / Qualification Statement as supplied in the package, and signed by the professional services entity or principal thereof. Submission Forms / Qualification Statements, as part of the submission as a whole, must also be accompanied by a completed RFP checklist, a statement of ownership disclosure, a non-collusion affidavit, the required EEO/Affirmative Action evidence and signed compliance notice, Acknowledgement of Americans with Disabilities Act Language of 1990, a disclosure of prohibited activities in Russia and Belarus and investment activities in Iran, an insurance requirement acknowledgement form, the New Jersey Business Registration Certificate of the Vendor, and a W-9 of the vendor. All prices and amounts must be written in ink or, preferably, typewritten. Each signatory to the submission must initial all erasures or Page 3 of 26 corrections. The Borough of Kenilworth explicitly prohibits transmittal of Proposals by way of facsimile. The Borough of Kenilworth strongly urges vendors to verify the completeness of their submissions by carefully reviewing the submission checklist herein. The Borough of Kenilworth will not be responsible for submissions forwarded through the U.S. Mail or any delivery service if lost in transit at any time before submission opening, or if hand-delivered to an incorrect location. D. Withdrawal of Qualification - Submissions forwarded to the Borough of Kenilworth before the time of opening of Proposals may be withdrawn upon written request of the professional services entity who shall be required to produce evidence showing that they are or represent the principal(s) involved in the submission. Submissions may not be withdrawn within twenty-four (24) hours of the stipulated time of opening of submissions. Once submissions have been opened, they must remain firm for a period of sixty (60) days. E. Discrepancy in Cost Proposals - If applicable, in the event there is a discrepancy between the unit prices and the extended totals, the unit prices shall govern or if between the correct sum of the extended totals and the total submission submitted, the correct sum shall govern. Amounts written in words shall govern over the amounts written in numerals. F. One Qualification Per Entity - More than one (1) submission from an individual, firm, partnership, corporation, or association of principals under the same or different names shall not be considered. Should more than one (1) submission be so received by an entity, it shall disqualify the entity from consideration. 2. SCOPE OF SOLICITATION The Borough of Kenilworth seeks to receive Proposals for 2024 Affordable Housing Planner for the contract period through December 31, 2024. Pursuant to the New Jersey Local Public Contracts Law, no language herein shall be construed so as to contemplate award of a professional services contract for a period of time greater than twelve (12) consecutive months. 3. SCOPE OF WORK, MINIMUM VENDOR REQUIREMENTS & SELECTION CRITERIA A. Scope of Work - The Borough of Kenilworth intends to procure certain services as part of this solicitation, the scope of work for such services should be understood, at a minimum, as follows: (1) To provide Affordable Housing Planner Services on an as needed basis for such projects requested by the Borough Council and related to the Boroughs Affordable Housing Projects. (2) Planner services shall include but are not limited to: a. Performing professional planning and technical administrative Page 4 of 26 consulting services for the Borough. b. Attending regular and/or Special meetings of the Borough Council, or Planning Board as deemed necessary. c. preparing of special planning reports as may be directed by or required by the Borough. d. assisting Borough personnel on administrative and technical matters as requested by the Borough Mayor, Council or Administrative Officer. e. providing professional planning advisory services as requested by the Borough Mayor, Council or Administrative Officer. f. assisting with litigation as requested by the Borough. g. preparing of redevelopment studies and plans as may be required by the Borough. B. Minimum Vendor Requirements – The Borough of Kenilworth intends to procure certain services as part of this solicitation from a vendor with the following minimum requirements understood: A successful vendor shall, at a minimum be (1) have a minimum of 10 years experience in providing Planner services and a minimum of 5 years servicing governmental agencies; It is expected that a vendor will expand upon these minimum requirements in their Qualifications Statement by setting forth a variety of information inclusive of: (1) the name and roles of the individuals who will perform services and the descriptions of the individuals’ experience including their education and certifications; (2) professional references and a demonstrated records of success providing the same service; (3) description of ability to provide the services desired in a timely fashion (including staffing levels and familiarity with subject matter); (4) cost details. Page 5 of 26 C. Selection Criteria - The selection criteria to be used in awarding contracts shall include the following: (1) Meeting “Minimum Vendor Requirements” as stated in the forgoing solicitation; (2) Qualifications of the individuals who will perform the services/tasks and the amounts of their respective participation; (3) Experience and references; (4) Ability to perform the services/tasks in a timely fashion, including staffing and familiarity with the subject matter, including familiarity with the Borough of Kenilworth; (5) Cost considerations, including, but not limited to, historical costs for similar professional services, expertise involved, and comparable costs for comparable public entities; (6) Experience in appearing before the Office of Administrative Law and the State Superior Court; and, (7) Possessing demonstrable experience in the representation of public bodies, including but not limited to, Counties, Municipalities and the State of New Jersey. 4. EVALUATION AND AWARD A. Time for Contract Award - The Borough of Kenilworth shall award a contract, or reject all submissions, within such time as may be specified in the invitation for submission, but in no case more than sixty (60) days, except that the submissions of any professional services entities who consent thereto may, at the request of the contracting unit, be held for consideration for such longer period as may be agreed. The right is reserved by the Borough of Kenilworth to award submissions on a "service by service" basis, "per project" basis, in-part or in-whole as determined by the Borough. B. Restrictions on Award – A contract award for this service will not be made unless the Borough’s Chief Financial Officer has certified the necessary funds in a lawful manner. C. Evaluation of Proposals - Proposals submitted by vendors will be evaluated by the Borough of Kenilworth in consideration of factors most advantageous to the Borough including managerial competency, qualifications as submitted, and price. After initial review to determine legal responsiveness, interviews of prospective vendors may be conducted by the governing body or any committee or designee thereof. It is particularly noted that any vendor who submits a Qualification in connection with the forgoing solicitation explicitly consents to such an interview process should the governing body choose to exercise such an option. Upon completion of the evaluation process, the matter of contract award shall be publicly considered in the form of a Resolution of the governing body. The Borough of Kenilworth reserves the right to reject all Proposals for any reason. The Borough of Kenilworth expressly reserves the right to waive any informality in any submission, and to accept the submission, which in the Borough’s judgment serves its best interests. 5. PRICE PROPOSALS Prospective vendors must include a schedule of prices with their Qualification. Such Qualification Page 6 of 26 shall include hourly rates or a flat fee for services rendered. If the latter option is chosen by the prospective vendor, it is understood that payments by the Borough of Kenilworth will be made on a pro-rated monthly basis for services provided. Hourly price Proposals shall indicate the vendor’s minimum billing units (i.e. tenths of an hour, quarters of an hour, etc…). The Borough of Kenilworth reserves the right to consider cost Proposals that are, in its sole discretion, the most advantageous. Furthermore, the Borough of Kenilworth reserves the right to enter into negotiations with prospective vendors, as it relates to prices for professional services as permitted by N.J.S.A. 40A:11-5. NOTE: The Borough will not compensate or reimburse a vendor for routine and reoccurring expenses that relate to doing business with the Borough; including, but not limited to: copying, scanning, and faxing documents, and vehicle mileage for travel to or from meetings. 6. CONTRACTUAL GUIDANCE A. Payment Processing - Checks are processed by the Borough of Kenilworth’s Finance Department on approximately the first and third Thursday of each month. It is necessary that approved, signed Borough of Kenilworth vouchers be accompanied by an invoice and submitted in advance of these dates to: Borough of Kenilworth Finance Department - Accounts Payable 567 Boulevard Kenilworth, New Jersey 07033 B. No Guaranteed Minimum Payments - Nothing provided within these specifications shall be construed so as to imply or guarantee any minimum payments by the Borough of Kenilworth to a vendor in receipt of a contract award. The Borough of Kenilworth shall only remit payment for receipt of services actually rendered and received. C. Termination of Contract - The Borough of Kenilworth reserves the right to terminate any contract entered into upon thirty (30) calendar days’ written notice within its sole discretion, with or without cause. D. Transitional Period - In the event that a new contract has not been awarded prior to the contract expiration date, it shall be incumbent upon the professional services entity to continue the contract under the same terms and conditions until a new contract can be completely operational. At no time shall this transitional period extend more than ninety (90) days beyond the expiration date of the contract. BOROUGH OF KENILWORTH Page 7 of 26 SUBMISSION CHECKLIST THE FOLLOWING ITEMS, AS INDICATED BELOW , SHALL BE PROVIDED WITH THE RECEIPT OF SEALED SUBMISSIONS Initial Here Completed RFP Checklist Completed Submission Form / Qualification Statement Statement of Ownership Disclosure Non-Collusion Affidavit Required EEO/Affirmative Action Evidence & Signed Compliance Notice Acknowledgement of Americans with Disabilities Act Language of 1990 Disclosure of Investment Activities in Iran Insurance Requirement Acknowledgement Form New Jersey Business Registration Certificate of Vendor W-9 of Vendor This checklist is provided for vendor’s use in assuring compliance with required documentation; however, it does not include all submission requirements and does not relieve the vendor of the need to read and comply with the RFP. Name of Vendor: Date: Signature: X. Print Name: Title: BOROUGH OF KENILWORTH Page 8 of 26 SUBMISSION FORM / QUALIFICATION STATEMENT (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPE/WRITE: “SEE ATTACHED”) 1. Names and roles of the individuals who will perform the services and description of their education and experience with projects similar to the services contained herein: SUBMISSION FORM / QUALIFICATION STATEMENT (CONTINUED) (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPE/WRITE: “SEE ATTACHED”) Page 9 of 26 2. References and record of success of same or similar service: SUBMISSION FORM / QUALIFICATION STATEMENT (CONTINUED) (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPE/WRITE: “SEE ATTACHED”) Page 10 of 26 3. Description of ability to provide the services in a timely fashion (including staffing, familiarity and location of key staff): SUBMISSION FORM / QUALIFICATION STATEMENT (CONTINUED) (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPE/WRITE: “SEE ATTACHED”) Page 11 of 26 4. Cost details, including the annual fee for primary duties and the hourly rates of each of the individuals who will perform services, and all expenses for any work that is not included in the primary duties: CERTIFICATION OF QUALIFICATION (Sign Below) Firm: Date: Authorized Representative (Print): Signature: Title: Telephone No.: Fax No.: BOROUGH OF KENILWORTH Page 12 of 26 STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43) THIS STATEMENT SHALL BE COMPLETED, CERTIFIED TO, AND INCLUDED WITH ALL BID AND QUALIFICATION SUBMISSIONS. FAILURE TO SUBMIT THE REQUIRED INFORMATION IS CAUSE FOR AUTOMATIC REJECTION OF THE BID OR QUALIFICATION. 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 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 or greater interest therein, as the case may be. (COMPLETE THE LIST ON THE NEXT PAGE 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) STATEMENT OF OWNERSHIP DISCLOSURE (Continued) Page 13 of 26 (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 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 noncorporate 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 STATEMENT OF OWNERSHIP DISCLOSURE (Continued) Page 14 of 26 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 Borough of Kenilworth 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 the Borough of Kenilworth to notify the Borough of Kenilworth 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 Borough of Kenilworth to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): Title: Signature: Date: BOROUGH OF KENILWORTH Page 15 of 26 NON-COLLUSION AFFIDAVIT State of County of ss: I, of the City of in the County of and State 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 Qualification for the above named project, and that I executed the said Qualification with full authority so to do; 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 in said Qualification and in this affidavit are true and correct, and made with full knowledge that the Borough of Kenilworth relies upon the truth of the statements contained in said Qualification and in the statements contained in this 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 employees or bona fide established commercial or selling agencies maintained by (name of contractor). Subscribed and sworn to before me this day of , . X. Signature (Type or print name of affiant under signature) Notary public of BOROUGH OF KENILWORTH Page 16 of 26 My Commission expires BOROUGH OF KENILWORTH Page 17 of 26 AFFIRMATIVE ACTION COMPLIANCE NOTICE N.J.S.A. 10:5-31 and N.J.A.C. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS This form is a summary of the successful bidder’s requirement to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27-1 et seq. The successful bidder shall submit to the public agency, after notification of award but prior to execution of this contract, one of the following three documents as forms of evidence: a) A photocopy of a valid letter that the contractor is operating under an existing Federally approved or sanctioned affirmative action program (good for one year from the date of the letter); OR b) A photocopy of a Certificate of Employee Information Report approval, issued in accordance with N.J.A.C. 17:27-4; OR c) A photocopy of an Employee Information Report (Form AA302) provided by the Division and distributed to the public agency to be completed by the contractor in accordance with N.J.A.C. 17:27-4. The successful vendor may obtain the Affirmative Action Employee Information Report (AA302) from the contracting unit during normal business hours. The successful vendor(s) must submit the copies of the AA302 Report to the Division of Contract Compliance and Equal Employment Opportunity in Public Contracts (Division). The Public Agency copy is submitted to the public agency, and the vendor copy is retained by the vendor. The undersigned vendor certifies that he/she is aware of the commitment to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27.1 et seq. and agrees to furnish the required forms of evidence. The undersigned vendor further understands that his/her bid shall be rejected as non-responsive if said contractor fails to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27-1 et seq. COMPANY: SIGNATURE: PRINT NAME: TITLE: DATE: BOROUGH OF KENILWORTH Page 18 of 26 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 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 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 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 Borough 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 Page 19 of 26 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 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS (Continued) 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 Employee Information Report Form AA302 (electronically provided by the Division and distributed to the public agency through the Division’s website at ww.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 Subchapter 10 of the Administrative Code at N.J.A.C. 17:27. BOROUGH OF KENILWORTH Page 20 of 26 AMERICANS WITH DISABILITIES ACT OF 1990 Equal Opportunity for Individuals with Disability The Contractor and the 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. The undersigned vendor consents to the full understanding of the forgoing Americans with Disabilities Act Language of 1990: Bidder/Vendor: Signature: Full Name (Print): Title: Date Page 21 of 26 BOROUGH OF KENILWORTH DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN PART 1: CERTIFICATION BIDDERS MUST COMPLETE PART 1 BY CHECKING EITHER BOX. Pursuant to Public Law 2012, c. 25, any person or entity that submits a bid or Qualification or otherwise proposes to enter into or renew a contract must complete the certification below to attest, under penalty of perjury, that neither the person or entity, nor any of its parents, subsidiaries, or affiliates, is identified on the Department of Treasury’s Chapter 25 list as a person or entity engaging in investment activities in Iran. The Chapter 25 list is found on the Division’s website at http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf. Bidders must review this list prior to completing the below certification. Failure to complete the certification will render a bidder’s Qualification non-responsive. PLEASE CHECK EITHER BOX: □ I certify, pursuant to Public Law 2012, c. 25, that neither the person/entity listed above nor any of the entity’s parents, subsidiaries, or affiliates is listed on the N.J. Department of the Treasury’s list of entities determined to be engaged in prohibited activities in Iran pursuant to P.L. 2012, c. 25 (“Chapter 25 List”). I further certify that I am the person listed above, or I am an officer or representative of the entity listed above and am authorized to make this certification on its behalf. I will skip Part 2 and sign and complete the Certification below. OR □ I am unable to certify as above because I or the bidding entity and/or one or more of its parents, subsidiaries, or affiliates is listed on the Department’s Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in Part 2 below and sign and complete the Certification below. Failure to provide such will result in the Qualification being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law. PART 2 PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN You must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the form below. (PROVIDE INFORMATION RELATIVE TO THE ABOVE QUESTIONS. PLEASE PROVIDE THOROUGH ANSWERS TO EACH QUESTION. IF YOU NEED TO MAKE ADDITIONAL ENTRIES, USE ADDITIONAL PAGES). Name: Relationship to Bidder/Vendor: Description of Activities: Duration of Engagement: Anticipated Cessation Date: Bidder/Vendor: Contact Name: Contact Phone Number: BOROUGH OF KENILWORTH Page 22 of 26 DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN (Continued) CERTIFICATION I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the below-referenced person or entity. I acknowledge that the Borough of Kenilworth is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of contracts with the Borough of Kenilworth to notify the Borough of Kenilworth in writing of any changes to the answers or information contained herein. I acknowledge 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 recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreements(s) with the Borough of Kenilworth and that the Borough of Kenilworth at its option may declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): Signature: Title: Date Bidder/Vendor: BOROUGH OF KENILWORTH Page 23 of 26 INSURANCE REQUIREMENTS AND ACKNOWLEDGEMENT FORM Certificate(s) of Insurance shall be filed with the Borough Clerk's Office upon award of contract by the governing body The minimum amount of insurance to be carried by the Professional Service Entity shall be as follows: PROFESSIONAL LIABILITY INSURANCE Limits shall be a minimum of $1,000,000.00 for each claim and $1,000,000.00 aggregate each policy period. Acknowledgement of Insurance Requirement: SIGNATURE: DATE: (Printed Name & Title) CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS NJ Rev. 1.22.2024 Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendori”) that seeks to enter into or renew a contract with a State agency for the provision of goods or services, or the purchase of bonds or other obligations, must complete the certification below indicating whether or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall take any action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party. I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and having done so certify: (Check the Appropriate Box) A. That the Vendor is not identified on the OFAC Specially Designated Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus. OR B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially Designated Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus. OR C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially Designated Nationals and Blocked Persons list. However, the Vendor is engaged in activity related to Russia and/or Belarus consistent with federal law, regulation, license or exemption. A detailed description of how the Vendor’s activity related to Russia and/or Belarus is consistent with federal law is set forth below. (Attach Additional Sheets If Necessary.) Signature of Vendor’s Authorized Representative Date Print Name and Title of Vendor’s Authorized Representative Vendor’s FEIN Vendor’s Name Vendor’s Phone Number Vendor’s Address (Street Address) Vendor’s Fax Number Vendor’s Address (City/State/Zip Code) Vendor’s Email Address i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company, business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2). BOROUGH OF KENILWORTH Page 24 of 26 THESE ARE SAMPLES OF THE ONLY ACCEPTABLE BUSINESS REGISTRATION CERTIFICATES. FAILURE TO POSSESS A NEW JERSEY BUSINESS REGISTRATION CERTIFICATE MAY BE CAUSE FOR REJECTION OF YOUR QUALIFICATION REGARDLESS OF THE FACT THAT A COPY MAY ALREADY BE ON FILE WITH THE BOROUGH OF KENILWORTH BOROUGH OF KENILWORTH EXAMPLE W-9 FORM Page 24 of 25 END OF DOCUMENT Page 25 of 25
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Theodore Georgiou
CMFO, QPA, CTC Qualified Purchasing Agent
hidden@email.com
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First Discovered
Mar 19, 2026
Last Info Update
Apr 30, 2026
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