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Request for Qualifications - City of Long Branch
BID #: 28
ISSUED: 5/2/2025
DUE: 6/4/2025
VALUE: TBD
100
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Executive Summary
The City of Long Branch is seeking qualifications for a pool of professional service contracts spanning various sectors, including urban development, legal, architectural, engineering, and environmental services. These contracts are intended to support the city's ongoing operations and redevelopment initiatives. The qualifications are being solicited through a Fair and Open process, and contracts awarded will be for the period of July 1, 2025, through June 30, 2026. However, these contracts do not guarantee that any work will actually be awarded to any or to all, of the successful candidates. Contract assignments for specific services will be awarded on an as needed basis to individual firms based upon the required expertise as it applies to the services needed, ability to perform within the required timeframe, and evaluation of a proposal provided by the firm for each task.
Web Content
Bid Postings • Request for Qualifications - City of Long Bra Skip to Main Content Create a Website Account - Manage notification subscriptions, save form progress and more. Website Sign In Government Departments How Do I... Community Business Services Search Home Bid Postings Print Sign up to receive a text message or email when new bids are added! Print Bid Title: Request for Qualifications - City of Long Branch Category: Purchasing Status: Closed Description: City of Long Branch Request for Qualifications (RFQ) Notice is hereby given that the City of Long Branch will receive Qualifications on Wednesday JUNE 4, 2025, at 11:00 A.M. in City of Long Branch, City Hall, 344 Broadway, Long Branch, New Jersey 07740 for the following professional services: URBAN DEVELOPMENT CONSULTANT POOL BOND COUNSEL SERVICES LEGAL SERVICES ATTORNEY POOL REDEVELOPMENT ATTORNEY POOL ARCHITECTURAL SERVICES POOL APPRAISAL SERVICES POOL CITY ATTORNEY SERVICES URBAN DESIGN & PLANNING SERVICES POOL CITY ENGINEERING SERVICES LABOR ATTORNEY SERVICES POOL ENGINEERING SERVICES POOL PLANNING SERVICES POOL ENVIRONMENTAL SERVICES POOL MECHANICAL/ELECTRICAL/PLUMBING ENGINEERING (MEP) SERVICES POOL LANDSCAPE/ARCHITECTURAL SERVICES STATE APPROVED FORESTER/CERTIFIED TREE EXPERT SERVICES Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A. 19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch, New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M. and 4:30 P.M. Monday through Friday or at the City of Long Branch’s website at www.longbranch.org . Qualification submissions may be mailed upon request by calling the Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in writing and directed to the Purchasing Agent. Questions may be faxed to (732) 229-5324. Submissions must be made in the form required by the specifications and one (1) printed original and one (1) electronic format (flash drive) copy must be delivered to reach the City Clerk prior to the time for the receipt of Qualification(s). All information requested in the Request for Qualifications must be provided or the submission may be disqualified. Submissions must be sealed and plainly marked on the outside of the sealed envelope to the services for which the Qualification is submitted. The City of Long Branch reserves the right to reject any and all submissions, to waive any informality in the RFQ process, and to accept any submissions which, in their judgment, are most advantageous, price and other factors considered, will best serve the interest of the City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-31 et seq., N.J.A.C. 17:27. David Spaulding, Purchasing Agent, QPA City of Long Branch Publication Date/Time: 5/2/2025 8:00 AM Closing Date/Time: 6/4/2025 11:00 AM Related Documents: RFQ CY25 Urban Development 042825 RFQ CY25 Urban Design Planning 042525 RFQ CY25 State Certified Tree Expert 042525 RFQ CY25 Redevelopment Attorney 042525 RFQ CY25 Planning Services 042525 RFQ CY25 Mechanical Electrical Plumbing Engineering 042525 RFQ CY25 Legal Services Attorney 042525 RFQ CY25 Landscape Architectural Services 042525 RFQ CY25 Labor Attorney 042525 RFQ CY25 Environmental Services 042525 RFQ CY25 Engineering Services 042525 RFQ CY25 City Engineer 042525 RFQ CY25 City Attorney 042525 RFQ CY25 Bond Counsel 042525 RFQ CY25 Architectural Services 042525 RFQ CY25 Appraisal Services 042525 Return To Main Bid Postings Page Live Edit Agendas & Minutes Beach Information Newsletter Sign-up Meeting Live Stream Tax Payments Public Notices & Advertisements Long Branch, NJ The Friendly City Contact Us 344 Broadway Long Branch, NJ 07740 Phone: 732-222-7000 Monday through Friday 8:30 am to 4:30 pm Quick Links City Clerk Arts and Cultural Center Volunteer Inquiry Form Boards and Commissions Garbage and Recycling Elections and Voter Registration /QuickLinks.aspx Site Links Home Site Map Contact Us Accessibility Copyright Notices Privacy Policy /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: RFQ CY25 Urban Development 042825 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
URBAN DEVELOPMENT CONSULTANT POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASASS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2024 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2024 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway, Long Branch,
New Jersey for the URBAN DEVELOPMENT CONSULTANT SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and evaluated, and contract awarded based upon the following
criteria:
Experience and reputation of the firm in the field of Urban Development Consultant
services.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and, if
applicable, cost that would be incurred by the City to contract with a new firm for
existing projects (i.e. estimated cost for current firm to review and close out all files, and
new firm to review and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and during the contract year of July 1, 2025 through June 30, 2026, may be requested to provide
services as required by the City. These contracts do not guarantee that any work will actually be
awarded to any, or to all, of the successful candidates.
In the event that a member of the Urban Development Consultant services pool, due to a
conflict concern, should disqualify itself from consideration for a contract for a specific matter
that shall not adversely affect inclusion in the pool for consideration for future contracts during
the contract year.
Contract assignments for specific services will be awarded on an as needed basis to individual
firms based upon the required expertise as it applies to the services needed, ability to perform
within the required timeframe, and evaluation of a proposals provided by the firm for each task.
Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Urban Development Consultant Services
The City of Long Branch is requesting qualifications from firms to provide urban development
consultant services, including, but not limited to, analysis of redevelopment proposals
submitted by potential developers as to financial qualifications; analysis of pro-formas;
recommendation as to financial viability of potential developers and their ability to make
developer contributions to the City; and evaluation of same.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list
all, and indicate corporate office.
2.
Biography or history of the firm.
3.
List of principals and/or partners.
4.
List of personnel that would be assigned to Long Branch matters, including a summary
of their education, licenses, qualification, expertise, and experience as it relates to the
services required by the City.
Indicate the approximate percentage of work that
would be assigned to each individual.
5.
List of References from at least two (2) municipalities for which firm has provided
similar services for redevelopment projects, including name, address, phone numbers,
contact information, and project description.
6.
Provide prior experience, if any, the firm may have providing services to the City of
Long Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which
fees would apply for principals and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during
the course of providing services on behalf of the City.
10. Copy of current Certificate of Insurance.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration. In addition to the above required information, respondents must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary.
The report is due by March 30 of each for reporting of prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Urban Design Planning 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
URBAN DESIGN AND PLANNING SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the URBAN DESIGN AND PLANNING SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of Urban Design and Planning Services.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and, if
applicable, cost that would be incurred by the City to contract with a new firm for
existing projects (i.e. estimated cost for current firm to review and close out all files, and
new firm to review and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and during the contract year of July 1, 2025 through June 30, 2026, may be requested to provide
services as required by the City. These contracts do not guarantee that any work will actually be
awarded to any, or to all, of the successful candidates.
In the event that a member of the Urban Design and Planning Services pool, due to a conflict
concern, should disqualify itself from consideration for a contract for a specific matter that shall
not adversely affect inclusion in the pool for consideration for future contracts during the
contract year.
Contract assignments for specific services will be awarded on an as needed basis to individual
firms based upon the required expertise as it applies to the services needed, ability to perform
within the required timeframe, and evaluation of a proposals provided by the firm for each task.
Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Urban Design and Planning Services
The City of Long Branch is requesting qualifications from firms to provide urban design and
planning services for its ongoing and future redevelopment projects, including, but not limited
to, public and private redevelopment; regulatory analysis; design of public infrastructure related
to redevelopment; interface with State, County, and other regulatory agencies; organization of
public participation processes; and other design and planning services as required.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list
all, and indicate corporate office.
2.
Biography or history of the firm.
3.
List of principals and/or partners.
4.
List of personnel that would be assigned to Long Branch matters, including a summary
of their education, licenses, qualification, expertise, and experience as it relates to the
services required by the City.
Indicate the approximate percentage of work that
would be assigned to each individual. Senior personnel assigned to Long Branch must
be have demonstrated knowledge of and familiarity with New Jersey State Master
Plan, and with any and all regulations relating to redevelopment in New Jersey.
5.
List of references from at least two (2) municipalities for which firm has provided
similar services for redevelopment projects, including name, address, phone number,
contact information, and project description.
6.
Provide prior experience, if any, the firm may have providing services to the City of
Long Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which
fees would apply for principals and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during
the course of providing services on behalf of the City.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration. In addition to the above required information, respondents must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting of prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 State Certified Tree Expert 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
NEW JERSEY STATE APPROVED FORESTER/
CERTIFIED TREE EXPERT (CTE)
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice
is
hereby
given
that
the
City
of
Long
Branch
will
receive
Qualifications
on
WEDNESDAY, JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for a NJ STATE APPROVED FORESTER/CERTIFIED TREE EXPERT (CTE).
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for Qualifications
(RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch, New Jersey 07740,
Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M. and 4:30 P.M. Monday
through Friday or at the City of Long Branch’s website,
www.longbranch.org. Qualification
submissions may be mailed upon request by calling the Purchasing Agent’s office (732) 571-5656.
All questions regarding the RFQ must be made in writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324. Submissions must be made in the form required by the
specifications; one (1) printed original and one (1) electronic format (flash drive) copy must be
delivered to the City Clerk prior to the time for the receipt of Qualification(s). All information
requested in the Request for Qualifications must be provided or the submission may be
disqualified. Submissions must be sealed and plainly marked on the outside of the sealed envelope
to the services for which the Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening. It is the sole responsibility
of the respondent to be knowledgeable of all addenda related to this procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are most
advantageous, price and other factors considered, and will best serve the interest of the City of
Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-31 et seq.,
N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG).
Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed by a committee established by the Long Branch Environmental
Commission, and a contract awarded based upon the following criteria:
Experience and reputation of the firm as a State Approved Forester Certified Tree Expert
(CTE) in providing Forestry services as required by the current Community Forestry
Management Plan.
Qualifications of the individuals who will perform the required services, and their
respective participation
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and if
applicable, cost that would be incurred by the commission to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review and
get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts, and
during the contract year of July 1, 2025 through June 30, 2026, may be requested to provide
services required by the City. These contracts do not guarantee that any work will actually be
awarded to any, or to all, of the successful candidates.
In the event that a member of the Certified Tree Expert (CTE) services pool, due to a conflict or
concern, should disqualify itself from consideration for a contract for a specific matter, that shall
not adversely affect inclusion for future contracts during the contract year.
Contract assignments for specific Certified Tree Expert (CTE) will be awarded on an as needed basis
to individual firms based upon the required expertise as it applies to the services needed, ability to
perform within the required timeframe, and evaluation of a proposals provided by the firm for
each task. Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
DETAILED REQUIREMENTS OF THE REQUEST FOR QUALIFICATIONS FOR NEW JERSEY STATE
APPROVED FORESTER WHO IS A CERTIFIED TREE EXPERT
1.
NATURE/SCOPE OF SERVICES – The City of Long Branch is requesting submissions for a New
Jersey State Approved Forester who is a Certified Tree Expert (CTE). The individual/company
selected will have a close working relationship with the City of Long Branch and its Department
of Public Works, Environmental Commission, and the Green Team for the Fiscal year 2024.
The State Approved Forester/Certified Tree Expert must demonstrate the ability to:
a.
Perform professional forestry consulting services for the City of Long Branch, upon
authorization, as described within the current Community Forestry Management Plan.
b.
Perform CSIP#5 in the Community Forestry Management Plan for the preparation of a
street tree assessment (hazardous) and inventory for all trees within the public right-of-
way (ROW).
c.
Perform an Urban Tree Canopy Assessment for the City Of Long Branch. The City is seeking
to obtain a detailed technical analysis of the current land cover and associated impacts on
air and water resources. The assessment must include an ecosystem analysis to calculate
economic cost and benefit while identifying targets and strategies for improvement.
d.
Conduct an inventory of Ash Trees within the City of Long Branch’s public spaces and
develop and implement an Emerald Ash Borer management plan that includes both an
ecological and economical cost benefit analysis.
e.
Develop, edit, and assist with the City of Long Branch’s Community Forestry Management
Plan.
f.
Occasionally, attend regular City meetings and special and emergency meetings of the City
of Long Branch upon request.
g.
Interact with applicable City personnel and other governmental agencies, as required.
2.
STANDARD REQUIREMENTS
Submitters should submit qualifications which contain the following:
a.
The name of the submitter, the principal place of business and, if different, the place where
the services will be provided. Provide the distance of the firm from the City of Long Branch.
b.
Submitter must have a minimum of seven (7) years of experience as a Certified Tree Expert
(CTE) and must be a New Jersey State Approved Forester. Must have experience servicing
municipalities and/or other government agencies.
c.
Experience developing and assisting municipalities with Community Forestry Management
Plans.
d.
The education, qualifications, experience, and training of all persons who would be
assigned to provide services along with their names and titles. The submitter MUST not
only provide proof of certification and membership to the New Jersey Board of Tree
Experts but must also be listed as a New Jersey State Approved Forester.
e.
A listing of all other engagements where services specifically tree risk assessments were
provided within the past five (5) years including commercial, institutional, and park
experience. This should include other levels of government. Contact information for the
recipients of the similar services must be provided. The City may obtain references from
any of the parties listed.
f.
Statement that neither the firm nor any individuals assigned to this engagement are
disbarred, suspended, or otherwise prohibited from professional practice by any federal,
state, or local agency.
g.
Provide a fee schedule by title for all firm members and employees.
h.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services to the Commission.
i.
Copy of current Certificate of Insurance for Professional Liability Coverage.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A. 19:44-
20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 from Public
Entities in a calendar year. It is the contractor’s responsibility to determine if filing is necessary.
Additional information on this requirement is available from ELEC at 888-313-3532 or at
www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions. Failure
to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own 10
percent or more 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 BELOW IN THIS
SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no member in
the limited liability company owns a 10 percent or greater interest therein, as the case may be.
(SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and member exceeding the
10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional
sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this
certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to declare
any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior to
submission to the committees of the government entities listed on the form provided by the local
unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age, being
duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into any
agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full knowledge
that the City of Long Branch relies upon the truth of the statements contained in said Proposal, 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 established commercial or
selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with the
requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27).
Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from the
date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of New
Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets or
exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS TO
COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are recruited
and employed, and that employees are treated during employment, without regard to their age,
race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation or sex.
Such action shall include, but not be limited to the following: employment, upgrading, demotion,
or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The contractor agrees
to post in conspicuous places, available to employees and applicants for employment, notices to be
provided
by
the
Public
Agency
Compliance
Officer
setting
for
the
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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or representative
or workers with which it has a collective bargaining agreement or other contract or understanding,
a notice, to be provided by the agency contracting officer, advising the labor union or workers’
representative of the contractor’s commitments under this act and shall post copies of the notice in
conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented
from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and women
workers consistent with the applicable county employment goals established in accordance with
N.J.A.C. 17:27-5.2 or a binding determination of the applicable county employment goals
determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities, labor
unions, that it does not discriminate on the basis of age, creed, color, national origin, ancestry,
marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital status,
affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the Division
of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a compliance
investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
The contractor shall submit to the public agency, after notification of award but prior to execution
of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the Division
of Public Contracts Equal Employment Opportunity Compliance as may be requested by the office
from time to time in order to carry out the purposes of these regulations, and public agencies shall
furnish such information as may be requested by the Division of Public Contracts Equal
Employment Opportunity Compliance for conducting a compliance investigation pursuant to
Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the American
With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits discrimination
on the basis of disability by public entities in all services, programs, and activities provided or made
available by public entities, and the rules and regulations promulgated pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the bid
submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d) on the
Bid Document Submission Checklist (page C-1), are required to have obtained the Business
Registration Certificate from the Department of the Treasury, Division of Revenue prior to the
award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by P.L.2009,
c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase order,
or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with the
Department of the Treasury, Division of Revenue. Registration is free and is a one-time action –
there are no fees to register. However, you should update your contact and tax eligibility
information as needed. Registration is required to conduct most business with any state, county,
municipal, local board of education, charter school, county college, authority, or state college or
university. The contracting agency may be required to have a copy of the “proof of registration
certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue. The
form can be filed form online or by mailing a paper form to the Division. Online filing is strongly
encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited liability
partnership, before registering, you must obtain legal authority to operate in the State of New
Jersey. Generally, this is accomplished by filing an original business certificate with the Division of
Revenue, such as a Certificate of Incorporation or Formation. For more information on this subject,
visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing business
with any New Jersey government agency. The form (NJ-REG-A) may be on the back of this form. If
not, it can be downloaded from the web at www.nj.gov/treasury/revenue/pdforms/rega.pdf. To
obtain a copy by mail, call 609-292-1730, or write to the Division at the Client Registration Bureau,
PO Box 252, Trenton, NJ 08646-0252.
Questions
about
the
registration
process?
Call
609-292-1730
or
submit
by
e-mail
at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The Division
of Revenue will mail the certificate to the mailing address you supply on your registration
form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7 to
10 working days to receive your certificate. Alternately, you may visit the Division’s Client
Registration Bureau in person and request a certificate. The address is 847 Roebling
Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays, excluding
holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’ ACCORDINGLY,”
AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly” (the
“Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected officials
who are ultimately responsible for the award of discretionary no-bid contracts for municipal
professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by the
payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a loophole
to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure the
integrity of the award of public professional service contracts, has therefore determined that it
would be in the best interests of the City, and its residents, to amend the Ordinance in an attempt
to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this opportunity
to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest of
the City and its residents to require that a contribution of more than fifty dollars ($50.00) received
by a candidate be reported in the manner set forth by the laws and regulations of the State of New
Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known as
“An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or made
any contribution of money or pledge of a contribution including in-kind contributions, to a
campaign of any City of Long Branch candidate for Council or Mayor, in excess of the threshold
specified in subsection (d) of this Section within one calendar year immediately preceding the
date of the contract or agreement unless cured pursuant to Section 3. The prohibition set forth
in this Paragraph shall also apply to any solicitation or contribution of money or pledge of a
contribution including in-kind contributions made during the applicable time period to any City
of Long Branch or Monmouth County Party Committee, or to any political action committee
(PAC) that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with the
intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact or
agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind contributions,
to any City of Long Branch candidate or holder of public office having ultimate responsibility for
the award of the contract, in excess of the amount set forth herein. This Section is to include
any and all professionals who provide political contributions to any candidate for an office
whether or not that candidate is presently in office or seeks office. The prohibition set forth in
this Paragraph shall also apply to any solicitation or contribution of money or pledge of a
contribution including in-kind contributions to any City of Long Branch or Monmouth County
Party Committee, or to any political action committee (PAC) that is organized for the primary
purpose of promoting or supporting City of Long Branch candidates for Council or Mayor, so
long as the solicitation or contribution was made with the intention on the part of the
contributor to conceal or misrepresent the source of the contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract means
an individual including the individual’s spouse, if any, and any child living at home; person; firm;
corporation; professional corporation; partnership; organization; or association. The definition
of a business entity includes all principals who own ten percent (10%) or more of the equity in
the corporation or business trust, partners, and officers in the aggregate employed by the
entity as well as any subsidiaries directly controlled by the business entity.
(d) Any individual meeting the definition of “professional business entity” under this section may
annually contribute a maximum of five hundred dollars ($500.00) per candidate for Mayor
and/or Council Member on an annual basis whether or not that individual has a professional
services contract in place or not to the maximum extent of three thousand dollars ($3,000) per
annum per business entity.
This section shall apply to any presently sitting Councilperson
and/or the Mayor of the City of Long Branch and shall also apply to any individual who seeks to
run for the office of Council person and/or Mayor of the City of Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for the
award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or if a
public officer who is responsible for the award of a contract is appointed by the Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any municipal
or county party committee, or to any political action committee (PAC) that is organized for the
primary purpose of promoting or supporting City of Long Branch candidates for Council or Mayor,
shall be deemed a violation of this section, nor shall an agreement for property, good or services,
of any kind whatsoever, be disqualified thereby, if that contribution was made by the professional
business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach of
the terms of the government contract for a professional business entity as defined in Section
1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions given or
received, or to make or solicit contributions through intermediaries for the purpose of
concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to reveal
a contribution made in violation of this Act, or who knowingly makes or solicits contributions
through intermediaries for the purpose of concealing or misrepresenting the source of the
contribution, shall be subjected to a fine in the sum of $2,500 so far as the first offense and for
any second offense, shall be disqualified from eligibility for future City of Long Branch contracts
for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result of
the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the event
of any disputes as to whether or not a campaign contribution is proper the matter shall be
submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or aggregate
contributions received by such a committee in an election from a contributor totaling more than
fifty dollars ($50.00) during such a report period shall be reported by providing the information set
forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or circumstances,
shall be held invalid, the remainder of this law to the extent it can be given effect, or the
application of such provision to persons or circumstances other than those to which it is held
invalid, shall not be affected thereby, and to this extent the provisions of this law are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance with
the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the extent
of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or the
purchase of bonds or other obligations, must complete the certification below indicating whether or not
the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and
Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the Department of the
Treasury finds that a Vendor has made a certification in violation of the law, it shall take any action as
may be appropriate and provided by law, rule or contract, including but not limited to, imposing
sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment
or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the Office
of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and having
done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked Persons
list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to Russia
and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption. A detailed description of how the Vendor’s activity related to Russia and/or Belarus
is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in Section
1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect subsidiary,
or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Redevelopment Attorney 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
REDEVELOPMENT ATTORNEY POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
DR. ANITA VOOGT
GLENN RASSAS
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the REDEVELOPMENT ATTORNEY SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of legal representation, particularly as
it relates to redevelopment.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and, if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and during the contract year of July 1, 2025 through June 30, 2026, may be requested to provide
legal services as required by the City. These contracts do not guarantee that any work will
actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the Redevelopment Attorney Services pool, due to a conflict
concern, should disqualify itself from consideration for a contract for a specific matter that shall
not adversely affect inclusion in the pool for consideration for future contracts during the
contract year.
Contract assignments for specific services will be awarded on an as needed basis to individual
firms based upon the required expertise as it applies to the legal services needed, ability to
perform within the required timeframe, and evaluation of a proposals provided by the firm for
each legal
task.
Contract assignments will be awarded upon recommendation of the
Department of Administration, and each contract will be authorized by issuance of a purchase
order. No work may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Legal Services as Redevelopment Attorney
The City of Long Branch is requesting qualifications for a contract to provide legal services as
Redevelopment Counsel, requiring services including, but not limited to, drafting of
redevelopment agreements; litigation of eminent domain cases for property acquisition; advice
as to compliance with CAFRA and DEP regulations; financing options; pilot and tax abatement
knowledge; COAH Round 3 rules and compliance matters; and other special litigation cases and
matters as may be assigned by the City Attorney.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple offices sites, list all,
and indicate corporate office.
2.
Biography or history of the firm; firm staffing (i.e. number of attorneys, paralegal,
clerical staff, etc.).
3.
List of principals and/or partners.
4.
List of attorneys that would be assigned to Long Branch matters, including a summary of
their education, qualification, expertise, and experience as it relates to the services
required by the City.
Indicate the approximate percentage of work that would be
assigned to each individual.
The principals or partners assigned to Long Branch must have a minimum of 10 years
experience in providing legal services to municipalities relative to redevelopment issues.
5.
List of references from at least two (2) municipalities for which similar services were
provided. Include name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for attorneys and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services as Redevelopment Counsel.
10. Copy of current Certificate of Insurance.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration.
In addition to the above required information, legal firms must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Planning Services 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
PLANNING SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the PLANNING SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of planning services.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and, if
applicable, cost that would be incurred by the City to contract with a new firm for
existing projects (i.e. estimated cost for current firm to review and close out all files, and
new firm to review and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and during the contract year of July 1, 2025 through June 30, 2026, may be requested to provide
services as may be required by the City. These contracts do not guarantee that any work will
actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the services pool, due to a conflict concern, should disqualify
itself from consideration for a contract for a specific matter that shall not adversely affect
inclusion in the pool for consideration for future contracts during the contract year.
Contract assignments for specific services will be awarded on an as needed basis to individual
firms based upon the required expertise as it applies to the services needed, ability to perform
within the required timeframe, and evaluation of a proposals provided by the firm for each task.
Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Request for Qualifications for General Planning Services
NATURE/ SCOPE OF SERVICES – The City of Long Branch is requesting submissions for General
Planning and Land Use Services. The Planner will have a close working relationship with the
Departments of Administration, Planning, Zoning, and Public Works, the Planning Board, Zoning
Board of Adjustment, Environmental Commission, and /or Green Team.
The Planner must demonstrate the ability to:
a)
Perform professional planning and technical administrative consulting services for the
City, upon authorization, including preparation of Master Plan and Land Use Ordinance
Amendments; Fair Housing Element report; attendance at Planning Board, or other
special meetings; preparation of special planning reports; assistance to the City and
other staff personnel on administrative and technical matters, as required; and
professional planning advisory services, as requested.
b)
Attend regular, special, and emergency meetings of the City of Long Branch, if required.
c)
Interact with applicable City personnel and other governmental agencies, as required.
Submitters should submit technical qualifications which contain the following:
a)
Submitter must have a minimum of ten (10) years of experience in planning services and
a minimum of five (5) years servicing the City of Long Branch or other governmental
entities.
b)
The education, qualifications, experience, and training of all persons who would be
assigned to provide services along with their names and titles.
c)
The submitter MUST possess and provide a copy of a valid Professional Planners License
in the State of New Jersey and national membership in the American Institute of
Certified Planners (AICP).
Qualifications submission must include all of the following:
a)
Name, address, phone and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
b)
Biography or history of the firm.
c)
List of principals and/or partners.
d)
List of personnel that would be assigned to Long Branch matters, including a summary
of their educations, licenses, qualifications, expertise and experience as it relates to the
services the City requires. Indicate the approximate percentage of work that would be
assigned to each individual. Senior personnel assigned to Long Branch must be have
demonstrated knowledge of and familiarity with New Jersey State Master Plan, and with
any and all regulations relating to redevelopment in New Jersey.
e)
List of references from at least two (2) municipalities for which firm has provided similar
services for planning projects, including name, address, phone number, contact information,
and project description.
f)
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
g)
List of municipalities currently under contract with the firm.
h)
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for principals and employees assigned to Long Branch matters.
i)
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services on behalf of the City.
j)
Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) original and one (1) flash drive of the submission package must be submitted to the City
for consideration. In addition to the above required information, respondents must provide all
documents indicated on the Submission Package Check List. Failure to provide all required
documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting of prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
I acknowledge that I am 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Mechanical Electrical Plumbing Engineering 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
MECHANICAL/ELECTRICAL/PLUMBING (MEP)
ENGINEERING SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway, Long Branch,
New Jersey for the MECHANICAL/ELECTRICAL/PLUMBING ENGINEERING (MEP) SERVICES
POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience
and
reputation
of
the
firm
in
all
phases
of
municipal
mechanical/electrical/plumbing engineering services.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Familiarity of staff with current N.J. Statutes governing bidding and construction
projects.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and, during the contract year of July 1, 2025 through June 30, 2026, may be requested to
provide engineering services as required by the City. These contracts do not guarantee that any
work will actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the Mechanical/Electrical/Plumbing Engineering Services Pool,
due to a conflict of interest, should disqualify itself from consideration for a contract for a
specific matter, shall not adversely affect inclusion in the pool for consideration of future
contracts during the contract year.
Contract assignments for specific engineering projects or matters will be awarded on an as
needed basis to individual firms based upon the required expertise as it applies to the services
needed, ability to perform within the required timeframe, and evaluation of a proposal(s)
provided by the firm for each engineering project.
Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Mechanical/Electrical/Plumbing Engineering Services
The City of Long Branch will receive qualifications from firms to provide municipal
Mechanical/Electrical/Plumbing engineering services.
The Mechanical/Electrical/Plumbing Engineering Services that may be required could include,
but are not limited to, studies design and inspections for:
Buildings systems evaluations.
Mechanical and Electrical design and construction document preparation services.
MEP evaluations, budgeting, shop drawing review, and construction inspection.
Traffic signals.
Development of feasibility studies and comparative cost reviews.
Prepare and submit applications or correspondence to any applicable regulatory agency,
as required.
General Mechanical/Electrical/Plumbing engineering services (i.e. grant applications,
traffic signalization projects, green engineering, and other Mechanical/Electrical/
Plumbing engineering services as the need arises.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of engineers, other professionals
of various types, and clerical staff). Specify any areas of engineering services in which
the firm may specialize.
3.
List of principals and/or partners.
4.
List of Mechanical/Electrical/Plumbing engineers that would be assigned to Long Branch
matters, including a summary of their educations, qualifications, expertise, and
experience as it relates to the various areas of Mechanical/Electrical/Plumbing
engineering services the City may require. Indicate the approximate percentage of work
each would be assigned. The principals or partners assigned to Long Branch must have
a minimum of 10 years experience in the field of New Jersey Municipal Engineering.
5.
List of References from at least two (2) municipalities for which the firm has provided
similar services, including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for engineers and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One original and one (1) flash drive copy of the submission package must be submitted to the
City for consideration. In addition to the above required information, engineering firms must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
Other Terms and Conditions
The Prompt Payment Law requirements and City policy detailed below will become a part of any
contract issued under this Pool. The firm awarded a job with the City will be responsible for
insuring that their participation in the payment process allows for timely payment to the
contractor.
Payment Requests-Construction Contracts
Pursuant to N.J.S.A. 2A:30A-1 et seq., better known as the ”Prompt Payment Law”, all
contractors for “Public Works” projects, are required to follow the following procedures in
submitting bills, invoices, and/or requests for payment:
a.
In order for payment to be made in a timely manner, any bill, invoice and/or request for
payment must be received by the City, or its agent, no later than thirty (30) calendar
days prior to the City Council Meeting in which you are requesting payment be
approved and made.
If a Contractor is unable to make a payment request in this time
frame, said payment (if approved) will be made at the next regularly scheduled public
meeting of the Long Branch City Council.
City Council Meetings are scheduled for the
second and fourth Wednesday of each month (holidays excepted).
b.
In the event that a regularly scheduled meeting of the Council is cancelled due to severe
weather, lack of quorum, emergency, and/or any other reason, all requested payments
will be postponed until the subsequent meeting of the City Council.
c.
From the date that the payment request is received, the City will have twenty (20)
calendar days to approve, deny, or partially withhold payments.
If the request is
approved, payment will be made in accordance with the City Council Meeting schedule
above. If the request is denied or partially withheld, the City, or its Project Consultant,
will immediately notify the Contractor in writing of the reason for the denial. Payment
will not be made until all errors or omissions have been corrected to the satisfaction of
the City.
d.
Unless otherwise indicated at the pre-construction meeting, all requests for payment
must be presented to the City’s Project Consultant (engineer, architect, or other
professional designated by the City to perform project oversight). That Consultant will
be responsible for reviewing the payment request and either approving same and
forwarding to the City Comptroller for payment processing, or denying the payment and
notifying the Contractor, in writing, of the deficiencies. The City Comptroller must be
copied on all correspondence relating to payments.
e.
If the Contractor’s payment request for payment is approved, but the Comptroller’s
Office has not received the required Prevailing Wage Documentation, either prior to or
with the payment request, the payment request will be denied as incomplete and the
Contractor will notified in writing of the deficiency. Processing will not be completed
until the deficiency is corrected as required by law, and until the next regularly
scheduled City Council Meeting.
f.
In utilizing a Consultant (Engineer) for administration of a municipal project, said
Consultant agrees to be held to the same payment processing requirements under the
“Prompt Payment Law” as the City. The Consultant acknowledges that it has read and is
familiar with this law, and with the provisions of this Section of this RFQ. Any penalties
assessed to the City by a contractor as a result of the Consultant not abiding by the
specification procedure or the law shall be deducted from their total contract amount
due. The Consultant further agrees to indemnify and hold the City harmless from all
consequences of their having not processed requests for payment in a timely manner
pursuant to the law or these specification requirements.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Legal Services Attorney 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
LEGAL SERVICES ATTORNEY POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the LEGAL SERVICES ATTORNEY POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of municipal legal representation.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and, during the contract year of July 1, 2025 through June 30, 2026, may be requested to
provide legal services as required by the City and assigned by the City Attorney. These contracts
do not guarantee that any work will actually be awarded to any, or to all, of the successful
candidates.
In the event that a member of the legal pool, due to a conflict of interest, should disqualify itself
from consideration for a contract for a specific matter that shall not adversely affect inclusion in
the pool for consideration for future contracts during the contract year.
Contract assignments for specific matters will be awarded, on an as needed basis, to individual
firms based upon experience and expertise as it applies to the specific content of the matter and
the legal services required. Contract assignments will be awarded upon recommendation of the
Department of Administration, with input from the City Attorney, and each contract will be
authorized by issuance of a purchase order. No work may be authorized or services provided
prior to the purchase order date.
Request for Qualifications for Legal Services
The City of Long Branch will receive qualifications from attorneys to provide legal services in
matters as assigned by the City Attorney. The legal services that may be required could include,
but are not limited to, general legal services; municipal Liquor License and Taxi Cab License
matters; municipal property tax appeals; municipal tax foreclosure sales; In Rem tax foreclosure
sales; real estate transactions as to sale or purchase of municipal property; redevelopment
matters; redevelopment condemnations; COAH Round 3 rules and compliance matters;
litigation involving violation of Zoning Ordinances; failure to comply with permits; failure to
obtain Certificates of Occupancy; Construction Board of Appeals violations; other types of
litigation; and other legal matters as may be required during the contract year.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of attorneys, paralegal, and
clerical staff).
3.
List of principals and/or partners.
4.
List of attorneys in the firm, including a summary of their educations, qualifications,
expertise and experience as it relates to the various areas of legal services the City may
require. The principals or partners that would be assigned to Long Branch must have a
minimum of 10 years experience in New Jersey municipal law.
5.
List of References from at least two (2) municipalities for which the firm has provided
similar services, including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for attorneys and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing legal services.
10. Copy of current Certificate of Insurance for Professional Liability Insurance coverage.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration.
In addition to the above required information, legal firms must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary.
The report is due March 30 of each subsequent year for
reporting for prior year contracts. Additional information on this requirement is available from
ELEC at 888-313-3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
I acknowledge that I am 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Landscape Architectural Services 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
LANDSCAPE/ARCHITECTURAL SERVICES
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025, at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for LANDSCAPE/ARCHITECTURAL SERVICE.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in all phases of landscape/architectural services,
particularly as it relates to modifications to existing or construction of new public
buildings.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Familiarity of staff with current N.J. Statutes governing bidding and construction
projects for municipal facilities.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References, particularly from municipal clients.
Cost consideration, including, but not limited to hourly rate fee schedule, and schedule
of routine out of pocket charges.
Successful candidates chosen from respondents will be issued open-ended master contracts,
and during the contract year of July 1, 2025 through June 30, 2026. The respondents may be
requested to provide services as required by the City. These contracts do not guarantee that
any work will actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the Landscape/Architectural services pool, due to a conflict
concern, should disqualify itself from consideration for a contract for a specific matter that shall
not adversely affect inclusion for future contracts during the contract year.
Contract assignments for specific Landscape/Architects will be awarded on an as needed basis
to individual firms based upon the required expertise as it applies to the services needed, ability
to perform within the required timeframe, and evaluation of a proposals provided by the firm
for each task. Contract assignments will be awarded upon recommendation of the Department
of Administration, and each contract will be authorized by issuance of a purchase order. No
work may be authorized or services provided prior to the purchase order date.
Examples of possible projects could include, but not be limited to, renovations to the existing
Municipal Building to address ADA access requirements, renovations to a fire house, and/or
construction of a park building housing restrooms, concession stand and meeting rooms,
landscape along boardwalk repair.
Upon review of the specific project proposals, the City
Council would award a contract to the successful architectural firm based upon price and other
factors.
Request for Qualifications for Landscape/Architectural Services
The City of Long Branch will receive qualifications from firms to provide Landscape/
Architectural services on an as needed basis. Qualifications submission must include all of the
following:
1.
Name, address, phone, and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of architects, other professionals
of various types, and clerical staff). Specify any areas of landscape/architectural services
in which the firm may specialize, such as parks and recreation buildings or municipal
buildings.
3.
List of principals and/or partners.
4.
List of architects that may be assigned to Long Branch projects, including a summary of
their educations, qualifications, expertise, and experience as it relates to landscape/
architectural services for the types of projects the City may undertake.
The principals or partners assigned to Long Branch must have a minimum of 10 years
experience in the field of New Jersey Architectural Services.
5.
List of References from at least two (2) municipalities for which the firm has provided
these types of services, including name, address, phone number, and contact
information.
6.
Provide prior experience, if any, that the firm may have providing services to the City of
Long Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration. In addition to the above required information, engineering firms
must provide all documents indicated on the Submission Package Check List. Failure to provide
all required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
I acknowledge that I am 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Labor Attorney 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
LABOR ATTORNEY SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the LABOR ATTORNEY SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of legal representation relative to
municipal labor matters
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge the City of Long Branch as it pertains to the
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size, and make-up for comparable level of services, and, if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master
contracts, and during the contract year of July 1, 2025 through June 30, 2026, may be
requested to provide Labor services as required by the City. These contracts do not
guarantee that any work will actually be awarded to any, or to all, of the successful
candidates.
In the event that a member of the Labor Attorney services pool, due to a conflict
concern, should disqualify itself from consideration for a contract for a specific matter
that shall not adversely affect inclusion in the pool for consideration for future contracts
during the contract year.
Contract assignments for specific services will be awarded on an as needed basis to
individual firms based upon the required expertise as it applies to the services needed,
ability to perform within the required timeframe, and evaluation of a proposals
provided by the firm for each
task.
Contract assignments will be awarded upon
recommendation of the Department of Administration, and each contract will be
authorized by issuance of a purchase order. No work may be authorized or services
provided prior to the purchase order date.
Request for Qualifications for Legal Services as Labor Attorney
The City of Long Branch is requesting qualifications for a contract to provide legal services
relative to labor matters, including, but not limited to, preparation of and negotiations with
employee unions for contracts as needed, litigation through arbitration, if necessary, for any
labor contracts, grievances, State DOP hearings and proceedings, other labor matters, and legal
advice to the City Administration relative to labor matters.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of the firm. If there are multiple office sites, list
all, and indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of attorneys, para-legals, clerical
staff).
3.
List of principals and/or partners.
4.
List of attorneys that would be assigned to Long Branch matters, including a summary of
their educations, qualifications, expertise, and experience as it relates to the services
the City requires. Indicate the approximate percentage of work that would be assigned
to each individual.
The principals or partners assigned to Long Branch must have a minimum of 10 years
experience in New Jersey Local Public Sector labor matters.
If applicable, indicate
experience with New Jersey Department of Personnel regulations.
5.
List of References from at least two (2) municipalities, including name, address, phone,
and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for attorneys and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services as Labor Counsel.
10. Copy of current Certificate of Insurance.
One (1) original and one (1) flash drive of the submission package must be submitted to the City
for consideration. In addition to the above required information, legal firms must provide all
documents indicated on the Submission Package Check List. Failure to provide all required
documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Environmental Services 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
ENVIRONMENTAL SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway, Long Branch,
New Jersey for the ENVIRONMENTAL SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in all phases of municipal environmental services.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Familiarity of staff with current N.J. Statutes governing environmental services projects.
Experience with or specific knowledge of the City of Long Branch as it pertains to the
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and, during the contract year of July 1, 2025 through June 30, 2026, may be requested to
provide environmental services as required by the City. These contracts do not guarantee that
any work will actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the Environmental Services Pool, due to a conflict of interest,
should disqualify itself from consideration for a contract for a specific matter, the respondent
shall not be adversely affected from inclusion in the pool for consideration of future contracts
during the contract year.
Contract assignments for specific environmental projects or matters will be awarded on an as
needed basis to individual firms based upon the required expertise as it applies to the services
needed, ability to perform within the required timeframe, and evaluation of a proposals
provided by the firm for each environmental project.
Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Environmental Services
NATURE/SCOPE OF SERVICES – The City of Long Branch is requesting submissions for a
Environmental Services Consultant. The Environmental Consultant will have a close working
relationship with the Departments of Administration, Planning and Zoning, and Public Works, as
well as the Environmental Commission, and Green Team.
The Environmental Consultant must demonstrate the ability to:
a)
Perform
professional
environmental
and
ecological
consulting
services
and
management for the City, upon authorization, including preparation of environmental
and natural resource studies, assessments, evaluations, site investigations, analysis, and
permitting; Phase I and II environmental assessments; remedial investigations and
remedial action work plans; special environmental reports; assistance to the City and
other staff personnel on administrative and technical matters, as required; and
professional
environmental
consulting
and
management
advisory
services,
as
requested.
b)
Attend Environmental Commission, Green Team, Planning and/or Zoning Board, or
other special meetings;
c)
Attend regular, special, and emergency meetings of the City of Long Branch, if required;
d)
Interact with applicable City personnel and other governmental agencies, as required;
e)
Understand and comply with all local, state and federal rules and regulations, some of
which are detailed below;
f)
Prepare documents required by the funding agencies including, for example,
preparation of Quality Assurance Project Plans (QAPPs); Sampling, Analysis and
Monitoring Plans (SAMPs); and site-specific Health and Safety Plans (HASPs).
The Respondent must demonstrate in their response their familiarity with New Jersey’s Site
Remediation Reform Act (“SRRA”, N.J.S.A. 58:10C-1 et seq.) and applicable NJDEP regulations
implementing SRRA, and should provide a statement indicating whether an LSRP is employed
by the firm.
Phase I Environmental Assessment
The Respondent must demonstrate in their response their ability to conduct Preliminary
Assessments in compliance with the Tech Regs, and in compliance with ASTM E1527-05:
Standard Practice for Environmental Site Assessments; Phase I Environmental Site Assessment
(ESA) Process; and the USEPA regulations for All Appropriate Inquiries, including preparation of
the PA/Phase 1 ESA Report.
Phase II Environmental Assessments
The Respondent must demonstrate in their response their ability to conduct Site Investigations
(SI)/Phase 2 ESAs in compliance with the Tech Regs. Where applicable, the consultant should
reference industry standards including ASTM Practice E 1903-97 (“Standard Guide for
Environmental Site Assessments; Phase II Environmental Site Assessment Process”), in
developing and implementing scopes of work for SI phases, including preparation of an SI
Report.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
2.
Biography or history of the firm, staffing (i.e. number of environmental consultants,
other professionals of various types, and clerical staff). Specify any areas of
environmental services in which the firm may specialize.
3.
List of principals and/or partners.
4.
List of consultants that would be assigned to Long Branch matters, including a summary
of their educations, qualifications, expertise and experience as it relates to the various
areas of environmental services the City may require.
Indicate the approximate
percentage of work each would be assigned. The principals or partners assigned to Long
Branch must have a minimum of 10 years experience in the field of New Jersey
Environmental Services.
5.
List of References from at least two (2) municipalities for which the firm has provided
similar services, including name, address, phone, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for consultants and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) original and one (1) flash drive of the submission package must be submitted to the City
for consideration. In addition to the above required information, environmental firms must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
Other Terms and Conditions
The Prompt Payment Law requirements and City policy detailed below will become a part of any
contract issued under this Pool. The firm awarded a job with the City will be responsible for
insuring that their participation in the payment process allows for timely payment to the
contractor.
Payment Requests-Construction Contracts
Pursuant to N.J.S.A. 2A:30A-1 et seq., better known as the ”Prompt Payment Law”, all
contractors for “Public Works” projects, are required to follow the following procedures in
submitting bills, invoices, and/or requests for payment:
a.
In order for payment to be made in a timely manner, any bill, invoice and/or request for
payment must be received by the City, or its agent, no later than thirty (30) calendar
days prior to the City Council Meeting in which you are requesting payment be
approved and made.
If a Contractor is unable to make a payment request in this time
frame, said payment (if approved) will be made at the next regularly scheduled public
meeting of the Long Branch City Council.
City Council Meetings are scheduled for the
second and fourth Wednesday of each month (holidays excepted).
b.
In the event that a regularly scheduled meeting of the Council is cancelled due to severe
weather, lack of quorum, emergency, and/or any other reason, all requested payments
will be postponed until the subsequent meeting of the City Council.
c.
From the date that the payment request is received, the City will have twenty (20)
calendar days to approve, deny, or partially withhold payments.
If the request is
approved, payment will be made in accordance with the City Council Meeting schedule
above. If the request is denied or partially withheld, the City, or its Project Consultant,
will immediately notify the Contractor in writing of the reason for the denial. Payment
will not be made until all errors or omissions have been corrected to the satisfaction of
the City.
d.
Unless otherwise indicated at the pre-construction meeting, all requests for payment
must be presented to the City’s Project Consultant (engineer, architect, or other
professional designated by the City to perform project oversight). That Consultant will
be responsible for reviewing the payment request and either approving same and
forwarding to the City Comptroller for payment processing, or denying the payment and
notifying the Contractor, in writing, of the deficiencies. The City Comptroller must be
copied on all correspondence relating to payments.
e.
If the Contractor’s payment request for payment is approved, but the Comptroller’s
Office has not received the required Prevailing Wage Documentation, either prior to or
with the payment request, the payment request will be denied as incomplete and the
Contractor will notified in writing of the deficiency. Processing will not be completed
until the deficiency is corrected as required by law, and until the next regularly
scheduled City Council Meeting.
f.
In utilizing a Consultant (Engineer) for administration of a municipal project, said
Consultant agrees to be held to the same payment processing requirements under the
“Prompt Payment Law” as the City. The Consultant acknowledges that it has read and is
familiar with this law, and with the provisions of this Section of this RFQ. Any penalties
assessed to the City by a contractor as a result of the Consultant not abiding by the
specification procedure or the law shall be deducted from their total contract amount
due. The Consultant further agrees to indemnify and hold the City harmless from all
consequences of their having not processed requests for payment in a timely manner
pursuant to the law or these specification requirements.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Engineering Services 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
ENGINEERING SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the ENGINEERING SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in all phases of municipal engineering.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Familiarity of staff with current N.J. Statutes governing bidding and construction
projects.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts,
and, during the contract year of July 1, 2025 through June 30, 2026, may be requested to
provide engineering services required by the City. These contracts do not guarantee that any
work will actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the Engineering Services Pool, due to a conflict of interest, should
disqualify itself from consideration for a contract for a specific matter that shall not adversely
affect inclusion in the pool for consideration for future contracts during the contract year.
Contract assignments for specific engineering projects or matters will be awarded on an as
needed basis to individual firms based upon the required expertise as it applies to the services
needed, ability to perform within the required timeframe, and evaluation of a proposals
provided by the firm for each engineering project.
Contract assignments will be awarded upon recommendation of the Department of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Engineering Services
The City of Long Branch will receive qualifications from firms to provide municipal engineering
services. The engineering services that may be required could include, but are not limited to,
general engineering services (i.e. grant applications, citizens complaints, drainage issues, street
vacations, environmental issues, and other minor issues requiring engineering services);
municipal tax map revisions; site inspections for Planning Board and Zoning Board developer
projects; grading review and inspections; engineering matters relating to redevelopment
projects; parks improvement projects; traffic signalization projects; sidewalk and road
improvement projects; green engineering; and other engineering services as the need arises.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of engineers, other professionals
of various types, and clerical staff). Specify any areas of engineering services in which
the firm may specialize.
3.
List of principals and/or partners.
4.
List of engineers that would be assigned to Long Branch matters, including a summary of
their educations, qualifications, expertise, and experience as it relates to the various
areas of engineering services the City may require.
Indicate the approximate
percentage of work each would be assigned. The principals or partners assigned to Long
Branch must have a minimum of 10 years experience in the field of New Jersey
Municipal Engineering.
5.
List of References from at least 2 municipalities for which the firm has provided similar
services, including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for engineers and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) original and one (1) flash drive of the submission package must be submitted to the City
for consideration.
In addition to the above required information, engineering firms must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
Other Terms and Conditions
The Prompt Payment Law requirements and City policy detailed below will become a part of any
contract issued under this Pool. The firm awarded a job with the City will be responsible for
insuring that their participation in the payment process allows for timely payment to the
contractor.
Payment Requests-Construction Contracts
Pursuant to N.J.S.A. 2A:30A-1 et seq., better known as the ”Prompt Payment Law”, all
contractors for “Public Works” projects, are required to follow the following procedures in
submitting bills, invoices, and/or requests for payment:
a.
In order for payment to be made in a timely manner, any bill, invoice and/or request for
payment must be received by the City, or its agent, no later than thirty (30) calendar
days prior to the City Council Meeting in which you are requesting payment be
approved and made.
If a Contractor is unable to make a payment request in this time
frame, said payment (if approved) will be made at the next regularly scheduled public
meeting of the Long Branch City Council.
City Council Meetings are scheduled for the
second and fourth Wednesday of each month (holidays excepted).
b.
In the event that a regularly scheduled meeting of the Council is cancelled due to severe
weather, lack of quorum, emergency, and/or any other reason, all requested payments
will be postponed until the subsequent meeting of the City Council.
c.
From the date that the payment request is received, the City will have twenty (20)
calendar days to approve, deny, or partially withhold payments.
If the request is
approved, payment will be made in accordance with the City Council Meeting schedule
above. If the request is denied or partially withheld, the City, or its Project Consultant,
will immediately notify the Contractor in writing of the reason for the denial. Payment
will not be made until all errors or omissions have been corrected to the satisfaction of
the City.
d.
Unless otherwise indicated at the pre-construction meeting, all requests for payment
must be presented to the City’s Project Consultant (engineer, architect, or other
professional designated by the City to perform project oversight). That Consultant will
be responsible for reviewing the payment request and either approving same and
forwarding to the City Comptroller for payment processing, or denying the payment and
notifying the Contractor, in writing, of the deficiencies. The City Comptroller must be
copied on all correspondence relating to payments.
e.
If the Contractor’s payment request for payment is approved, but the Comptroller’s
Office has not received the required Prevailing Wage Documentation, either prior to or
with the payment request, the payment request will be denied as incomplete and the
Contractor will notified in writing of the deficiency. Processing will not be completed
until the deficiency is corrected as required by law, and until the next regularly
scheduled City Council Meeting.
f.
In utilizing a Consultant (Engineer) for administration of a municipal project, said
Consultant agrees to be held to the same payment processing requirements under the
“Prompt Payment Law” as the City. The Consultant acknowledges that it has read and is
familiar with this law, and with the provisions of this Section of this RFQ. Any penalties
assessed to the City by a contractor as a result of the Consultant not abiding by the
specification procedure or the law shall be deducted from their total contract amount
due. The Consultant further agrees to indemnify and hold the City harmless from all
consequences of their having not processed requests for payment in a timely manner
pursuant to the law or these specification requirements.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and
then select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge that the City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 City Engineer 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
CITY ENGINEERING SERVICES
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for CITY ENGINEERING SERVICES.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27, and the “Pay to Play” ordinance of the City of Long Branch.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in all phases of municipal engineering.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Familiarity of staff with current N.J. Statutes governing bidding and construction
projects.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by
public entities of similar size and make-up, for comparable level of services, and if
applicable, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidate chosen from respondents will be issued an Annual Contract
starting July 1, 2025 running through June 30, 2026.
Request for Qualifications for City Engineering Services
The City of Long Branch will receive qualifications from firms to provide municipal engineering
services. The engineering services that may be required could include, but are not limited to,
general engineering services (i.e. grant applications, citizens complaints, drainage issues, street
vacations, environmental issues, and other minor issues requiring engineering services);
municipal tax map revisions; site inspections for Planning Board and Zoning Board developer
projects; grading review and inspections; engineering matters relating to redevelopment
projects; parks improvement projects; traffic signalization projects; sidewalk and road
improvement projects; green engineering; and other engineering services as the need arises.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all,
and indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of engineers, other professionals
of various types, and clerical staff). Specify any areas of engineering services in which
the firm may specialize.
3.
List of principals and/or partners.
4.
List of engineers that would be assigned to Long Branch matters, including a summary of
their educations, qualifications, expertise and experience as it relates to the various
areas of engineering services that are required by the City. Indicate the approximate
percentage of work each would be assigned. The principals or partners assigned to Long
Branch must have a minimum of 10 years experience in the field of New Jersey
Municipal Engineering.
5.
List of references from at least two (2) municipalities for which the firm has provided
similar services, including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for engineers and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration. In addition to the above required information, engineering firms
must provide all documents indicated on the Submission Package Check List. Failure to provide
all required documents may result in the proposal not being considered.
NATURE/ SCOPE OF SERVICES – The City of Long Branch is requesting submissions for City
Engineering Services, including construction inspections, engineering reporting and design
services on an “as needed” basis and will have a close working relationship with the Business
Administrator’s Office, Department of Public Works ,Planning ,Zoning, Division of Building
Inspections, Division of Recreation, and any other City Department required.
The engineering firm must demonstrate the ability to:
1.
Provide engineering services as requested by the City of Long Branch, including but not
limited to studies, design and inspection for:
Site, land use, and environmental planning.
Facility, infrastructure, and project design.
Building systems evaluations.
Traffic signals.
Storm and sanitary sewers.
Well closures.
Landfill.
Development of as-built plans, feasibility, and comparative cost reviews.
Review and evaluate permit requirements.
Prepare and submit applications, correspondence, and the like to the New Jersey
Department of Transportation (NJDEP) and any other applicable regulatory agency,
as required.
Studies for areas in need of rehabilitation or redevelopment, plans for same
coordinated with the SDRP, master plan, Smart Growth, and Transit village
initiatives.
Brownfield’s Rehabilitation: Applying for and administering grants, and coordinating
with the NJDEP.
Roadway reconstruction.
Surveying.
Site Engineering.
Landscape Architecture.
Attend regular, special, and emergency meetings of the City of Long Branch, if
required.
Attend all other meetings and bid related conferences that the City of Long Branch
deems necessary.
Prepare and/or review of reports, permits, applications, and bid documents, as
requested by the City of Long Branch.
Reviews of all correspondence referred by the City of Long Branch and
prepare correspondence on behalf of the City of Long Branch, if requested.
Interact with applicable City personnel, Contractors, other consultants, and
governmental agencies, as required.
Provide a range of other specialized engineering services which may be needed by
the City.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
Other Terms and Conditions
The Prompt Payment Law requirements and City policy detailed below will become a part of any
contract issued under this Pool. The firm awarded a job with the City will be responsible for
insuring that their participation in the payment process allows for timely payment to the
contractor.
Payment Requests-Construction Contracts
Pursuant to N.J.S.A. 2A:30A-1 et seq., better known as the ”Prompt Payment Law”, all
contractors for “Public Works” projects, are required to follow the following procedures in
submitting bills, invoices, and/or requests for payment:
a.
In order for payment to be made in a timely manner, any bill, invoice and/or request for
payment must be received by the City, or its agent, no later than thirty (30) calendar
days prior to the City Council Meeting in which you are requesting payment be
approved and made.
If a Contractor is unable to make a payment request in this time
frame, said payment (if approved) will be made at the next regularly scheduled public
meeting of the Long Branch City Council.
City Council Meetings are scheduled for the
second and fourth Wednesday of each month (holidays excepted).
b.
In the event that a regularly scheduled meeting of the Council is cancelled due to severe
weather, lack of quorum, emergency, and/or any other reason, all requested payments
will be postponed until the subsequent meeting of the City Council.
c.
From the date that the payment request is received, the City will have twenty (20)
calendar days to approve, deny, or partially withhold payments.
If the request is
approved, payment will be made in accordance with the City Council Meeting schedule
above. If the request is denied or partially withheld, the City, or its Project Consultant,
will immediately notify the Contractor in writing of the reason for the denial. Payment
will not be made until all errors or omissions have been corrected to the satisfaction of
the City.
d.
Unless otherwise indicated at the pre-construction meeting, all requests for payment
must be presented to the City’s Project Consultant (engineer, architect, or other
professional designated by the City to perform project oversight). That Consultant will
be responsible for reviewing the payment request and either approving same and
forwarding to the City Comptroller for payment processing, or denying the payment and
notifying the Contractor, in writing, of the deficiencies. The City Comptroller must be
copied on all correspondence relating to payments.
e.
If the Contractor’s payment request for payment is approved, but the Comptroller’s
Office has not received the required Prevailing Wage Documentation, either prior to or
with the payment request, the payment request will be denied as incomplete and the
Contractor will notified in writing of the deficiency. Processing will not be completed
until the deficiency is corrected as required by law, and until the next regularly
scheduled City Council Meeting.
f.
In utilizing a Consultant (Engineer) for administration of a municipal project, said
Consultant agrees to be held to the same payment processing requirements under the
“Prompt Payment Law” as the City. The Consultant acknowledges that it has read and is
familiar with this law, and with the provisions of this Section of this RFQ. Any penalties
assessed to the City by a contractor as a result of the Consultant not abiding by the
specification procedure or the law shall be deducted from their total contract amount
due. The Consultant further agrees to indemnify and hold the City harmless from all
consequences of their having not processed requests for payment in a timely manner
pursuant to the law or these specification requirements.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 City Attorney 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS FOR
PROFESSIONAL SERVICE CONTRACT
CITY ATTORNEY SERVICES
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway, Long Branch,
New Jersey for CITY ATTORNEY SERVICES.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of legal representation for municipal
government entities.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge the City of Long Branch as it pertains to this
contract.
References.
Cost consideration, including, but not limited to retainer and fee schedule to be
charged, fees paid by public entities of similar size and make-up, for comparable level of
services, if applicable, cost that would be incurred by the City to contract with a new
firm (i.e. estimated cost for current firm to review and close out all files, and new firm to
review and get up to speed on all open files).
Successful candidate chosen from respondents will be issued an annual contract starting
on July 1, 2025 to run through June 30, 2026.
Request for Qualifications for General Legal Services
The City of Long Branch is requesting qualifications for a contract to provide legal services as the
City Attorney and lead counsel, covering services, including, but not limited to, litigation,
preparation of resolutions, ordinances, contracts, agreements, and other legal documents;
meetings with administration and departments as needed; defense of municipal tax appeals;
municipal tax foreclosure sales; In Rem tax foreclosure sales; review of bond counsel work;
eminent domain and redevelopment work; real estate transactions as to sale and/or purchases
of municipal property; and other legal services as may be required by the City, and as would
normally be provided by a municipal attorney.
The City Attorney must attend twice per month Agenda Meetings, twice per month
Workshop/Council Meetings, and Special Meetings as may be scheduled by the Governing Body.
The compensation for services defined in this paragraph shall be covered by retainer to be
specified in item #8 below. All other services required shall be compensated by hourly rates per
fee schedule submitted.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of the firm, (if multiple office sites, list all, and
indicate corporate office).
2.
Biography or history of the firm, staffing (i.e. number of attorneys, paralegal, and clerical
staff).
3.
List of principals and/or partners.
4.
List of attorneys that would be assigned to Long Branch matters, including a summary of
their education, qualification, expertise, and experience as it relates to the services the
City requires. Indicate the approximate percentage of work that would be assigned to
each individual.
The principals or partners assigned to Long Branch must have a minimum of 10 years
experience in providing legal services to New Jersey municipalities.
5.
List of References from at least two (2) municipalities for which similar services were
provided. Include name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Specify the monthly retainer fee, if any, to be charged as compensation for the duties
specified in the second paragraph above.
9.
Provide a fee schedule by title for all firm members and employees. Indicate which fees
would apply for attorneys and employees assigned to Long Branch matters.
10. Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing the required services.
11. Copy of current Certificate of Insurance.
One (1) original and one (1) flash drive copy of the submission package must be submitted to
the City for consideration.
In addition to the above required information, legal firms must
provide all documents indicated on the Submission Package Check List. Failure to provide all
required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Bond Counsel 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
BOND COUNSEL SERVICES
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway, Long Branch,
New Jersey for BOND COUNSEL SERVICES.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for
Qualifications (RFQ) may be obtained at the City of Long Branch, 344 Broadway, Long Branch,
New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M.
and
4:30
P.M.
Monday
through
Friday
or
at
the
City
of
Long
Branch’s
website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the
Purchasing Agent’s office (732) 571-5656. All questions regarding the RFQ must be made in
writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324.
Submissions must be made in the form required by the specifications; one (1) printed original
and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to the
time for the receipt of Qualification(s).
All information requested in the Request for
Qualifications must be provided or the submission may be disqualified. Submissions must be
sealed and plainly marked on the outside of the sealed envelope to the services for which the
Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are
most advantageous, price and other factors considered, and will best serve the interest of the
City of Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-
31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of legal representation, particularly as
it relates to Municipal Bond Law.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Experience with or specific knowledge the City of Long Branch as it pertains to this
contract.
References.
If applicable, cost consideration, including, but not limited to fee schedule to be
charged, fees paid by public entities of similar size and make-up, for comparable level of
services, cost that would be incurred by the City to contract with a new firm (i.e.
estimated cost for current firm to review and close out all files, and new firm to review
and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master
contracts, and during the contract year of July 1, 2025 through June 30, 2026, may be
requested to provide Bond Counsel services as required by the City. These contracts do
not guarantee that any work will actually be awarded to any, or to all, of the successful
candidates.
Request for Qualifications for Legal Services as Bond Counsel
The City of Long Branch is requesting qualifications from legal firms for services as City Bond
Counsel. Required services include, but are not limited to, preparation of bond ordinances;
consultation and review of bond anticipation note sales; and communication with the Chief
Financial Officer on an as needed basis relative to bonding questions and issues.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple offices sites, list
all, and indicate corporate office.
2.
Biography or history of the firm; staffing (number of attorneys, paralegal, clerical
staff).
3.
List of principals and/or partners.
4.
List of attorneys that would be assigned to Long Branch matters, including a summary
of their education, qualification, expertise, and experience as it relates to the services
required by the City. Indicate the approximate percentage of work that would be
assigned to each individual. The principals or partners assigned to Long Branch must
have a minimum of 10 years experience in New Jersey Municipal Bond Law.
5.
List of References from at least two (2) municipalities for which firm has provided
similar services, including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of
Long Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which
fees would apply for attorneys and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm during the
course of providing services as Bond Counsel.
10. Copy of current Certificate of Insurance
One (1) original and one flash drive copy of the submission package must be submitted to the
City for consideration. In addition to the above required information, legal firms must provide
all documents indicated on the Submission Package Check List. Failure to provide all required
documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A.
19:44-20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in
the aggregate from public entities in a calendar year. It is the contractor’s responsibility to
determine if filing is necessary. The report is due March 30 of each year for reporting for prior
year contracts. Additional information on this requirement is available from ELEC at 888-313-
3532 or at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own
10 percent or more 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
BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no
member in the limited liability company owns a 10 percent or greater interest therein, as the
case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and
member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been
listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior
to submission to the committees of the government entities listed on the form provided by the
local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age,
being duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into
any agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Long Branch relies upon the truth of the statements contained in
said Proposal, 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 established commercial
or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of
New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets
or exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS
TO COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are
recruited and employed, and that employees are treated during employment, without regard to
their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the Public Agency Compliance Officer
setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or
representative or workers with which it has a collective bargaining agreement or other contract
or understanding, a notice, to be provided by the agency contracting officer, advising the labor
union or workers’ representative of the contractor’s commitments under this act and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and
women workers consistent with the applicable county employment goals established in
accordance with N.J.A.C. 17:27-5.2 or a binding determination of the applicable county
employment goals determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C.
17:27.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant
to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the
American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits
discrimination on the basis of disability by public entities in all services, programs, and activities
provided or made available by public entities, and the rules and regulations promulgated
pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d)
on the Bid Document Submission Checklist (page C-1), are required to have obtained the
Business Registration Certificate from the Department of the Treasury, Division of Revenue prior
to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by
P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time
action – there are no fees to register. However, you should update your contact and tax
eligibility information as needed. Registration is required to conduct most business with any
state, county, municipal, local board of education, charter school, county college, authority, or
state college or university. The contracting agency may be required to have a copy of the “proof
of registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue.
The form can be filed form online or by mailing a paper form to the Division. Online filing is
strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited
liability partnership, before registering, you must obtain legal authority to operate in the State
of New Jersey. Generally, this is accomplished by filing an original business certificate with the
Division of Revenue, such as a Certificate of Incorporation or Formation. For more information
on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of
this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730,
or write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The
Division of Revenue will mail the certificate to the mailing address you supply on your
registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7
to 10 working days to receive your certificate. Alternately, you may visit the Division’s
Client Registration Bureau in person and request a certificate. The address is 847
Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays,
excluding holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE ‘REVISED GENERAL ORDINANCES OF THE CITY OF LONG BRANCH, NEW JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known
as
“An
Ordinance
Requiring
Public
Contracting
Reform,
and
Amending
and
Supplementing the ‘Revised General Ordinances of the City of Long Branch, New Jersey’
Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected
officials who are ultimately responsible for the award of discretionary no-bid contracts for
municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by
the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a
loophole to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure
the integrity of the award of public professional service contracts, has therefore determined
that it would be in the best interests of the City, and its residents, to amend the Ordinance in an
attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this
opportunity to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest
of the City and its residents to require that a contribution of more than fifty dollars ($50.00)
received by a candidate be reported in the manner set forth by the laws and regulations of the
State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known
as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or
made any contribution of money or pledge of a contribution including in-kind contributions,
to a campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the
applicable time period to any City of Long Branch or Monmouth County Party Committee, or
to any political action committee (PAC) that is organized for the primary purpose of
promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to
conceal or misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact
or agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind
contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This
Section is to include any and all professionals who provide political contributions to any
candidate for an office whether or not that candidate is presently in office or seeks office.
The prohibition set forth in this Paragraph shall also apply to any solicitation or contribution
of money or pledge of a contribution including in-kind contributions to any City of Long
Branch or Monmouth County Party Committee, or to any political action committee (PAC)
that is organized for the primary purpose of promoting or supporting City of Long Branch
candidates for Council or Mayor, so long as the solicitation or contribution was made with
the intention on the part of the contributor to conceal or misrepresent the source of the
contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person;
firm;
corporation;
professional
corporation;
partnership;
organization;
or
association. The definition of a business entity includes all principals who own ten percent
(10%) or more of the equity in the corporation or business trust, partners, and officers in the
aggregate employed by the entity as well as any subsidiaries directly controlled by the
business entity.
(d) Any individual meeting the definition of “professional business entity” under this section
may annually contribute a maximum of five hundred dollars ($500.00) per candidate for
Mayor and/or Council Member on an annual basis whether or not that individual has a
professional services contract in place or not to the maximum extent of three thousand
dollars ($3,000) per annum per business entity. This section shall apply to any presently
sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to
any individual who seeks to run for the office of Council person and/or Mayor of the City of
Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i) The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or
if a public officer who is responsible for the award of a contract is appointed by the
Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any
municipal or county party committee, or to any political action committee (PAC) that is
organized for the primary purpose of promoting or supporting City of Long Branch candidates
for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution
was made by the professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of
Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter
shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or
aggregate contributions received by such a committee in an election from a contributor totaling
more than fifty dollars ($50.00) during such a report period shall be reported by providing the
information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given
effect, or the application of such provision to persons or circumstances other than those to
which it is held invalid, shall not be affected thereby, and to this extent the provisions of this law
are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or
the purchase of bonds or other obligations, must complete the certification below indicating whether
or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated
Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall
take any action as may be appropriate and provided by law, rule or contract, including but not limited
to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and
seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to
Russia and/or Belarus.
OR
C. That I am unable to certifiy as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption.
A detailed description of how the Vendor’s activity related to Russia and/or
Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Architectural Services 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
ARCHITECTURAL SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY,
JUNE 4, 2025 at 11:00 A.M. in the City of Long Branch, City Hall, 344 Broadway,
Long Branch, New Jersey for the ARCHITECTURAL SERVICES POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A.
19:44A-20.5 et seq, and the Municipal Code of the City of Long Branch Requests for Qualifications
(RFQ) may be obtained at the City of Long Branch, 344
Broadway, Long Branch, New Jersey
07740, Attn: David Spaulding, Purchasing Agent, between the hours of 8:30 A.M. and 4:30 P.M.
Monday through Friday or at the City of Long Branch’s website,
www.longbranch.org.
Qualification submissions may be mailed upon request by calling the Purchasing Agent’s office
(732) 571-5656. All questions regarding the RFQ must be made in writing and directed to the
Purchasing Agent. Questions may be faxed to (732) 229-5324. Submissions must be made in the
form required by the specifications; one (1) printed original and one (1) electronic format (flash
drive) copy must be delivered to the City Clerk prior to the time for the receipt of Qualification(s).
All information requested in the Request for Qualifications must be provided or the submission
may be disqualified. Submissions must be sealed and plainly marked on the outside of the sealed
envelope to the services for which the Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested
respondents should check the website from now through bid opening.
It is the sole
responsibility of the respondent to be knowledgeable of all addenda related to this
procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any
informality in the RFQ process, and to accept any submissions which, in their judgment, are most
advantageous, price and other factors considered, and will best serve the interest of the City of
Long Branch. Submitters are required to comply with the requirements of N.J.S.A. 10:5-31 et seq.,
N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative
Action documentation and a New Jersey Business Registration (Form NJ BUS REG). Successful
contractor will also be required to comply with all terms imposed by NJ Elections Laws subject to
campaign funding limits, as well as the Long Branch Pay to Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in all phases of architectural services, particularly as
it relates to modifications to existing or construction of new public buildings.
Qualifications of the individuals who will perform the required services, and their
respective participation.
Experience of the individuals as it relates to the particular expertise required to perform
the contract.
Ability of the firm to perform the services on a timely basis, including staffing and
familiarity with the subject matter.
Familiarity of staff with current N.J. Statutes governing bidding and construction projects
for municipal facilities.
Experience with or specific knowledge of the City of Long Branch as it pertains to this
contract.
References, particularly from municipal clients.
Cost consideration, including, but not limited to hourly rate fee schedule, and schedule of
routine out of pocket charges.
Successful candidates chosen from respondents will be issued open-ended master contracts, and
during the contract year of July 1, 2025 through June 30, 2026, may be requested to provide
services as may be required by the City. These contracts do not guarantee that any work will
actually be awarded to any, or to all, of the successful candidates.
In the event that a member of the Architectural Services pool, due to a conflict concern, should
disqualify itself from consideration for a contract for a specific matter that shall not adversely
affect inclusion in the pool for consideration for future contracts during the contract year.
Contract assignments for specific Architects will be awarded on an as needed basis to individual
firms based upon the required expertise as it applies to the services needed, ability to perform
within the required timeframe, and evaluation of a proposals provided by the firm for each task.
Contract
assignments
will
be
awarded
upon
recommendation
of
the
Department
of
Administration, and each contract will be authorized by issuance of a purchase order. No work
may be authorized or services provided prior to the purchase order date.
Examples of possible projects could include, but not be limited to, renovations to the existing
Municipal Building to address ADA access requirements; renovations to a fire house; and/or
construction of a park building housing restrooms, concession stand and meeting rooms. Upon
review of the specific project proposals, the City Council would award a contract to the successful
architectural firm based upon price and other factors.
Request for Qualifications for Architectural Services
The City of Long Branch will receive qualifications from firms to provide architectural services on
an as needed basis. Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all, and
indicate corporate office.
2.
Biography or history of the firm; staffing (i.e. number of architects, other professionals of
various types, and clerical staff). Specify any areas of architectural services in which the
firm may specialize, such as parks and recreation buildings or municipal buildings.
3.
List of principals and/or partners.
4.
List of architects that may be assigned to Long Branch projects, including a summary of
their education, qualification, expertise, and experience as it relates to architectural
services for the types of projects the City may be considering.
The principals or partners assigned to Long Branch must have a minimum of 10 years
experience in the field of New Jersey Architectural Services.
5.
List of references from at least two (2) municipalities for which the firm has provided
these types of services, including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long
Branch, and in what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the
course of providing services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) printed original and one (1) electronic copy on a flash drive of the submission package
must be submitted to the City for consideration. In addition to the above required information,
engineering firms must provide all documents indicated on the Submission Package Check List.
Failure to provide all required documents may result in the proposal not being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political
contributions with the New Jersey Election Enforcement Commission, pursuant to N.J.S.A. 19:44-
20.13 (P.L. 2005, c, 271, s.3), if the contractor receives contracts in excess of $50,000 in the
aggregate from public entities in a calendar year. It is the contractor’s responsibility to determine
if filing is necessary.
The report is due March 30 of each year for reporting for prior year
contracts. Additional information on this requirement is available from ELEC at 888-313-3532 or
at www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own 10
percent or more 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 BELOW IN THIS
SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no
individual partner in the partnership owns a 10 percent or greater interest therein, or no member
in the limited liability company owns a 10 percent or greater interest therein, as the case may be.
(SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate stockholder, and individual partner, and member
exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed.
Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments
thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute
this certification on behalf of the bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the City 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 City of Long Branch to
declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein
represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the
Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all
reportable political contributions (more than $200 per election cycle) over the 12 months prior to
submission to the committees of the government entities listed on the form provided by the local
unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age, being
duly sworn according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into any
agreement, participated in any collusion, or otherwise taken any action in restraint of free,
competitive bidding in connection with the above named project; and that all statements
contained in said proposal and in this affidavit are true and correct, and made with full knowledge
that the City of Long Branch relies upon the truth of the statements contained in said Proposal,
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 established commercial or
selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________ (Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with the
requirements of P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the
notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractors should present one of the following to the Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an
existing federally-approved or sanctioned Affirmative Action Plan (good for one year from
the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of New
Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of
the contract, an Initial Project Manning Report (AA201) for any contract award the meets or
exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION
REGULATIONS OF P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127, and agrees to furnish the required documentation pursuant to
law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS TO
COMPLY WITH REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME.
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex.
Except with respect to affectional or sexual
orientation, the contractor will take affirmative action to ensure that such applicants are recruited
and employed, and that employees are treated during employment, without regard to their age,
race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation or sex.
Such action shall include, but not be limited to the following: employment, upgrading, demotion,
or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship.
The contractor
agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided by the Public Agency Compliance Officer setting for the 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 or sex.
The contractor or subcontractor, where applicable, will send to each labor union or representative
or workers with which it has a collective bargaining agreement or other contract or
understanding, a notice, to be provided by the agency contracting officer, advising the labor union
or workers’ representative of the contractor’s commitments under this act and shall post copies of
the notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented
from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and women
workers consistent with the applicable county employment goals established in accordance with
N.J.A.C. 17:27-5.2 or a binding determination of the applicable county employment goals
determined by the Division, pursuant to N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
labor unions, that it does not discriminate on the basis of age, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation 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 applicable employment goals, the contractor or subcontractor agrees to
review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all
such actions are taken without regard to age, creed, color, national origin, ancestry, marital status,
affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the
Division of Contract Compliance and EEO as may be requested by the Division 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 Contract Compliance & EEO for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
The contractor shall submit to the public agency, after notification of award but prior to execution
of a goods and services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by
the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Division of Public Contracts
Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant to
Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the American
With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits discrimination
on the basis of disability by public entities in all services, programs, and activities provided or
made available by public entities, and the rules and regulations promulgated pursuant thereunto,
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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the
bid submission, all contractors (bidders), and subcontractors’ listed pursuant to subsection (d) on
the Bid Document Submission Checklist (page C-1), are required to have obtained the Business
Registration Certificate from the Department of the Treasury, Division of Revenue prior to the
award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as amended by P.L.2009,
c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey,
Department of the Treasury, Division of Revenue under this act, prior to award of contract is a
material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the
successful bidder and any applicable subcontractors, prior to the time of contract, purchase
order, or other contracting document is awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with
the Department of the Treasury, Division of Revenue. Registration is free and is a one-time action
– there are no fees to register. However, you should update your contact and tax eligibility
information as needed. Registration is required to conduct most business with any state, county,
municipal, local board of education, charter school, county college, authority, or state college or
university. The contracting agency may be required to have a copy of the “proof of registration
certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue. The
form can be filed form online or by mailing a paper form to the Division. Online filing is strongly
encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then
select “Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited liability
partnership, before registering, you must obtain legal authority to operate in the State of New
Jersey. Generally, this is accomplished by filing an original business certificate with the Division of
Revenue, such as a Certificate of Incorporation or Formation. For more information on this
subject, visit www.nj.gov/treasury/revenue/filecerts.htm, or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing
business with any New Jersey government agency. The form (NJ-REG-A) may be on the back of this
form.
If
not,
it
can
be
downloaded
from
the
web
at
www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730, or
write to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions about the registration process? Call 609-292-1730 or submit by e-mail at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the
contractor/sub-contractor question (Online - Item 17; Paper Form - Item 18). The Division
of Revenue will mail the certificate to the mailing address you supply on your registration
form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of
Revenue’s service agents will take your order and mail you a certificate. Please allow 7 to
10 working days to receive your certificate. Alternately, you may visit the Division’s Client
Registration Bureau in person and request a certificate. The address is 847 Roebling
Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm, weekdays, excluding
holidays.
What information does the proof of registration contain? The certificate displays the following
information: Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer
Identification Number), Business Address, Contractor Certification Number (State Issued),
Certification Issuance Date, Effective Date (Business Start Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN
ORDINANCE REQUIRING PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING
THE
‘REVISED
GENERAL
ORDINANCES
OF
THE
CITY
OF
LONG
BRANCH,
NEW
JERSEY’
ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05,
known as “An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing
the ‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly” (the
“Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of
contributions that professionals may make to the political campaigns of the local elected officials
who are ultimately responsible for the award of discretionary no-bid contracts for municipal
professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local
government, if not the quality or cost of services received, and to minimize any perceptions or
concerns on the part of the public that discretionary no-bid contracts for municipal professional
services are being awarded to professionals as a reward for having made substantial political
contributions, or that the award of such contracts was influenced, even to a minor degree, by the
payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one
political organization channels campaign donations to another political organization with the
intention to conceal or misrepresent the source of the contribution, may be utilized as a loophole
to circumvent the proscriptions contained within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure the
integrity of the award of public professional service contracts, has therefore determined that it
would be in the best interests of the City, and its residents, to amend the Ordinance in an attempt
to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this opportunity
to clarify the “arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest of
the City and its residents to require that a contribution of more than fifty dollars ($50.00) received
by a candidate be reported in the manner set forth by the laws and regulations of the State of
New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known as
“An Ordinance Requiring Public Contracting Reform, and Amending and Supplementing the
‘Revised General Ordinances of the City of Long Branch, New Jersey’ Accordingly,” which was
adopted on May 10, 2005, is hereby amended and supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any
individual and/or professional business entity if that individual or entity has solicited or made
any contribution of money or pledge of a contribution including in-kind contributions, to a
campaign of any City of Long Branch candidate for Council or Mayor, in excess of the
threshold specified in subsection (d) of this Section within one calendar year immediately
preceding the date of the contract or agreement unless cured pursuant to Section 3. The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of
money or pledge of a contribution including in-kind contributions made during the applicable
time period to any City of Long Branch or Monmouth County Party Committee, or to any
political action committee (PAC) that is organized for the primary purpose of promoting or
supporting City of Long Branch candidates for Council or Mayor, so long as the solicitation or
contribution was made with the intention on the part of the contributor to conceal or
misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact or
agreement with the municipality or any department or agency thereof or any of its
independent authorities for the rendition of professional services shall knowingly solicit or
make any contribution of money, or pledge of a contribution, including in-kind contributions,
to any City of Long Branch candidate or holder of public office having ultimate responsibility
for the award of the contract, in excess of the amount set forth herein. This Section is to
include any and all professionals who provide political contributions to any candidate for an
office whether or not that candidate is presently in office or seeks office. The prohibition set
forth in this Paragraph shall also apply to any solicitation or contribution of money or pledge
of a contribution including in-kind contributions to any City of Long Branch or Monmouth
County Party Committee, or to any political action committee (PAC) that is organized for the
primary purpose of promoting or supporting City of Long Branch candidates for Council or
Mayor, so long as the solicitation or contribution was made with the intention on the part of
the contributor to conceal or misrepresent the source of the contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract
means an individual including the individual’s spouse, if any, and any child living at home;
person; firm; corporation; professional corporation; partnership; organization; or association.
The definition of a business entity includes all principals who own ten percent (10%) or more
of the equity in the corporation or business trust, partners, and officers in the aggregate
employed by the entity as well as any subsidiaries directly controlled by the business entity.
(d) Any individual meeting the definition of “professional business entity” under this section may
annually contribute a maximum of five hundred dollars ($500.00) per candidate for Mayor
and/or Council Member on an annual basis whether or not that individual has a professional
services contract in place or not to the maximum extent of three thousand dollars ($3,000)
per annum per business entity. This section shall apply to any presently sitting Councilperson
and/or the Mayor of the City of Long Branch and shall also apply to any individual who seeks
to run for the office of Council person and/or Mayor of the City of Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity
which contracts with the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for
the award of the contract shall be:
(i)
The City of Long Branch, if the contract requires approval or appropriation from the
Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or if
a public officer who is responsible for the award of a contract is appointed by the Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a
professional business entity to any municipal candidate for Mayor or Council, or to any municipal
or county party committee, or to any political action committee (PAC) that is organized for the
primary purpose of promoting or supporting City of Long Branch candidates for Council or Mayor,
shall be deemed a violation of this section, nor shall an agreement for property, good or services,
of any kind whatsoever, be disqualified thereby, if that contribution was made by the professional
business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach
of the terms of the government contract for a professional business entity as defined in
Section 1(c) to violate Section 1(b) or to knowingly conceal or misrepresent contributions
given or received, or to make or solicit contributions through intermediaries for the purpose
of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to
reveal a contribution made in violation of this Act, or who knowingly makes or solicits
contributions through intermediaries for the purpose of concealing or misrepresenting the
source of the contribution, shall be subjected to a fine in the sum of $2,500 so far as the first
offense and for any second offense, shall be disqualified from eligibility for future City of Long
Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result
of the questioning of the contribution the individual and/or business entity who makes the
contribution requests that the contribution be returned by the campaign committee, the
candidate or the political action committee to whom such contribution was made. In the
event of any disputes as to whether or not a campaign contribution is proper the matter shall
be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political
committee, during an election fund report period of more than fifty dollars ($50.00) or aggregate
contributions received by such a committee in an election from a contributor totaling more than
fifty dollars ($50.00) during such a report period shall be reported by providing the information set
forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or
circumstances, shall be held invalid, the remainder of this law to the extent it can be given effect,
or the application of such provision to persons or circumstances other than those to which it is
held invalid, shall not be affected thereby, and to this extent the provisions of this law are
severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance
with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the
extent of such inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that
seeks to enter into or renew a contract with a State agency for the provision of goods or services, or the
purchase of bonds or other obligations, must complete the certification below indicating whether or not
the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals
and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the Department of
the Treasury finds that a Vendor has made a certification in violation of the law, it shall take any action
as may be appropriate and provided by law, rule or contract, including but not limited to, imposing
sanctions, seeking compliance, recovering damages, declaring the party in default and seeking
debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the
Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, and
having done so certify:
(Check the Appropriate Box)
A. That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked
Persons list on account of activity related to Russia and/or Belarus.
OR
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list on account of activity related to Russia
and/or Belarus.
OR
C. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC
Specialty Designated Nationals and Blocked Persons list. However, the Vendor is engaged in
activity related to Russia and/or Belarus consistent with federal law, regulation, license or
exemption. A detailed description of how the Vendor’s activity related to Russia and/or Belarus
is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is
found on Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a
parent entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if
needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to
execute this certification on behalf of the above-referenced person or entity.
I acknowledge
City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of information contained herein.
knowledge 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 agreement(s) with the City of Long Branch and that the City of
Long Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in Section
1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect
subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
--- Document: RFQ CY25 Appraisal Services 042525 ---
CITY OF LONG BRANCH
MONMOUTH COUNTY, NEW JERSEY
REQUEST FOR QUALIFICATIONS PROPOSALS FOR
PROFESSIONAL SERVICE CONTRACT
APPRAISAL SERVICES POOL
MAYOR JOHN PALLONE
CHARLES F. SHIRLEY JR., BUSINESS ADMINISTRATOR
CITY COUNCIL
ROSE WIDDIS
BILL DANGLER
GLENN RASSAS
DR. ANITA VOOGT
MARIO VIEIRA
PROPOSAL DUE DATE: JUNE 4, 2025 @11:00AM
Notice is hereby given that the City of Long Branch will receive Qualifications on WEDNESDAY, JUNE 4, 2025 at 11:00
A.M. in the City of Long Branch, City Hall, 344 Broadway, Long Branch, New Jersey for the APPRAISAL SERVICES
POOL.
Qualifications are being solicited through a Fair and Open process in accordance with N.J.S.A. 19:44A-20.5 et seq,
and the Municipal Code of the City of Long Branch Requests for Qualifications (RFQ) may be obtained at the City of
Long Branch, 344 Broadway, Long Branch, New Jersey 07740, Attn: David Spaulding, Purchasing Agent, between
the hours of 8:30 A.M. and 4:30 P.M. Monday through Friday or at the City of Long Branch’s website,
www.longbranch.org. Qualification submissions may be mailed upon request by calling the Purchasing Agent’s office
(732) 571-5656. All questions regarding the RFQ must be made in writing and directed to the Purchasing Agent.
Questions may be faxed to (732) 229-5324. Submissions must be made in the form required by the specifications;
one (1) printed original and one (1) electronic format (flash drive) copy must be delivered to the City Clerk prior to
the time for the receipt of Qualification(s). All information requested in the Request for Qualifications must be
provided or the submission may be disqualified. Submissions must be sealed and plainly marked on the outside of
the sealed envelope to the services for which the Qualification is submitted.
**Any Addenda will be issued on the City of Long Branch’s website. Therefore, all interested respondents should
check the website from now through bid opening.
It is the sole responsibility of the respondent to be
knowledgeable of all addenda related to this procurement.
The City of Long Branch reserves the right to reject any and all submissions, to waive any informality in the RFQ
process, and to accept any submissions which, in their judgment, are most advantageous, price and other factors
considered, and will best serve the interest of the City of Long Branch. Submitters are required to comply with the
requirements of N.J.S.A. 10:5-31 et seq., N.J.A.C. 17:27.
Successful contractors will be required to provide, prior to award of the contract, Affirmative Action documentation
and a New Jersey Business Registration (Form NJ BUS REG). Successful contractor will also be required to comply
with all terms imposed by NJ Elections Laws subject to campaign funding limits, as well as the Long Branch Pay to
Play Ordinance.
David Spaulding
Purchasing Agent
City of Long Branch
County of Monmouth
Proposals will be reviewed and award of contract will be based upon the following criteria:
Experience and reputation of the firm in the field of real estate appraisals in New Jersey, and more
specifically, of the Monmouth County shore area.
Qualifications of the individuals who will perform the required services, and their respective participation.
Experience of the individuals as it relates to the particular expertise required to perform the contract.
Ability of the firm to perform the services on a timely basis, including staffing and familiarity with the subject
matter.
Experience with or specific knowledge the City of Long Branch as it pertains to this contract.
References.
Cost consideration, including, but not limited to fee schedule to be charged, fees paid by public entities of
similar size and make-up, for comparable level of services, and if applicable, cost that would be incurred by
the City to contract with a new firm (i.e. estimated cost for current firm to review and close out all files, and
new firm to review and get up to speed on all open files).
Successful candidates chosen from respondents will be issued open-ended master contracts, and during the
contract year of July 1, 2025 through June 30, 2026, may be requested to provide appraisal services as may be
required by the City. These contracts do not guarantee that any work will actually be awarded to any, or to all, of
the successful candidates.
In the event that a member of the appraisal services pool, due to a conflict concern, should disqualify itself from
consideration for a contract for a specific matter that shall not adversely affect inclusion in the pool for consideration
for future contracts during the contract year.
Contract assignments for specific appraisals will be awarded on an as needed basis to individual firms based upon
the required expertise as it applies to the appraisal needed, ability to perform within the required timeframe, and
evaluation of a proposals provided by the firm for each appraisal task. Contract assignments will be awarded upon
recommendation of the Department of Administration, and each contract will be authorized by issuance of a
purchase order. No work may be authorized or services provided prior to the purchase order date.
Request for Qualifications for Appraisal Services
The City of Long Branch will receive qualifications from appraisal firms to provide real estate appraisal services as
may be required during the contract year. The services that may be required could include, but are not limited to,
residential, commercial, and/or hotel appraisals, including water or oceanfront properties; New Jersey Department
of Environmental Protection Green Acres real estate appraisals; expert witness testimony regarding property
appraisals relative to Monmouth County Board of Taxation Property Tax Appeals and/or New Jersey State Tax Court
or in any other legal proceedings; and expert testimony regarding property appraisals relative to property
condemnations in Monmouth County Superior Court, Condemnation Commission, or in any other legal proceedings.
Qualifications submission must include all of the following:
1.
Name, address, phone and fax number of firm. If there are multiple office sites, list all, and indicate
corporate office.
2.
Biography or history of the firm; staffing (i.e. number of licensed appraisers, and other technical or clerical
staff).
3.
List of principals and/or partners.
4.
List of appraisers that would be assigned to Long Branch matters, including a summary of their education,
qualification, expertise, and experience as it relates to the various areas of appraisal services the City may
require. Indicate the approximate percentage of work each would be assigned. The principals or partners
assigned to Long Branch must have a minimum of 10 years experience in New Jersey real estate property
appraisals.
5.
List of References from at least two (2) municipalities for which the firm has provided similar services,
including name, address, phone number, and contact information.
6.
Provide prior experience, if any, the firm may have providing services to the City of Long Branch, and in
what capacity.
7.
List of municipalities currently under contract with the firm.
8.
Provide a fee schedule by title for all firm members and employees. Indicate which fees would apply for
attorneys and employees assigned to Long Branch matters.
9.
Provide a schedule of any and all other fees routinely charged by the firm for during the course of providing
services.
10. Copy of current Certificate of Insurance for Professional Liability coverage.
One (1) printed original and one (1) flash drive copy of the submission package must be submitted to the City for
consideration. In addition to the above required information, respondents must provide all documents indicated
on the Submission Package Check List. Failure to provide all required documents may result in the proposal not
being considered.
Additional Pay to Play Requirements
Contractors are advised of the responsibility to file an annual disclosure statement on political contributions with
the New Jersey Election Enforcement Commission, pursuant to N.J.S.A. 19:44-20.13 (P.L. 2005, c, 271, s.3), if the
contractor receives contracts in excess of $50,000 in the aggregate from public entities in a calendar year. It is the
contractor’s responsibility to determine if filing is necessary. The report is due March 30 of each year for reporting
for prior year contracts. Additional information on this requirement is available from ELEC at 888-313-3532 or at
www.elec.state.nj.us.
CITY OF LONG BRANCH
DOCUMENT SUBMISSION CHECKLIST
REQUIRED
READ, SIGNED
& SUBMITTED
Yes
PROPOSAL AS REQUIRED IN RFQ
Yes
STATEMENT OF OWNERSHIP DISCLOSURE
Yes
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Yes
NON-COLLUSION AFFIDAVIT
Yes
AFFIRMATIVE ACTION QUESTIONAIRE
Yes
MANDATORY AFFIRMATIVE ACTION LANGUAGE
Yes
AMERICANS WITH DISABLILITIES ACT OF 1990
Yes
N. J. BUSINESS REGISTRATION REQUIREMENTS
Yes
LONG BRANCH PAY TO PLAY ORDINANCE
Yes
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA AND/OR BELARUS
Yes
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
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 proposal submissions. Failure to submit the
required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_________________________________________________
Organization Address:_______________________ _________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more
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 BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in
the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a
10 percent or greater interest therein, as the case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity
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 non-corporate
stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A.
52:25-24.2 has been listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding
Entity Listed in Part II
Address
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my
knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the
bidder/proposer; that the City of Long Branch 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 City of Long Branch to notify the
City 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 City of Long Branch to declare any contract(s)
resulting from this certification void and unenforceable.
Full Name (Print):
Title:
Signature:
Date:
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein represents
compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.
_______________________ _________________________ _______________________
Signature
Printed Name
Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political
contributions (more than $200 per election cycle) over the 12 months prior to submission to the committees of the
government entities listed on the form provided by the local unit.
Check here if disclosure is provided in electronic form.
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Continuation Page
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant To N.J.S.A. 19:44A-20.26
Page ___ of ______
Vendor Name:
Contributor Name
Recipient Name
Date
Dollar Amount
$
Check here if the information is continued on subsequent page(s)
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
County Commissioners
County Clerk
Sheriff
{County Executive}
Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in _______________________
(name of affiant) (name of municipality)
in the County of ________________________ and State of _________________ of full age, being duly sworn
according to law on my oath depose and say that:
I am _________________________________ of the firm of ___________________
(title or position)
(name of firm)
_____________________________________, the bidder making this Proposal for
the bid entitled ______________________________, and that I executed the said
(title of bid proposal)
proposal with full authority to do so that said bidder has not, directly or indirectly entered into any agreement,
participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection
with the above named project; and that all statements contained in said proposal and in this affidavit are true and
correct, and made with full knowledge that the City of Long Branch relies upon the truth of the statements
contained in said Proposal, 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 established commercial or selling agencies maintained by
_________________________________________________.
(Name of firm)
Subscribed and sworn to before me this day
________________, 20__
(Signature of affiant)
______________________________
___________________________
(Type or print name of affiant under signature)
Signature of Notary Public
(Seal)
My Commission expires _______________
REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATION
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with the requirements of
P.L. 1975, c. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of the notification of intent to award the
contract or receipt of the contract, whichever is sooner, the contractors should present one of the following to the
Purchasing Agent.
1.
A photocopy of a valid letter from the U.S. Department of Labor that the contractor has an existing federally-
approved or sanctioned Affirmative Action Plan (good for one year from the date of the letter).
OR
2.
A photocopy of approved Certificate of Employee Information Report from the State of New Jersey.
OR
3.
An Affirmative Action Employee Information Report (Form AA302).
OR
4.
All successful construction contractors must submit, within three days (3) of the signing of the contract, an
Initial Project Manning Report (AA201) for any contract award the meets or exceeds the Public Agency bidding
threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE AFFIRMATIVE ACTION REGULATIONS OF
P.L. 1975, c. 127.
The following questions must be answered by all bidders:
1. Do you have a federally-approved or sanctioned Affirmative Action Program?
____Yes ____No If yes, please submit copy of such approval.
2. Do you have a Certificate of Employee Information Report Approval?
_____Yes _____No If yes, please submit copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the requirements of P.L.
1975, c. 127, and agrees to furnish the required documentation pursuant to law.
COMPANY: _____________________________________
SIGNATURE: ____________________________________
TITLE: _________________________________________
NOTE: A CONTRACTOR’S BID MUST BE REJECTED AS NON-RESPONSIVE IF A CONTRACTOR FAILS TO COMPLY WITH
REQUIREMENTS OF P.L. 1975, C. 127, WITHIN THE REQUESTED TIME FRAME
EXHIBIT A
N.J.S.A. 10:5-31 and N.J.A.C. 17:27
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
Goods, Professional Services and General Service Contracts
(Mandatory Affirmative Action Language)
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 or sex. Except with respect to affectional or sexual orientation, the contractor will take affirmative action
to ensure that such applicants are recruited and employed, and that employees are treated during employment,
without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation or sex. Such action shall include, but not be limited to the following: employment, upgrading, demotion,
or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous
places, available to employees and applicants for employment, notices to be provided by the Public Agency
Compliance Officer setting for the 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
or sex.
The contractor or subcontractor, where applicable, will send to each labor union or representative or workers with
which it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the
agency contracting officer, advising the labor union or workers’ representative of the contractor’s commitments
under this act and shall post copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the
Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans
with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to employ minority and women workers
consistent with the applicable county employment goals established in accordance with N.J.A.C. 17:27-5.2 or a
binding determination of the applicable county employment goals determined by the Division, pursuant to N.J.A.C.
17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not
limited to, employment agencies, placement bureaus, colleges, universities, labor unions, that it does not
discriminate on the basis of age, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation 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 applicable employment goals, the contractor or subcontractor agrees to review all
procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without
regard to age, creed, color, national origin, ancestry, marital status, affectional or sexual orientation 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 and its subcontractors shall furnish such reports or other documents to the Division of Contract
Compliance and EEO as may be requested by the Division 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 Contract
Compliance & EEO for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code
at N.J.A.C. 17:27.
The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and
services contract, one of the following three documents:
•
Letter of Federal Affirmative Action Plan Approval
•
Certificate of Employee Information Report
•
Employee Information Report Form AA302
The contractor and its subcontractors shall furnish such reports or other documents to the Division of Public
Contracts Equal Employment Opportunity Compliance as may be requested by the office from time to time in order
to carry out the purposes of these regulations, and public agencies shall furnish such information as may be
requested by the Division of Public Contracts Equal Employment Opportunity Compliance for conducting a
compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.
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 II of the American With Disabilities
Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits discrimination on the basis of disability by public
entities in all services, programs, and activities provided or made available by public entities, and the rules and
regulations promulgated pursuant thereunto, 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 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 proceedings 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.
BUSINESS REGISTRATION CERTIFICATE
All bidders are hereby advised as follows:
While the inclusion of a copy of your Business Registration Certificate is not mandatory with the bid submission, all
contractors (bidders), and subcontractors’ listed pursuant to subsection (d) on the Bid Document Submission
Checklist (page C-1), are required to have obtained the Business Registration Certificate from the Department of the
Treasury, Division of Revenue prior to the award of contract, pursuant to P.L.2004, c.57-N.J.S.A. 52:32-44 et seq. as
amended by P.L.2009, c.315 effective January 18, 2010.
Failure to have obtained the Business Registration Certificate from the State of New Jersey, Department of the
Treasury, Division of Revenue under this act, prior to award of contract is a material defect and is not curable.
The City of Long Branch will require a copy of the Business Registration Certificate from the successful bidder and
any applicable subcontractors, prior to the time of contract, purchase order, or other contracting document is
awarded.
Registering A Business with the New Jersey Department of the Treasury
Business organizations or individuals doing business in New Jersey are required to register with the Department of
the Treasury, Division of Revenue. Registration is free and is a one-time action – there are no fees to register.
However, you should update your contact and tax eligibility information as needed. Registration is required to
conduct most business with any state, county, municipal, local board of education, charter school, county college,
authority, or state college or university. The contracting agency may be required to have a copy of the “proof of
registration certificate” submitted as part of a public bid or prior to issuing a purchase order.
To register: Businesses must complete Form NJ-REG and submit it to the Division of Revenue. The form can be
filed form online or by mailing a paper form to the Division. Online filing is strongly encouraged.
Register online at www.nj.gov/treasury/revenue/taxreg.htm. Click the “online” link and then select
“Register for Tax and Employer Purposes.”
Download the paper form and instructions at www.nj.gov/treasury/revenue/revprnt.html.
Call the Division at 609-292-1730 to have a form mailed to you.
Write to the Division at: Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Note: If you operate a corporation, limited partnership, limited liability company or limited liability partnership,
before registering, you must obtain legal authority to operate in the State of New Jersey. Generally, this is
accomplished by filing an original business certificate with the Division of Revenue, such as a Certificate of
Incorporation or Formation. For more information on this subject, visit www.nj.gov/treasury/revenue/filecerts.htm,
or call 609-292-9292.
Registering as an individual: There is a simplified registration process for individuals doing business with any New
Jersey government agency. The form (NJ-REG-A) may be on the back of this form. If not, it can be downloaded from
the web at www.nj.gov/treasury/revenue/pdforms/rega.pdf. To obtain a copy by mail, call 609-292-1730, or write
to the Division at the Client Registration Bureau, PO Box 252, Trenton, NJ 08646-0252.
Questions
about
the
registration
process?
Call
609-292-1730
or
submit
by
e-mail
at
www.nj.gov/treasury/revenue/revcontact.html.
How do I receive the proof of registration certificate?
New registrants. When completing Form NJ-REG, make sure you answer “Yes” to the contractor/sub-
contractor question (Online - Item 17; Paper Form - Item 18). The Division of Revenue will mail the certificate
to the mailing address you supply on your registration form.
Previously Registered Businesses. Call 609-292-1730 and select option 3. The Division of Revenue’s service
agents will take your order and mail you a certificate. Please allow 7 to 10 working days to receive your
certificate. Alternately, you may visit the Division’s Client Registration Bureau in person and request a
certificate. The address is 847 Roebling Avenue, Trenton, NJ 08611. Service desk hours are 8:30am to 4pm,
weekdays, excluding holidays.
What information does the proof of registration contain? The certificate displays the following information:
Business Name, Trade Name (If Applicable), Tax Payer ID (Usually the Employer Identification Number), Business
Address, Contractor Certification Number (State Issued), Certification Issuance Date, Effective Date (Business Start
Date Entered on Form NJ-REG).
Long Branch, New Jersey
ORDINANCE NO. 18-05
AN ORDINANCE TO AMEND AND SUPPLEMENT ORDINANCE NO. 13-05, KNOWN AS “AN ORDINANCE REQUIRING
PUBLIC CONTRATING REFORM, AND AMENDING AND SUPPLEMENTING THE ‘REVISED GENERAL ORDINANCES OF
THE CITY OF LONG BRANCH, NEW JERSEY’ ACCORDINGLY,” AS ADOPTED ON MAY 10, 2005.
WHEREAS, on May 10, 2005, the City of Long Branch adopted Ordinance No. 13-05, known as “An Ordinance
Requiring Public Contracting Reform, and Amending and Supplementing the ‘Revised General Ordinances of the
City of Long Branch, New Jersey’ Accordingly” (the “Ordinance”); and
WHEREAS, the Ordinance places certain limitations upon the annual amount(s) of contributions that
professionals may make to the political campaigns of the local elected officials who are ultimately responsible for
the award of discretionary no-bid contracts for municipal professional services; and
WHEREAS, the intention of the Ordinance is to ensure trust in the process of local government, if not the
quality or cost of services received, and to minimize any perceptions or concerns on the part of the public that
discretionary no-bid contracts for municipal professional services are being awarded to professionals as a reward
for having made substantial political contributions, or that the award of such contracts was influenced, even to a
minor degree, by the payment of such contributions; and
WHEREAS, it is hereby found and declared that the practice of “wheeling,” whereby one political
organization channels campaign donations to another political organization with the intention to conceal or
misrepresent the source of the contribution, may be utilized as a loophole to circumvent the proscriptions contained
within the Ordinance; and
WHEREAS, the City Council of the City of Long Branch, in a continuing effort to ensure the integrity of the
award of public professional service contracts, has therefore determined that it would be in the best interests of
the City, and its residents, to amend the Ordinance in an attempt to curb the practice known as “wheeling;” and
WHEREAS, the City Council of the City of Long Branch also wishes to take this opportunity to clarify the
“arbitration” provision referenced in Section 3(c) thereof; and
WHEREAS, the City Council of the City of Long Branch finds that it is in the best interest of the City and its
residents to require that a contribution of more than fifty dollars ($50.00) received by a candidate be reported in
the manner set forth by the laws and regulations of the State of New Jersey.
NOW, THEREFORE, BE AND IT IS HEREBY ORDAINED, that Ordinance No. 13-05, known as “An Ordinance
Requiring Public Contracting Reform, and Amending and Supplementing the ‘Revised General Ordinances of the
City of Long Branch, New Jersey’ Accordingly,” which was adopted on May 10, 2005, is hereby amended and
supplemented as follows:
SECTION 1
Prohibition on Awarding Professional Contracts to Certain Contributors
(a) The City of Long Branch shall not enter into an agreement for professional services with any individual and/or
professional business entity if that individual or entity has solicited or made any contribution of money or pledge
of a contribution including in-kind contributions, to a campaign of any City of Long Branch candidate for Council
or Mayor, in excess of the threshold specified in subsection (d) of this Section within one calendar year
immediately preceding the date of the contract or agreement unless cured pursuant to Section 3.
The
prohibition set forth in this Paragraph shall also apply to any solicitation or contribution of money or pledge of
a contribution including in-kind contributions made during the applicable time period to any City of Long Branch
or Monmouth County Party Committee, or to any political action committee (PAC) that is organized for the
primary purpose of promoting or supporting City of Long Branch candidates for Council or Mayor, so long as the
solicitation or contribution was made with the intention on the part of the contributor to conceal or
misrepresent the source of the contribution.
(b) No professional business entity which enters into negotiations for, or agrees to, any contact or agreement with
the municipality or any department or agency thereof or any of its independent authorities for the rendition of
professional services shall knowingly solicit or make any contribution of money, or pledge of a contribution,
including in-kind contributions, to any City of Long Branch candidate or holder of public office having ultimate
responsibility for the award of the contract, in excess of the amount set forth herein. This Section is to include
any and all professionals who provide political contributions to any candidate for an office whether or not that
candidate is presently in office or seeks office. The prohibition set forth in this Paragraph shall also apply to any
solicitation or contribution of money or pledge of a contribution including in-kind contributions to any City of
Long Branch or Monmouth County Party Committee, or to any political action committee (PAC) that is organized
for the primary purpose of promoting or supporting City of Long Branch candidates for Council or Mayor, so
long as the solicitation or contribution was made with the intention on the part of the contributor to conceal or
misrepresent the source of the contribution.
(c) For purpose of this ordinance, a “professional business entity” seeking a public contract means an individual
including the individual’s spouse, if any, and any child living at home; person; firm; corporation; professional
corporation; partnership; organization; or association. The definition of a business entity includes all principals
who own ten percent (10%) or more of the equity in the corporation or business trust, partners, and officers in
the aggregate employed by the entity as well as any subsidiaries directly controlled by the business entity.
(d) Any individual meeting the definition of “professional business entity” under this section may annually
contribute a maximum of five hundred dollars ($500.00) per candidate for Mayor and/or Council Member on an
annual basis whether or not that individual has a professional services contract in place or not to the maximum
extent of three thousand dollars ($3,000) per annum per business entity. This section shall apply to any
presently sitting Councilperson and/or the Mayor of the City of Long Branch and shall also apply to any individual
who seeks to run for the office of Council person and/or Mayor of the City of Long Branch.
(i)
Any individual that owns less than ten (10%) percent of a professional business entity which contracts with
the City of Long Branch shall not be treated as a part of that entity.
e)
For purposes of this section, the office that is considered to have ultimate responsibility for the award of the
contract shall be:
(i)
The City of Long Branch, if the contract requires approval or appropriation from the Council.
(ii) The Mayor of the City of Long Branch, if the contract requires approval of the Mayor, or if a public officer
who is responsible for the award of a contract is appointed by the Mayor.
SECTION 2
Contributions Made Prior to Effective Date
No contribution of money or any other thing of value, including in-kind contributions, made by a professional
business entity to any municipal candidate for Mayor or Council, or to any municipal or county party committee, or
to any political action committee (PAC) that is organized for the primary purpose of promoting or supporting City of
Long Branch candidates for Council or Mayor, shall be deemed a violation of this section, nor shall an agreement for
property, good or services, of any kind whatsoever, be disqualified thereby, if that contribution was made by the
professional business entity prior to the effective date of this section.
SECTION 3
Penalty
a)
All City of Long Branch professional service agreements shall provide that it shall be a breach of the terms of the
government contract for a professional business entity as defined in Section 1(c) to violate Section 1(b) or to
knowingly conceal or misrepresent contributions given or received, or to make or solicit contributions through
intermediaries for the purpose of concealing or misrepresenting the source of the contribution.
b)
Any professional business entity as defined in Section 1(c) and (d) who knowingly fails to reveal a contribution
made in violation of this Act, or who knowingly makes or solicits contributions through intermediaries for the
purpose of concealing or misrepresenting the source of the contribution, shall be subjected to a fine in the sum
of $2,500 so far as the first offense and for any second offense, shall be disqualified from eligibility for future
City of Long Branch contracts for a period of four calendar years from the date of the violation.
c)
There shall be no breach of contract in the event a contribution is questioned and as a result of the questioning
of the contribution the individual and/or business entity who makes the contribution requests that the
contribution be returned by the campaign committee, the candidate or the political action committee to whom
such contribution was made. In the event of any disputes as to whether or not a campaign contribution is proper
the matter shall be submitted to arbitration before a retired Judge of the Superior Court of New Jersey.
SECTION 4
Reporting Requirements
Any contribution received by a candidate committee, joint candidates committee, or political committee, during an
election fund report period of more than fifty dollars ($50.00) or aggregate contributions received by such a
committee in an election from a contributor totaling more than fifty dollars ($50.00) during such a report period
shall be reported by providing the information set forth in N.J.A.C. 19:25-10.2
SECTION 5
Severability
If any provision of this law, or the application of any such provision to any person or circumstances, shall be held
invalid, the remainder of this law to the extent it can be given effect, or the application of such provision to persons
or circumstances other than those to which it is held invalid, shall not be affected thereby, and to this extent the
provisions of this law are severable.
SECTION 6
Effective Date
This Ordinance shall take effect immediately upon final passage and publication in accordance with the law.
SECTION 7
Repealer
All other Ordinance or parts of Ordinances inconsistent herewith are hereby repealed to the extent of such
inconsistency.
Introduced: 6/14/05
Adopted: 6/28/05
CERTIFICATION OF NON‐INVOLVEMENT IN
PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendor”) that seeks to enter into or
renew a contract with a State agency for the provision of goods or services, or the purchase of bonds or other obligations,
must complete the certification below indicating whether or not the Vendor is identified on the Office of Foreign Assets
Control
(OFAC)
Specially
Designated
Nationals
and
Blocked
Persons
list,
available
here:
https://sanctionssearch.ofac.treas.gov/. If the Department of the Treasury finds that a Vendor has made a certification in
violation of the law, it shall take any action as may be appropriate and provided by law, rule or contract, including but not
limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking
debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the Office of Foreign Assets
Control (OFAC) Specially Designated Nationals and Blocked Persons list, and having done so certify:
(Check the Appropriate Box)
A.
That the Vendor is not identified on the OFAC Specialty Designated Nationals and Blocked Persons list on account
of activity related to Russia and/or Belarus.
OR
B.
That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specialty Designated
Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus.
OR
C.
That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specialty Designated
Nationals and Blocked Persons list. However, the Vendor is engaged in activity related to Russia and/or Belarus
consistent with federal law, regulation, license or exemption. A detailed description of how the Vendor’s activity
related to Russia and/or Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary)
Signature of Vendor’s Authorized Representative
Date
Print Name and Title of Vendor’s Authorized Representative
Vendor’s FEIN
Vendor’s Name
Vendor’s Phone Number
Vendor’s Address (Street Address)
Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address
i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company,
business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or
group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in
Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or
indirect subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 2.22.2024
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Requires Pursuant To: N.J.S.A. 52:32-55 et seq.; N.J.S.A. 40A:11-2.1
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to PUBLIC LAW 2012, C 25, any person or entity that is a successful bidder or proposer, 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 parent entity, subsidiary, or affiliate, is identified on the Department of
Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is found on Treasury’s
website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior to completing the below certification. If a vendor or contractor is found
to be in violation of the law, action may be taken as appropriate and as may provided by law, rule or contract,
including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in
default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 20122, c. 25, that neither the person or entity listed above,
nor any parent entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s
lists 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. (Skip Part 2 and sign and complete the Certification below.)
OR
I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury’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.
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of a parent
entity, subsidiary, or affiliate thereof engaging in investment activities in Iran in the space below and, if needed, on
additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any
attachments there, to the best of my knowledge, are true and complete. I attest that I am authorized to execute
this certification on behalf of the above-referenced person or entity.
I acknowledge that the City of Long Branch 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 any contracts with the City of Long Branch to notify the City of Long Branch in writing of any changes to the
answers of 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 agreement(s) with the City of Long Branch and that the City of Long
Branch at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
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