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Lead Closed
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2026 RFPs Professional Services
BID #: 40
ISSUED: 9/29/2025
DUE: 10/24/2025
VALUE: TBD
100
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Executive Summary
The Borough of Kenilworth is soliciting qualifications from professional service providers for various roles and contracts commencing January 1, 2026, and terminating no later than December 31, 2026. These professional services encompass a wide array of expertise, including legal counsel (Borough Attorney, Labor Attorney, Redevelopment Attorney, Affordable Housing Attorney, Tax Appeal Attorney, Planning Board Attorney, Bond Counsel), auditing, engineering, planning, real estate appraisal, and information technology (IT) services. Interested vendors must submit qualifications that demonstrate their professional, financial, and administrative capabilities to provide the requested services. Submissions are due on Friday, October 24, 2025, at 11:00 a.m. prevailing time.
Web Content
BID/RFP/RFQ Postings • 2026 RFPs Professional Services 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: 2026 RFPs Professional Services Category: RFP / RFQ Postings Status: Closed Description: TO: General Public RE: NOTICE OF SOLICITATION OF 2026 PROFESSIONAL SERVICES Borough of KENILWORTH, Union County PUBLIC NOTICE FOR THE SOLICITATION OF PROFESSIONAL SERVICE CONTRACTS FOR THE CONTRACT PERIOD Commencing JANUARY 1, 2026 NOTICE IS HEREBY GIVEN that sealed proposals will be received by the Qualified Purchasing Agent of the Borough of Kenilworth, County of Union, State of New Jersey on Friday, October 24, 2025 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 and read in public for: Affordable Housing Attorney Bond Counsel Affordable Housing Administrative Agent Affordable Housing Planner Borough Attorney Borough Auditor Borough Engineer Labor Attorney Planning Board Planner Planning Board Attorney Real Estate Appraiser Tax Appeal Attorney Redevelopment Attorney IT Services 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 the respective professional service 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 For security reasons, you must enable JavaScript to view this E-mail address. . 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. The Borough shall award the contract or reject all submissions no later than 60 days from receipt of same. Theodore Georgiou, Qualified Purchasing Agent FOR NOTIFICATION PURPOSES : FOR PUBLICATION PURPOSES : Post: Borough Bulletin Board Publish: The Local Source (10/9/2025) Borough Website Publication Date/Time: 9/29/2025 8:30 AM Closing Date/Time: 10/24/2025 11:00 AM 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: Affordable Housing Attorney ---
Page 1 of 27
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
qualifications will be opened for:
2026 AFFORDABLE HOUSING ATTORNEY
Qualifications must be made on the standard qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Affordable Housing Attorney”
on the outside, addressed to Theodore Georgiou, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, CMFO, QPA, CTC
Qualified Purchasing Agent
Page 2 of 27
BOROUGH OF KENILWORTH
GENERAL INSTRUCTIONS
1.
INTENT OF SOLICITATION
The Borough of Kenilworth is soliciting a Request for Qualifications (RFQ) 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 qualification inclusive of a Submission Form / Qualification
Statement in accordance with the procedure and schedule in this RFQ. 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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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 27
corrections. The Borough of Kenilworth explicitly prohibits transmittal of
qualifications 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 qualifications 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 Qualifications - 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 qualifications for 2026 Affordable
Housing Attorney for the contract period commencing no sooner than January 1, 2026
and terminating no later than December 31, 2026. 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) Supervise and coordinate negotiations within the scope of the Borough’s
affordable housing obligations promulgated by legislative, executive, and
judicial entities of the State of New Jersey and other public entities,
Page 4 of 27
including but not limited to the New Jersey Council on Affordable Housing
(COAH) and the Fair Share Housing Center of New Jersey;
(2) Prosecute or defend any and all suits or actions, whether in law, equity or
administrative proceedings, to which the Borough, through its
redevelopment actions or undertakings, may be a party or in which it may
be interested, or proceedings in which any officer of the Borough in the
capacity of such office may be a party;
(3) Serve as legal advisor and counsel thereby rendering opinions in writing and
giving advice on all affordable housing questions of law submitted affecting
the municipality;
(4) Attend Regular and Special Meetings of the Mayor and Council, Planning
Board/Zoning Board of Adjustment as directed;
(5) Draft, or supervise the phraseology of any contract or other legal document
or instrument to which the Borough may be a party;
(6) Draft and approve as to form and sufficiency all legal documents,
Ordinances, and Resolutions made, executed or adopted by or on behalf of
the Borough;
(7) Subject to ratification by the Mayor and Council, have the power to enter
into any agreements, compromises or settlements of any appeal litigation in
which the Borough is involved;
(8) Work in concert and coordination with Borough staff including but not
limited to the Borough’s Municipal Housing Liaison, Redevelopment
Counsel, and Municipal Planner(s);
(9) Have such other functions, powers, and duties as may be provided by
General Law or Ordinance.
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:
(1) A successful vendor shall, at a minimum be (1) a license attorney-at-law (or
firm) of the State of New Jersey for a period of not less than ten (10) years
preceding the proposed appointment, and eligible to appear before all state
and federal courts in New Jersey; and,
(2) Have experience within the realm of affordable housing law within the State
of New Jersey for no less than ten (10) years.
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 27
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 Qualifications - Qualifications 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 qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their qualification. Such qualification
Page 6 of 27
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 qualifications
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 qualifications 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 27
SUBMISSION CHECKLIST
THE FOLLOWING ITEMS, AS INDICATED BELOW
, SHALL BE PROVIDED
WITH THE RECEIPT OF SEALED SUBMISSIONS
Initial
Here
Completed RFQ 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 RFQ.
Name of Vendor:
Date:
Signature: X.
Print Name:
Title:
BOROUGH OF KENILWORTH
Page 8 of 27
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 27
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 27
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 27
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 27
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 27
(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 27
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 27
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 27
My Commission expires
BOROUGH OF KENILWORTH
Page 17 of 27
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 27
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 27
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 27
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 27
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:
Page 22 of 27
BOROUGH OF KENILWORTH
Page 23 of 27
BOROUGH OF KENILWORTH
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:
Page 24 of 27
BOROUGH OF KENILWORTH
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)
Page 25 of 27
BOROUGH OF KENILWORTH
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
--- Document: Bond Counsel ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025at 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
Qualifications will be opened for:
2026 BOND COUNSEL
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Bond Counsel” on the outside,
addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025at 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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Bond Counsel
for the contract period commencing no sooner than January 1, 2026 and terminating
no later than December 31, 2026. 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) A. Prepare or review all bond ordinances adopted or to be adopted by the
governing body; (2) Assemble a certified record of proceedings to evidence the
proper adoption of each bond ordinance in accordance with the provisions of the
Page 4 of 26
Local Bond Law and other applicable New Jersey Statutes; (3) Prepare the
necessary resolutions or other operative documents to set up all bond sales and
submit to the Borough Attorney for review. Consult with the Auditor in connection
with the appropriate maturity schedule for the bonds to be sold and will review the
sections of the Official Statement pertaining to tax and security law matters and the
description of the security for the bonds. By request of the Borough will arrange
for the printing and the distribution of the Official Statement to those financial
institutions that customarily submit bids for new issues of New Jersey municipal
bonds of that type. Bond Counsel will arrange for the printing of the notice of sale
and will answer any inquiries made by the investment community concerning the
bond sale. Bond Counsel will attend the bond sale and will render legal advice as
necessary concerning the submission of bids for the bonds in accordance with the
notice of sale and the requirements of law. After the bond sale, bond counsel will
prepare the bonds for execution, will prepare and see to the execution of the
necessary closing certificates and will establish the time and place for the delivery
of the bonds to the successful bidder. BOND COUNSEL will attend the closing
with the appropriate at which time the bonds will be delivered, payment will be
made for the bonds, and the bond counsel will issue final approving legal opinion
with respect to the validity of the bonds; (4) Prepare any necessary resolutions to
authorize the sale of bond anticipation notes or tax anticipation notes and submit
them to the Borough Clerk. When the purchaser and the details of the notes have
been determined, bond counsel will prepare the notes for execution and will prepare
the appropriate closing certificates and an approving legal opinion with respect to
the notes. Normally, it is not necessary for bond counsel to attend the closing for
the notes. Unless requested otherwise, bond counsel will forward the notes, closing
papers and approving legal opinion to the appropriate Borough officer for execution
and delivery; (5) Provide basic advice in regard to the effect of the federal arbitrage
regulations on the issuance of bonds or bond anticipation notes and the investment
of the proceeds thereof; and (6) Provide basic advice in regard to compliance with
Rule 15C2-12 of the Securities and Exchange Commission.
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) a licensed attorney-at-law (or
firm) of the State of New Jersey for a period of not less than of ten years and
have a minimum of five years’ experience serving as Bond Council to one or
more governmental entities of New Jersey; (2) The proposer must be both a
Certified Public Accountant and a Registered Municipal Accountant;
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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
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 Qualifications
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 Qualifications 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 RFQ 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 RFQ.
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)
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
--- Document: Affordable Housing Administrative Agent ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025at 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
Qualifications will be opened for:
2026 AFFORDABLE HOUSING
ADMINISTRATIVE AGENT
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Affordable Housing
Administrative Agent” on the outside, addressed to Theodore Georgiou, QPA, Qualified
Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025at 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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Affordable
Housing Administrative Agent for the contract period commencing no sooner than
January 1, 2026 and terminating no later than December 31, 2026. 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 Administrative Agent Services as set forth
in the Uniform Housing Affordability Controls, N.J.A.C. 5:80-26.1 et seq.
and in accordance with the Fair Housing Act, N.J.S.A. 52-27D-301 et seq.
Page 4 of 26
Services include but are not limited to affirmative marketing, responding to
general affordable housing inquiries, maintaining administrative agent
operating manual, ensuring restricted units are rented/sold to eligible
households, advising the Borough on affordable housing requirements for
new developments, wait list management.
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 administrative agent 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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
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 Qualifications
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 Qualifications 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 RFQ 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 RFQ.
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)
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
--- Document: 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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 AFFORDABLE HOUSING PLANNER
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Affordable Housing Planner” on
the outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address
above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Affordable
Housing Planner for the contract period commencing no sooner than January 1, 2026
and terminating no later than December 31, 2026. 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.
Page 4 of 26
(2) Planner services shall include but are not limited to:
a. Performing professional planning and technical administrative
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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
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 Qualifications
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 Qualifications 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 RFQ 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 RFQ.
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)
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
--- Document: Borough Attorney ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 BOROUGH ATTORNEY
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Borough Attorney” on the outside,
addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (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 Qualification 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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 corrections. The Borough of Kenilworth explicitly prohibits transmittal of
Qualifications by way of facsimile.
Page 3 of 26
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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Borough
Attorney for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Preparation of municipal ordinances, litigation, tort claims, real estate
transactions and associated documents, labor negotiations and personnel issues,
redevelopment, COAH application and compliance, preparation and review of
bidding and contract documents for capital projects, legal work covered by
developer and redeveloper escrows, acquisition of easement and other rights in
Page 4 of 26
land through negotiation or condemnation, and tax appeals. Counsel may also
be called upon to provide other types of legal services of a specialized nature.
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 have a minimum of ten (10) years’
experience in the practice of Municipal Law, a minimum of five (5) years’
serving as the municipal attorney pursuant to N.J.S.A. 40A9-139 of one (1) or
more municipalities of this state and a minimum of five (5) years of experience
representing municipalities in tax appeals; A successful vendor shall also list
and demonstrate relevant experience and expertise in preparing municipal
ordinances, Reviewing and preparing municipal specifications, bidding and
contract documents for goods and services and construction projects, Advising
municipal governing bodies regarding applicable law, including OPMA,
OPRA, LAD, Title VII, CEPA, LPCL, MLUL, LRHL, LLBL, Borough
Law, Labor Law, including FLSA, FMLA, FLA, PEOSHA, EERA, Public
employer collective negotiations, land use law, civil litigation representing
public entities and public employees, and tax appeals.
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.
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
Page 5 of 26
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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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
Page 6 of 26
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)
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
--- Document: Borough Auditor ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 BOROUGH AUDITOR
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Borough Auditor” on the
outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Borough Auditor
for the contract period commencing no sooner than January 1, 2026 and terminating
no later than December 31, 2026. 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) Perform Annual Audit to include department and agencies pursuant to
N.J.S.A. 40A:5-4;
Page 4 of 26
(2) Review the Annual Budget, Financial and Debt Statement prior to their
filing/adoption consistent with statutory deadlines;
(3) Perform audit of Deferred Compensation Plan;
(4) Perform audit of all Trust and Escrow Funds;
(5) Perform audit of LOSAP;
(6) Respond to inquiries concerning financial and tax matters associated
with the Borough on an as needed basis.
(7) All auditing must be done in accordance with U.S. generally accepted
auditing standards and the standards applicable to financial statements
contained in the Government Auditing Standards issued by the Comptroller
General of the United States, the audit requirements prescribed by the
Division of Local Government Services, Department of Community
Affairs, State of New Jersey and the provisions of U.S. Office of
Management and Budget Circular A-133, “Audits of States, Local
Governments and Non-Profit Organizations” and State of New Jersey OMB
Circular 04-04, “Single Audit Policy for Recipients of Federal Grants, State
Grants and State Aid”.
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:
(1) Proposer must have a minimum of fifteen (15) years’ experience as an
auditor and a minimum of ten (10) years’ experience servicing the Borough
of Kenilworth or other governmental entities;
(2) The proposer must be both a Certified Public Accountant and a Registered
Municipal Accountant;
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.
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
Page 5 of 26
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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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
Page 6 of 26
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 RFQ 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 RFQ.
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)
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
--- Document: Borough Engineer ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 Borough Engineer
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Borough Engineer” on the outside,
addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Borough
Engineer for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Site land use and environmental engineering;
(2) Facility, infrastructure and project design, construction, and operation.
Including: roadway improvements, culverts, traffic studies, signalized
Page 4 of 26
and
unsignalized
intersection
improvements,
parks,
drainage
improvements, flood control improvements, landscape architecture and
planning,
surveying/GIS/mapping,
and
environmental/cultural
investigation, evaluation and remediation projects.
(3) Building systems evaluations, including but not limited to: conducting on
site investigations of heating, ventilation, air conditioning, electrical,
plumbing, fire protection and control systems and making recommendations
for any necessary modifications; assessing building systems for
functionality, energy efficiency, environmental compliance, comfort and air
quality; performing safety and code audits;
(4) Mechanical design services including but not limited to: Preparation of
plans, specifications, conceptual design, cost estimates and project manuals
for various types of building mechanical systems;
(5) Prepare and submit permit applications, General Grant Applications,
correspondence, and the like to the New Jersey Department of
Environmental Protection and any other applicable state or federal
regulatory agency as well as any other private entity, as required;
(6) Provide Construction Administration/Inspection Services for all types of
Civil
Engineering.
Infrastructure
projects
including;
roadway
improvements, flood control and drainage projects, culverts, signalized
intersection improvements, parks, and environmental remediation projects.
(7) Provide Material Testing and Geotechnical Services including the field
collection, field compaction testing and laboratory reporting for: concrete,
bituminous concrete, steel as well as soil and other types of construction
materials as may be required.
(8) Environmental Testing and Monitoring.
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:
(1) Proposer must have a minimum of fifteen (10) years’ experience in
providing engineering type services and a minimum of ten (5) years
servicing municipalities and other local governmental entities;
(2) Proposer MUST possess a valid P.E. license in the State of New Jersey as
appropriate with the type of services being offered, and any other licenses
or certificates necessary for the type of work proposed;
(3) A description of all other areas of ENGINEERING SERVICES of the
proposer, with emphasis on a description of those services of interest to a
Municipal client.
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 demonstrated records of success providing the same service;
Page 5 of 26
(3) description of ability to provide the services desired in a timely fashion (including
staffing levels and familiarity with subject matter); (4) cost details.
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 Qualifications - Qualifications 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 Qualifications 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.
Page 6 of 26
5.
PRICE QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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 RFQ 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 RFQ.
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)
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
--- Document: Labor Attorney ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 LABOR ATTORNEY
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Labor Attorney” on the outside,
addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Labor
Attorney for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) The Borough of Kenilworth is requesting Qualifications from qualified
individuals and firms to provide Labor/Personnel Counsel Services. The
Borough of Kenilworth employs approximately 110 employees of which
Page 4 of 26
approximately 50 are covered by Collective Bargaining Agreements. There
are two unions, representing police and public works.
(2) Provide review and advice regarding the Borough’s personnel policies and
practices, especially regarding compliance with and interpretation of
applicable federal, state and local statutes, rules, regulations and related
operating parameters.
(3) Provide assistance and advise regarding case presentation and
representation of the Borough before third party review and appeal boards
for personnel and collective bargaining cases and disputes. Specifically,
prepare cases for and provide representation usually before the New Jersey
Public Employees Relations Commission (PERC), Office of Administrative
Law and the Equal Employment Opportunity Commission (EEOC), which
required.
(4) Represent the Borough in internal disciplinary hearings.
(5) Provide review and advice regarding legal clarity, sufficiency and
compliance with federal and state statutes for collective bargaining
agreements; and provide specific interpretations of agreement provisions
and statutory changes, which may effect agreement provisions. When
requested by the Borough, attend and participate in collective bargaining
negotiations.
(6) Prepare and present staff training seminars on specific legal topics,
especially in areas of statutory and regulatory personnel issues, e.g., anti-
sexual harassment and discriminations policy, progressive discipline,
Americans with Disabilities Act accommodations etc.
(7) Other labor/personnel related work, as required. All work commissioned
and performed will be on an “as needed” basis; the contract maximum will
only dictate the maximum amount of payment, and will not establish any
guaranteed levels of work.
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:
(1) Proposer must have a minimum of ten (10) years’ experience in providing
labor/personnel services as a licensed attorney in the State of New Jersey
and a minimum of ten (5) years servicing municipalities and other local
governmental entities;
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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
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
Qualifications 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 Qualifications 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 RFQ 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 RFQ.
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)
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
--- Document: Planning Board 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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025at 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
Qualifications will be opened for:
2026 PLANNING BOARD PLANNER
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Planning Board Planner” on the
outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Planning Board
Planner for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Perform professional planning and technical administrative consulting
services for the Planning Board/Board of Adjustment, upon authorization,
including preparation of Master Plan and Land Use Ordinance
Page 4 of 26
Amendments; attendance at Planning Board/Board of Adjustment, or other
special meetings; preparation of special planning reports; assistance to the
Planning Board/Board of Adjustment and other staff personnel on
administrative and technical matters, as required; and professional planning
advisory services, as requested.
(2) Attend regular, special and emergency meetings of the Planning
Board/Board of Adjustment;
(3) Interact with applicable Borough personnel and other governmental
agencies, as required.
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:
(1) Proposer must have a minimum of ten (10) years’ experience in providing
professional planning type services and a minimum of ten (5) years
servicing municipalities and other local governmental entities;
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.
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
Page 5 of 26
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 Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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:
Page 6 of 26
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 RFQ 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 RFQ.
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
BOROUGH OF KENILWORTH
Page 21 of 26
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)
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
--- Document: Planning Board Attorney ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025at 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
Qualifications will be opened for:
2026 PLANNING BOARD ATTORNEY
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Planning Board Attorney” on the
outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Planning Board
Attorney for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Representing the Borough and Planning Board/Board of Adjustment in
all legal matters including, but not limited to, hearings held before the
Planning Board/Board of Adjustment.
Page 4 of 26
(2) Attendance at all regular, special, and emergency meetings of the
Borough’s Planning Board/Board of Adjustment.
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:
(1) Proposer must have a minimum of five (5) years’ experience in
representing municipalities in planning and zoning matters;
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.
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.
Page 5 of 26
C. Evaluation of Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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.
Page 6 of 26
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 RFQ 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 RFQ.
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
BOROUGH OF KENILWORTH
Page 21 of 26
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)
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
--- Document: Real Estate Appraiser ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 REAL ESTATE APPRAISER
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Real Estate Appraiser” on the
outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025, 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Real Estate
Appraiser for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Represent the Borough, as requested, in matters of real estate appraisals,
defense of tax appeals and prosecution of counterclaims;
Page 4 of 26
(2) Attend meetings as needed to assist in resolving issues of real estate
matters.
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:
(1) Proposer shall be a member of the Appraisal Institute (MAI) and a
licensed appraiser by the State of New Jersey;
(2) Proposer must have a minimum of five (5) years of experience
representing municipalities in tax appeals;
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.
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
Page 5 of 26
Borough’s Chief Financial Officer has certified the necessary funds in a lawful manner.
C. Evaluation of Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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
Page 6 of 26
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 RFQ 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 RFQ.
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
BOROUGH OF KENILWORTH
Page 21 of 26
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)
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
--- Document: Tax Appeal Attorney ---
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 TAX APPEAL ATTORNEY
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Tax Appeal Attorney” on the
outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Tax Appeal
Attorney for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Represent the Borough, as requested, in tax appeals before the Union
County Board of Taxation and Superior Court of New Jersey. Counsel
Page 4 of 26
may also be called upon to provide other types of legal services of a
specialized nature as-needed.
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:
(1) Proposer must have a minimum of five (5) years of experience
representing municipalities in tax appeals;
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.
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.
Page 5 of 26
C. Evaluation of Qualifications - Qualifications 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 Qualifications 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 QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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.
Page 6 of 26
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 RFQ 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 RFQ.
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
BOROUGH OF KENILWORTH
Page 21 of 26
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)
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
--- Document: Redevelopment Attorney ---
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
QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 REDEVELOPMENT ATTORNEY
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 Redevelopment Attorney” on the
outside, addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, QPA
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 Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 at 11:00 a.m. as listed in the
public notice of this solicitation to the attention of:
Theodore Georgiou
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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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
Qualifications 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 Qualifications 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 Qualifications - 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 Qualifications for 2026 Redevelopment
Attorney for the contract period commencing no sooner than January 1, 2026 and
terminating no later than December 31, 2026. 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) Specifically, represent the Borough of Kenilworth’s interests in terms of
Ordinance No. 2021-02, otherwise known as the “25 North 26th Street
Redevelopment Plan” adopted in March 2021;
Page 4 of 26
(2) Generally, represent the Borough of Kenilworth’s interests in all legal
matters pertaining to redevelopment efforts;
(3) Prosecute or defend any and all suits or actions, whether in law, equity or
administrative proceedings, to which the Borough, through its
redevelopment actions or undertakings, may be a party or in which it may
be interested, or proceedings in which any officer of the Borough in the
capacity of such office may be a party;
(4) Supervise and coordinate legal strategy of the Borough as it relates to
redevelopment;
(5) Serve as legal advisor/counsel to the Mayor and Council, its professionals,
and its subsidiary boards and commissions thereby rendering opinions in
writing and giving advice on all redevelopment- related questions of law
submitted affecting the municipality;
(6) Attend Regular and Special Meetings of the Mayor and Council, Planning
Board, and/or Zoning Board of Adjustment as directed;
(7) Draft, or supervise the phraseology of any contract or other legal document
or instrument to which the Borough may be a party;
(8) Draft and approve as to form and sufficiency all legal documents,
Ordinances, and Resolutions made, executed or adopted by or on behalf of
the Borough;
(9) Subject to ratification by the Mayor and Council, have the power to enter
into any agreements, compromises or settlements of any appeal litigation in
which the Borough is involved;
(10) Work in concert and coordination with Borough staff including but not
limited to the Borough’s Municipal Clerk, Business Administrator, Board
Clerks, Affordable Housing Attorney, and planning professionals; and,
(11) Have such other functions, powers, and duties as may be provided by
General Law or Ordinance.
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:
(1) A successful vendor shall, at a minimum be a licensed attorney-at-law (or
firm) of the State of New Jersey for no less than ten (10) years preceding
the proposed appointment;
(2) A successful vendor shall have experience within the realm of
redevelopment law within the State of New Jersey for no less than ten
(10) years preceding the proposed appointment.
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 Qualifications - Qualifications 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 Qualifications 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.
Page 6 of 26
5.
PRICE QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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 RFQ 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 RFQ.
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
BOROUGH OF KENILWORTH
Page 21 of 26
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)
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
--- Document: IT Services ---
Page 1 of 27
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 QUALIFICATIONS
E-MAIL:
purchasingofficer@kenilworthnj.org
Sealed Qualifications will be received by the Qualified Purchasing Agent for the Borough of
Kenilworth on Friday, October 24, 2025 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
Qualifications will be opened for:
2026 Information Technology (IT)
Services
Qualifications must be made on the standard Qualification forms, be enclosed in a sealed package
bearing the name and address of the vendor and labeled “2026 IT Services” on the outside,
addressed to Theodore Georgiou, QPA, Qualified Purchasing Agent at the address above.
Specifications may be obtained in-person at the Office of the Borough Clerk, online at
www.kenilworthborough.com/ or by e-mailing purchasingofficer@kenilworthnj.org.
All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27
et seq. regarding Equal Employment Opportunity and Affirmative Action. Small, Minority and
Women’s Business Enterprises are encouraged to obtain specifications and compete for the
contracts.
Theodore Georgiou, CMFO, QPA, CTC
Qualified Purchasing Agent
Page 2 of 27
BOROUGH OF KENILWORTH
GENERAL INSTRUCTIONS
1.
INTENT OF SOLICITATION
The Borough of Kenilworth is soliciting a Request for Qualifications (RFQ) 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 Qualification inclusive of a Submission Form /
Qualification Statement in accordance with the procedure and schedule in this RFQ.
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 Friday, October 24, 2025 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 Qualification shall be submitted.
Vendors should not submit more than the required number of copies as outlined herein.
C. Transmittal Instructions - Qualifications 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 RFQ
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 corrections. The Borough of Kenilworth explicitly prohibits transmittal of
Qualifications by way of facsimile.
Page 3 of 27
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 Qualifications 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 Qualifications - 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 Qualifications for 2026 IT Services for
the contract period commencing no sooner than January 1, 2026 and terminating no
later than December 31, 2026. 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:
A. Network Redesign Scope of Work
The selected vendor will provide services including, but not limited to:
1. VLAN & Network Segmentation
•
Create departmental VLANs with unique IP subnets (e.g., HR, Finance, Operations, Guest, IT/Admin).
•
Configure routing through firewall with policy-based access.
Page 4 of 27
2. Firewall Installation and Configuration
•
Define inter-VLAN communication policies.
•
Restrict unauthorized access and enable intrusion prevention with logging.
•
Configure guest VLAN for Internet-only access.
3. Wireless Infrastructure
•
Standardize SSIDs across the Borough.
•
Map SSIDs to VLANs.
•
Enable WPA2/WPA3 enterprise authentication.
•
Implement seamless roaming and band steering.
4. Switch Configuration
•
Configure trunk ports to support multiple VLANs.
•
Assign departmental access ports.
5. Endpoint & Remote Access Security
•
Deploy CrowdStrike for endpoint detection and response (EDR).
•
Integrate managed detection and response (MDR) services such as Red Canary.
•
Implement NinjaOne for automated patch management.
•
Configure Bomgar (BeyondTrust) for secure remote support.
B. Proactive System Maintenance & Security
1. Perform proactive maintenance of all network devices, including warranty tracking, network
monitoring, and asset management.
2. Conduct routine maintenance, monthly system reviews, and security management, including
penetration testing to prevent cyber threats.
3. Attend monthly meetings with and provide monthly reports detailing system health, security
measures, and incident reports to Borough Administration.
C. On-Site Remote IT Support
1. On-site maintenance shall be provided only when remote troubleshooting is not feasible.
2. Implement a work ticketing system with clear response times outlined in the proposal.
3. The Borough requires the following response times:
a. Standard Service Requests: Response time shall be within 2 to 4 hours.
b. Emergency Issues (ex: server failures, email access issues, network outages): Response time
shall be within 2 hours.
D. 24/7 IT Support & Monitoring
1. Provide 24/7 remote IT support with emergency on-site response within four (4) hours when
necessary.
2. Conduct continuous remote monitoring and email system support for all Borough departments.
3. Assist with Open Public Records Act (OPRA) requests, ensuring timely data retrieval from the
Borough’s email system. Vendor shall not be responsible for any legal review, only for record
production.
Page 5 of 27
E. Software & Hardware Support
1. The vendor shall provide Software Maintenance & Updates for:
a. Microsoft Operating Systems and Microsoft Office Suite
b. Network firewalls, security software, anti-virus solutions, and backup appliances
c. Any other software applications currently or prospectively utilized by the Borough
2. The vendor shall provide Hardware Support as follows:
a. Preventative maintenance, troubleshooting, and technical support for workstations, servers
and multifunction printer/copier/scanners
b. Installation, configuration, and upgrade services for all IT infrastructure
3. Point of Contact Responsibilities:
a. Act as the designated point of contact for Borough Department IT issues and application
support
F. Network Monitoring & Security
1. Continuously monitor internet usage, web portals, and IT ticketing systems
2. Maintain network security usage logs and perform routine system housekeeping
3. Document all IT processes and security procedures, ensuring compliance with best practices and
regulatory requirements
G. Data Protection, Backup, and Disaster Recovery
1. Implement and maintain data backup solutions and disaster recovery plans, ensuring business
continuity
2. Support on-site and off-site backup solutions, including rebuilding databases in case of a system
failure.
3. Manage email archiving for compliance and retention policies
4. Troubleshoot hardware and software issues remotely and on-site as required
5. Maintain hardware and software inventory and licensing documentation
H. Specialized Support for Borough Applications
1. Demonstrate successful experience in supporting Edmunds Finance and Tax applications as well as
other New Jersey municipal software applications
2. Assist in the selection, recommendation, and installation of new workstation hardware and software
as necessary
I. IT Strategy, Planning, and Budgeting
The vendor shall support the Borough in strategic IT planning, including:
1. Future IT system upgrades and roadmap development
2. Advising on five-year capital and operational budgeting for IT infrastructure and technology
improvements
3. Collaborating with Borough insurance and risk management teams to ensure compliance with
cybersecurity best practices and industry standards
Page 6 of 27
4. Collaborating with Borough insurance and risk managers to implement recommended cybersecurity
and information technology measures
B. Minimum Vendor Requirements – The Borough of Kenilworth is seeking a qualified
and experienced IT services provider with an office location within 50 miles of the Kenilworth
Borough limit to provide consistent and comprehensive IT support with its technical
infrastructure, ensure robust cybersecurity, and provide proactive system maintenance. The
selected vendor shall be responsible for maintaining network devices, ensuring data security,
responding to system issues, and advising on future IT planning. The required services and
performance conditions are described in the Scope of Services section. The vendor selected by
the Borough will have the knowledge and expertise with the systems, software and hardware
the Borough currently uses, as well as the availability to provide the required services in the
Borough’s organization with diverse IT needs.
The Administrator's Office will be responsible for managing IT services at the Borough
and will facilitate the strategic planning and coordination between the departments and
the new IT service provider.
CURRENT IT INVENTORY AND SERVICES
In addition to Borough Hall, located at 567 Boulevard, Kenilworth, NJ 07901, the
Borough of Kenilworth requires IT services at an additional four (4 – FD, Senior
Center, DPW, Rec/Construction) satellite locations within the Borough limits.
The following provides approximate numbers of the information technology across the
various buildings for the Borough of Kenilworth:
40 computers
6- Fortinet Firewalls
3- Ubiquiti Access points
5- Network Switches
15 – Printers
Most users are set up with software specific to their needs. Most applications are
server-based with client access via the network.
Various departments within the Borough do utilize additional and/or alternative
software/platforms. If approved for implementation, the selected vendor must be
available to assist the Borough in the implementation or be able to successfully install
and migrate any and all data where and if necessary. These implementations may
require installation and configuration during non-business hours if required for the
seamless continuity of operations. The selected vendor may also be required to provide
or coordinate training for staff to learn the new platform and provide troubleshooting
assistance during the transition.
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
Page 7 of 27
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.
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 Qualifications - Qualifications 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 Qualifications 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
Page 8 of 27
interests.
5.
PRICE QUALIFICATIONS
Prospective vendors must include a schedule of prices with their Qualification. Such
Qualification 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
Qualifications 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 Qualifications 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 9 of 27
SUBMISSION CHECKLIST
THE FOLLOWING ITEMS, AS INDICATED BELOW
, SHALL BE PROVIDED
WITH THE RECEIPT OF SEALED SUBMISSIONS
Initial
Here
Completed RFQ 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 RFQ.
Name of Vendor:
Date:
Signature: X.
Print Name:
Title:
BOROUGH OF KENILWORTH
Page 10 of
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 11 of 27
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 12 of 27
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 13 of 27
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 14 of 27
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 15 of 27
(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 16 of 27
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 17 of 27
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
My Commission expires
BOROUGH OF KENILWORTH
Page 18 of 27
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 19 of 27
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 20 of 27
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 21 of 27
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 22 of 27
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 23 of 27
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 24 of 27
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)
BOROUGH OF KENILWORTH
Page 25 of 27
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
Qualified Purchasing Agent
hidden@email.com
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Timeline
First Discovered
Mar 19, 2026
Last Info Update
Apr 30, 2026
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