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Request For Proposal For The Provision Of Sports Instruction
BID #: 32
ISSUED: 11/10/2025
DUE: 12/10/2025
VALUE: TBD
100
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Executive Summary
The Borough of New Providence is soliciting proposals from qualified individuals and firms to provide comprehensive sports instruction services for children and adults. The contract period for these services is anticipated to run from March 1, 2026, to February 28, 2029. The services encompass multi-sport camps for young kids (ages 2-14), and progressive tennis instruction for youth (ages 3-adult) and adults (18+), including instructional and fitness-related programs. Providers must have a minimum of three years' experience in their respective instruction areas.
Key requirements for submission include detailing the Respondent's experience, qualifications of personnel, understanding of the Borough's needs, and a list of similar engagements with contact references. Financial proposals must specify a percentage-based payment to the Borough per paid registration, in addition to the price charged to participants for 2026, 2027, and 2028. Applicants must also provide an Affirmative Action Statement, Non-Collusion Affidavit, Owner Disclosure Information, Disclosure Statement, and Business Registration Certification.
Proposals will be evaluated based on qualifications, experience, reputation, training of assigned personnel, knowledge of the Borough and subject matter, relevance of similar engagements, completeness of the qualification statement, and reasonableness of the cost proposal. All proposals must be addressed to the Office of the Borough Clerk and submitted no later than December 10, 2025, at 10:00 AM. Inquiries regarding this RFP should be directed in writing to Denise Brinkofski, Borough Clerk.
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Bid Postings • REQUEST FOR PROPOSAL FOR THE PROVISION OF SPO Skip to Main Content Create a Website Account - Manage notification subscriptions, save form progress and more. Website Sign In Government Services Community How Do I... Search Home Bid Postings Print Sign up to receive a text message or email when new bids are added! Print Bid Title: REQUEST FOR PROPOSAL FOR THE PROVISION OF SPORTS INSTRUCTION Category: Request for Proposal Status: Closed Description: The BOROUGH OF NEW PROVIDENCE (the "BOROUGH") is soliciting Proposals from interested persons and/or firms for the provision of sports instruction the time period March 1, 2026 to February 28, 2029, as more particularly described herein. Publication Date/Time: 11/10/2025 12:00 AM Closing Date/Time: 12/10/2025 10:00 AM Related Documents: 2025_RFP_Sports Instruction Return To Main Bid Postings Page Live Edit Forms & Documents Garbage / Recycling Online Business & Payments Community Activities Contact Us Notify Me® Public Notices Facebook Instagram Contact Us 360 Elkwood Avenue New Providence, NJ 07974 Phone: 908-665-1400 Fax: 908-665-9272 Regular Hours: Monday through Friday 8:30 AM to 4:30 PM Summer Hours: Friday before Memorial Day - Labor Day Monday through Thursday 8:30 AM - 4:30 PM Friday 8:30 AM - 1:00 PM Quick Links Smart 911 Links & Resources Property Information FAQs Calendar Film Ready /QuickLinks.aspx Helpful Links Home Site Map Contact Us (Directory) Accessibility Disclaimer Terms of Use & 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: 2025_RFP_Sports Instruction ---
BOROUGH OF NEW PROVIDENCE
REQUEST FOR PROPOSAL
FOR THE PROVISION OF
SPORTS INSTRUCTION
BOROUGH OF NEW PROVIDENCE
ISSUE DATE: November 10, 2025
SUBMISSION DEADLINE: December 10, 2025
ADDRESS ALL PROPOSALS TO:
OFFICE OF THE BOROUGH CLERK
Municipal Building
360 Elkwood Avenue
NEW PROVIDENCE, NEW JERSEY 07974
2
GENERAL INFORMATION & SUMMARY
ORGANIZATION REQUESTING QUALIFICATIONS
BOROUGH OF NEW PROVIDENCE
360 ELKWOOD AVENUE
NEW PROVIDENCE, NEW JERSEY 07974
CONTACT PERSON
BERNADETTE CUCCARO ADMINISTRATOR
908-665-1400
PURPOSE OF REQUEST
The BOROUGH OF NEW PROVIDENCE (the "BOROUGH") is soliciting Proposals
from interested persons and/or firms for the provision of sports instruction the time period March
1, 2026 to February 28, 2029, as more particularly described herein. Through a Request for
Proposal process described herein, persons and/or firms interested in assisting the BOROUGH
with the provision of such services must prepare and submit a Proposal in accordance with the
procedure and schedule in this RFP. The BOROUGH will review Proposals only from those
persons and/or firms that submit a Proposal which includes all the information required to be
included as described herein, as determined in the sole and absolute discretion of the
BOROUGH. The BOROUGH intends to qualify persons and/or firms that (a) possess the
professional, financial and administrative capabilities to provide the proposed services, and (b)
will agree to work under the compensation terms and conditions determined by the BOROUGH
to provide the greatest benefit to the taxpayers of New Providence. The services of successful
Respondents may be procured as soon as March 1, 2026.
DEFINED TERMS
The following definitions shall apply to and are used in this Request for Qualifications:
"BOROUGH" - refers to the BOROUGH OF NEW PROVIDENCE.
"Proposal" - refers to the complete responses to this RFP submitted by the Respondents.
"Qualified Respondent" - refers to a Respondent who (in the sole and absolute discretion of
the BOROUGH) has satisfied the qualification criteria set forth in this RFP.
"RFP" - refers to this Request for Proposals, including any amendments thereof or
supplements thereto.
"Respondent" or "Respondents" - refers to the interested persons and/or firm(s) that submit a
Proposal.
CONTRACT FORM
If selected, a respondent shall be required to execute the BOROUGH's form contract,
3
which includes, among other things, indemnification, insurance, termination and licensing
provisions. A complete copy of a draft BOROUGH form contract is available upon request.
It is also agreed and understood that the acceptance of the final payment by a vendor shall
be considered a release in full of all claims against the BOROUGH arising out of, or by reason
of, the work done and materials furnished under the contract.
REQUIREMENTS OF THE PROPOSALS
RECREATION SPORTS PROGRAMS
1.
BOROUGH OF NEW PROVIDENCE FACTS AND FIGURES – The BOROUGH
OF NEW PROVIDENCE is a legal, governmental entity. The BOROUGH was incorporated in
1899 and operates under N.J.S.A 40A:60-1, et seq., the borough form of government. The
BOROUGH is governed by a mayor and borough council. The Borough Council sets policy,
adopts the operating and capital budgets for the BOROUGH, enacts ordinances and sets the
direction of how the BOROUGH OF NEW PROVIDENCE will provide government services.
The Mayor is elected and is the chief executive. The Borough Administrator carries out the
policies adopted by the Mayor and Borough Council.
The BOROUGH's population is approximately 14,500 and it consists of approximately
4 square miles of area. The BOROUGH provides a full range of municipal services.
The BOROUGH's operating budget is approximately $27 million.
2.
NATURE/ SCOPE OF SERVICES – The BOROUGH hereby solicits Proposals from
Respondents that have expertise in providing sports instruction for kids and adults. The specifics
of the program are set forth as follows:
MULTI-SPORT CAMPS
The New Providence Community Activities Department seeks sports programs which
will expose young kids to a variety of different sports, such as soccer, baseball, flag
football, basketball, lacrosse, track & field, and golf. Participants will learn the
fundamentals through dynamic drills and fun group games.
Contractor will have a minimum of three years’ experience in delivering youth sports and
youth activity camps in recreation or school settings for ages 2-14.
Instruction may be conducted during the school year as a weekly class or during school
breaks as a camp. The Community Activities Department will collect the participant fees
and pay the program provider based on the terms of agreement.
The Community Activities Department will market the program in its materials through
the school systems, on its website (www.newprov.us/191/community-activities), and in
local publications. If the program provider seeks to distribute a stand-alone flyer for its
program, it may do so only with the permission of the Community Activities Department
and must supply the flyer(s) for distribution.
4
The contractor is responsible for advising the Community Activities Department when
injuries to participants occur and for completing accident reports. Reports shall be filed
on the same day of injury by the class supervisor or by the contractor’s business
representative.
CHILDREN’S AGE GROUP TENNIS
The New Providence Community Activities Department seeks tennis programs that will
instruct children in the fundamental skills of recreational tennis with emphasis on proper
warm-up, racket grip and control, drills and games to develop agility, balance and
coordination, stroke and volley skills, serve skills, and drills and activities to learn game
situations.
Contractor will have a minimum of three years’ experience in delivering progressive
youth and adult tennis instruction and youth tennis activity camps in recreation or school
settings for ages 3-adult.
Tennis will be offered during Spring, Summer and Fall as classes or camps. The
Community Activities Department will collect the participant fees and pay the program
provider based on the terms of agreement.
Classes will be offered at different levels: Beginner, Intermediate, and Advanced to meet
the wide range of ability and experience within our population.
The Community Activities Department will market the program in its materials through
the school systems, on its website (www.newprov.us/191/community-activities), and in
local publications. If the program provider seeks to distribute a stand-alone flyer for its
program, it may do so only with the permission of the Community Activities Department
and must supply the flyer(s) for distribution.
The contractor is responsible for advising the Community Activities Department when
injuries to participants occur and for completing accident reports. Reports shall be filed
on the same day of injury by the class supervisor or by the contractor’s business
representative.
ADULT INSTRUCTIONAL AND FITNESS RELATED TENNIS
The New Providence Community Activities Department seeks tennis programs for adults
18 and over to accommodate players of all abilities. Instructional programs should
enable participants to learn proper technique and the fundamentals of tennis with
opportunities to refine and improve their game from week to week. Fitness related tennis
programs will incorporate cardio and exercise regimes into the game of tennis.
The Community Activities Department will market the program in its materials through
the school systems, on its website (www.newprov.us/191/community-activities), and in
local publications. If the program provider seeks to distribute a stand-alone flyer for its
program, it may do so only with the permission of the Community Activities Department
and must supply the flyer(s) for distribution.
The contractor is responsible for advising the Community Activities Department when
injuries to participants occur and for completing accident reports. Reports shall be filed
5
on the same day of injury by the class supervisor or by the contractor’s business
representative.
3.
SUBMISSION REQUIREMENTS – Respondents must demonstrate satisfactory
experience in providing the program which the proposal seeks. Respondents should submit a
Proposal that contains the following:
A.
The name of the Respondent, the principal place of business and, if different, the
place where the services will be provided;
B.
A description of Respondent's overall experience in providing the type of services
sought in the RFP. At a minimum, the following information on past experience
should be included as appropriate to the RFP: (i) description and scope of work by
Respondent; (ii) explanation of perceived relevance of the experience to the RFP;
and (iii) the education, qualifications, experience, and training of all persons who
would be assigned to provide services along with their names and titles;
C.
A narrative statement of the Respondent's understanding of the BOROUGH's
needs and goals;
D.
A listing of all other engagements where services of the types being proposed
were provided in the past five (5) years. Contact information for the recipients of
the similar services must be provided. The BOROUGH may obtain references
from any of the parties listed;
E.
A listing of all immediate relatives of the officers, directors or managing agents of
Respondent who are BOROUGH employees or elected officials of the
BOROUGH. For purposes of the above, "immediate relative" means a spouse,
parent, stepparent, brother, sister, child, stepchild, direct-line aunt or uncle,
grandparent, grandchild, and in-laws;
An Affirmative Action Statement (sample language attached);
A completed Non-Collusion Affidavit (copy of form attached);
A completed Owner Disclosure Information form (copy of form attached);
A completed Disclosure Statement (copy of form attached);
A statement that the Respondent will comply with the General Terms and Conditions
required by the BOROUGH and enter into the BOROUGH's standard multi-sport
instruction for kids Contract;
A copy of the Respondent's Business Registration Certification.
4.
FINANCIAL PROPOSAL – Respondents should submit a financial proposal that
responds to the services requested in the RFP and includes the form as indicated herein. The
payment to the Borough by the Respondent must be on a percentage basis per paid registration.
In addition, the Respondents are asked to provide the price it will be charging participants for its
programs.
6
SPORTS
INSTRUCTION
Payment to Borough (i.e. % Per Paid Registration)
2026
2027
2028
Pre-K to K
Grades 1-8
Adults
SPORTS
INSTRUCTION
Price charged to Participants Per Hour of Instruction
2026
2027
2028
Pre-K to K
Grades 1-8
Adults
5.
EVALUATION – The BOROUGH has structured a procurement process that seeks to
obtain the desired results described herein, while establishing a competitive process to assure that
each person and/or firm is provided an equal opportunity to submit a Proposal in response to the
RFP. The BOROUGH will select the most advantageous proposal(s), if any and as determined
in its sole and absolute discretion, based on all of the evaluation factors set forth at the end of this
RFP.
Proposals will be reviewed and evaluated by the BOROUGH and its community activities,
legal and/or financial advisors (collectively, the "Review Team"). The Proposals will be
reviewed to determine if the Respondent has met the minimum professional, administrative and
financial areas and other requirements described in this RFP. Each Respondent must satisfy the
objectives and requirements detailed in this RFP. The successful Respondent shall be determined
by an evaluation of the total content of the Proposal submitted. Under no circumstances will a
member of the Review Team review responses to an RFP for an appointment that he/she or
his/her firm submitted a response. Based upon the totality of the information contained in the
Proposal, including, without limitation, information about the reputation and experience of each
Respondent, the BOROUGH will (in its sole and absolute discretion) determine which
Respondents are qualified from a professional, administrative and financial perspective. Each
Respondent that meets the requirements of the RFP (determined in the sole and absolute
discretion of the BOROUGH) will be designated as a Qualified Respondent and may then be
given an opportunity to provide services to the BOROUGH.
The RFP process commences with the issuance of this RFP. It is anticipated that certain
Qualified Respondents will be selected to begin providing services to the BOROUGH as soon as
March 1, 2026. There can be no assurance, however, that any Qualified Respondent will be
selected.
All communications concerning this RFP or the RFP process shall be directed, in writing,
to the BOROUGH's designated contact person:
DENISE BRINKOFSKI, Borough Clerk
clerk@newprov.us
BOROUGH OF NEW PROVIDENCE
360 Elkwood Avenue, New Providence, New Jersey 07974
7
6.
RESERVATION OF RIGHTS – The BOROUGH reserves the right to:
a.
Not select any of the proposals;
b.
Select only portions of a particular Respondent's proposal for further
consideration (however, Respondents may specify portions of a proposal that they
consider "bundled");
c.
Supplement, amend or otherwise modify the RFP through issuance of addenda to
all prospective Respondents who have received a copy of this RFP;
d.
Change or alter the schedule for any events called for in this RFP upon the
issuance of notice to all prospective Respondents who have received a copy of
this RFP;
e.
Conduct investigations of any or all of the Respondents, as the BOROUGH
deems necessary or convenient, to clarify the information provided as part of the
Proposal and to request additional information to support the information included
in any Proposal; and
f.
Suspend or terminate the procurement process described in this RFP at any time
(in its sole and absolute discretion). If terminated, the BOROUGH may determine
to commence a new procurement process or exercise any other rights provided
under applicable law without any obligation to the Respondents.
The BOROUGH shall be under no obligation to complete all or any portion of the
procurement process described in this RFP.
The BOROUGH shall not be obligated to explain the results of the evaluation process to
any person or entity, including, without limitation, any Respondent.
The BOROUGH may require Respondents to demonstrate any services described in their
proposal prior to award.
7.
LIMITATIONS – This RFP is not an offer, order or contract and should not be
regarded as such, nor shall any obligation or liability be imposed on the BOROUGH by issuance
of this RFP. The BOROUGH reserves the right at the BOROUGH's sole discretion to refuse any
submission. This RFP does not constitute a Request for Proposal ("RFP") and does not commit
the BOROUGH to issue an RFP.
8.
USE OF INFORMATION – Any specifications, drawings, sketches, models, samples,
data, computer programs, documentation, technical or business information and the like
("Information") furnished or disclosed by the BOROUGH to the respondent in connection with
this RFP shall remain the property of the BOROUGH. When in tangible form, all copies of such
Information shall be returned to the BOROUGH upon request. Unless such Information was
previously known to the respondent, free of any obligation to keep it confidential, or has been or
is subsequently made public by the BOROUGH or a third party, it shall be held in confidence by
the respondent, shall be used only for the purposes of this RFP, and may not be used for other
purposes except upon such terms and conditions as may be mutually agreed upon in writing.
8
9.
GENERAL TERMS AND CONDITIONS –
A.
The BOROUGH reserves the right to reject any Proposal in whole or in part or to
waive any informalities in a Proposal, and, unless otherwise specified by the
respondent, to accept any item, items or services in the proposals should it be
deemed in the best interest of the BOROUGH to do so.
B.
In case of the failure by a successful respondent to perform, the BOROUGH may
procure the articles or services from other sources, deduct the cost of the
replacement from money due to the respondent under the contract and hold the
respondent responsible for any excess cost occasioned thereby.
C.
The respondent shall maintain sufficient insurance to protect against all claims
under Workmen's Compensation, General, Professional and Automobile Liability.
D.
Each Proposal must be signed by the person authorized to do so.
E.
Proposals shall be submitted in duplicate and may be hand-delivered or mailed
consistent with the provisions of the legal notice to respondents. In the case of
mailed proposals, the BOROUGH assumes no responsibility for Proposals
received after the designated date and time and will return late Proposals
unopened. Proposals will not be accepted by facsimile or e-mail. Proposals shall
be in a sealed envelope, marked "Proposal for the Provision of multi-sport
instruction for kids." To be considered, proposals shall be delivered to or
received by the BOROUGH Clerk no later than 11 a.m. on December 10, 2025.
F.
Respondents are required to comply with the requirements of N.J.S.A. 10:5-31 et
seq. See attached Exhibit A.
G.
By submission of a Proposal, the respondent certifies that the service to be
furnished will not infringe upon any valid patent, trademark or copyright and a
successful respondent shall, at its expense, defend any and all actions or suits
charging such infringement, and will save the BOROUGH harmless in any case
of any such infringement.
H.
No respondent shall influence, or attempt to influence, or cause to be influenced,
any BOROUGH officer or employee to use his/her official capacity in any
manner which might tend to impair the objectivity or independence of judgment
of said officer or employee.
I.
No respondent shall cause or influence, or attempt to cause or influence, any
BOROUGH officer or employee to use his/her official capacity to secure
unwarranted privileges or advantages for the respondent or any other person.
J.
Should any difference arise between the contracting parties as to the meaning or
intent of these instructions or specifications, the Borough Counsel's decision shall
be final and conclusive.
9
K.
All costs incurred by the Respondent in connection with responding to this RFP
shall be become solely by the Respondent. The BOROUGH OF NEW
PROVIDENCE shall not be responsible for any expenditure of monies or other
expenses incurred by the Respondent.
L.
The checklist, affidavits, notices and the like presented at the end of this RFP are
a part of this RFP and shall be completed and submitted as part of a Proposal.
M.
All Proposals shall become the property of the BOROUGH and will not be
returned.
N.
All Proposals will be made available to the public at the appropriate time, as
determined by the BOROUGH (in the exercise of its sole and absolute discretion)
and in accordance with law.
O.
The BOROUGH may request Respondents to send representatives to the
BOROUGH for interviews with less than 24 hours advance notice.
P.
Neither the BOROUGH, nor their respective staffs, consultants or advisors
(including, but not limited to, the Review Team) shall be liable for any claims or
damages resulting from the solicitation or preparation of the Proposal, nor will
there be any reimbursement to Respondents for the cost of preparing and
submitting a Proposal or for participating in this procurement process.
END OF GENERAL INSTRUCTIONS
10
BASIS OF AWARD
A contract, if any, shall be awarded based upon the following factors:
EVALUATION FACTORS
A.
Relevance and Extent of Qualifications, Experience, Reputation and Training of
Personnel to be assigned
B.
Knowledge of the BOROUGH OF NEW PROVIDENCE and the subject matter
to be addressed under this engagement
C.
Relevance and Extent of Similar Engagements performed
D.
Qualification Statement contains all required information
E.
Reasonableness of Cost Proposal
11
PROPOSAL CHECKLIST
THIS CHECKLIST MUST BE COMPLETED, INITIALED, SIGNED AND SUBMITTED
WITH
YOUR
PROPOSAL.
A
PROPOSAL
SUBMITTED
WITHOUT
THE
FOLLOWING DOCUMENTS IS CAUSE FOR REFUSAL.
INITIAL BELOW
A.
An original and five signed copies of your complete proposal
_________
B.
Affirmative Action Statement
_________
C.
Non-Collusion Affidavit, properly notarized
_________
D.
Owners Disclosure Information, properly notarized, listing
the names of all persons owning ten (10%) percent or more
of the proposing entity
_________
E.
Disclosure Statement
_________
F.
Authorized signatures on all forms
_________
G.
Business Registration Certificate(s)
_________
Note: N.J.S.A 52:32-44 provides that the BOROUGH shall not enter into a contract for goods or
services unless the other party to the contract provides a copy of its business registration
certificate and the business registration certificate of any subcontractors at the time that it
submits its proposal. The contracting party must also collect the state use tax where applicable.
THE UNDERSIGNED HEREBY ACKNOWLEDGES
THE ABOVE LISTED REQUIREMENTS
NAME OF RESPONDENT:
___________________________________________________________________________________
Person, Firm or Corporation
___________________________________________________________________________________
BY: (NAME)
(TITLE)
(REVISED 4/10)
12
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127)
N.J.A.C. 17:27
GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee or
applicant for employment because of age, race, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation, gender identity or expression, disability, nationality or
sex. Except with ensure that equal employment opportunity is afforded to such applicants in
recruitment and employment, and that employees are treated during employment, without regard
to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation, gender identity or expression, disability, nationality or sex. Such equal employment
opportunity shall include, but not be limited to the following: employment, upgrading,
demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates or pay
or other forms of compensation; and selection for training, including apprenticeship. The
contractor agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the Public Agency Compliance Officer setting forth
provisions of this nondiscrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisements for
employees placed by or on behalf of the contractor, state that all qualified applicants will receive
consideration for employment without regard to age, race, creed, color, national origin, ancestry,
marital status, affectional or sexual orientation, gender identity or expression, disability,
nationality or sex.
The contractor of subcontractor will send to each labor union, with which it has a collective
bargaining agreement, a notice, to be provided by the agency contracting officer, advising the
labor union of the contractor’s commitments under this chapter and shall post copies of the
notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations
promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and
supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to meet targeted county
employment goals established in accordance with N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies
including, but not limited to, employment agencies, placement bureaus, colleges, universities,
and labor unions, that it does not discriminate on the basis of age, race, creed, color, national
origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression,
disability, nationality or sex, and that it will discontinue the use of any recruitment agency which
engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to
assure that all personnel testing conforms with the principles of job-related testing, as established
13
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, race, creed, color, national origin, ancestry, marital
status, affectional or sexual orientation, gender identity or expression, disability, nationality or
sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable
Federal law and applicable Federal court decisions.
The contractor shall submit to the public agency, after notification of award but prior to
execution of a goods and services contract, one of the following three documents:
Letter of Federal Affirmative Action Plan
Approval Certificate of Employee Information Report
Employee Information Report Form AA302 (electronically provided by the Division and
distributed
to
the
public
agency
through
the
Division’s
website
at
www.state.nj.us/treasury/contract_compliance)
The contractor and its subcontractors shall furnish such reports or other documents to the
Division of Public Contracts Equal Employment Opportunity 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 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.
14
NON-COLLUSION AFFIDAVIT
STATE OF NEW JERSEY )
) ss:
COUNTY OF __________ )
I, ______________________ of the City of _______________________ in the County of
____________________ and the State of ______________________ of full age, being duly
sworn according to the law on my oath depose and say that:
I am ________________________ of the firm of __________________________, the
respondent submitting the Proposal, and that I executed the said Proposal with full authority so to
do; and that said respondent 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 Proposal; and that all statements contained in said Proposal and in
this Affidavit are true and correct, and made with full knowledge that the State of New Jersey
relies upon the truth of the statements contained in said Proposal and in the statements contained
in this Affidavit in awarding any contract for the named services.
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
________________________________________ (N.J.S.A. 52:34-15)
________________________________________
(Also type or print name of Affiant under signature)
Subscribed and sworn to before me this ____
day of _______________, 2025.
___________________________________
A Notary Public of ______________
My Commission Expires: ________________
15
OWNER DISCLOSURE INFORMATION
Set forth below are the names and addresses of all owners of 10% or more of the proposing
business entity.
Name: ____________________________
Name: ____________________________
Address: __________________________
Address: __________________________
__________________________
__________________________
Name: ____________________________
Name: ____________________________
Address: __________________________
Address: __________________________
__________________________
__________________________
Name: ____________________________
Name: ____________________________
Address: __________________________
Address: __________________________
__________________________
__________________________
Name: ____________________________
Name: ____________________________
Address: __________________________
Address: __________________________
__________________________
__________________________
___________________________
NAME OF BUSINESS ENTITY
__________________________________________________________________________
SIGNATURE
TITLE
_________________________________
Notary Public of
My Commission Expires: _____________, 20___.
16
DISCLOSURE STATEMENT
(To be submitted with Proposal)
(a)
Is or was anyone in your firm or company a member of the BOROUGH governing body within the last calendar
year or a member of his/her immediate family? If yes, then provide the name of the individual below and his/her
relationship.
Yes____
No____
_______________________
__________________
________________
Name
Position
Relationship
(b)
Has any principal/partner of your firm been convicted of an indictable offense? If yes, then please provide further
explanation and copies of any relative documents.
Yes____
No____
_______________________
__________________
________________
Name
Position
Relationship
(c)
Has any individual who would provide service under this contract ever been sanctioned by the appropriate licensing
board?
Yes____
No____
_______________________
__________________
________________
Name
Position
Term
Reason for censure:
(d)
Has any member of your firm ever been barred from doing business with any state, BOROUGH or municipal
government? If yes, then please provide further written explanation including date and copies of relevant
documentation.
Yes____
No____
_______________________
__________________
________________
Name
State, County or
Date
Municipality
(e)
Has your firm sued the BOROUGH OF NEW PROVIDENCE in the past five (5) years? If yes, then please identify
the matter/case and provide further written explanation including date and copies of relevant documents.
Yes____
No____
__________________________________________
________________
Name
Date
By___________________________________
Title______________________________
#337330
17
Borough of New Providence
Prohibited Russia-Belarus Activities & Iran Investment Activities
COMPANY, PERSON, OR ENTITY
PART 1: CERTIFICATION
COMPLETE PART 1 BY CHECKING ONE OF THE THREE BOXES BELOW
Pursuant to law, any person or entity that is a successful bidder or proposer, or otherwise proposes to enter into or
renew a contract, for goods or services must complete the certification below prior to contract award 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 Russia-Belarus list or Chapter 25 list as a person or entity engaging in prohibited activities in
Russia, Belarus or Iran. Before a contract for goods or services can be amended or extended, a person or entity must
certify that neither the person or entity, nor any parent entity, subsidiary, or affiliate, is identified on the Department
of Treasury's Russia-Belarus list. Both lists are found on Treasury’s website at the following web addresses:
https://www.nj.gov/treasury/administration/pdf/RussiaBelarusEntityList.pdf
www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
As applicable to the type of contract, the above-referenced lists must be reviewed prior to completing the below
certification.
A person or entity unable to make the certification must provide a detailed, accurate, and precise description of the
activities of the person or entity, or of a parent entity, subsidiary, or affiliate, engaging in prohibited activities in Russia
or Belarus and/or investment activities in Iran. The person or entity must cease engaging in any prohibited activities
and provide an updated certification before the contract can be entered into.
If a vendor or contractor is found to be in violation of law, action may be taken as appropriate and as may be 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.
CONTRACT AWARDS AND RENEWALS
I certify, pursuant to law, 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 engaged in prohibited activities in Russia or
Belarus pursuant to P.L. 2022, c. 3 or in investment 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.)
CONTRACT AMENDMENTS AND EXTENSIONS
I certify, pursuant to law, that neither the person or entity listed above, nor any parent entity, subsidiary, or
affiliate is listed on the N.J. Department of the Treasury’s lists of entities determined to be engaged in prohibited
activities in Russia or Belarus pursuant to P.L. 2022, c. 3. 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.)
18
Borough of New Providence
Prohibited Russia-Belarus Activities & Iran Investment Activities
IF UNABLE TO CERTIFY
I am unable to certify as above because the person or entity and/or a parent entity, subsidiary, or
affiliate is listed on the Department's Russia-Belarus list and/or Chapter 25 Iran list. I will provide a detailed,
accurate, and precise description of the activities as directed in Part 2 below, and sign and complete the
Certification below. Failure to provide such will prevent the award of the contract to the person or entity,
and appropriate penalties, fines, and/or sanctions will be assessed as provided by law.
PART 2: ADDITIONAL INFORMATION
PLEASE PROVIDE FURTHER INFORMATION RELATED TO PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
AND/OR 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, engaging in prohibited activities in Russia or Belarus and/or
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 Borough of New Providence is relying on the information contained herein and
hereby acknowledge that I am under a continuing obligation from the date of this certification through the
completion of any contracts with the Borough of New Providence to notify the Borough of New Providence
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. 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 Borough of New Providence, and that the
Borough of New Providence, at its option, may declare any contract(s) resulting from this certification void
and unenforceable.
Name of Company, Entity
Full Name (Print)
Title
Signature
Date
19
BUSINESS ENTITY DISCLOSURE CERTIFICATION
FOR NON-FAIR AND OPEN CONTRACTS
Required Pursuant To N.J.S.A. 19:44A-20.8
Part I – Vendor Affirmation
The undersigned, being authorized and knowledgeable of the circumstances, does hereby certify that:
has not made and will not make any reportable contributions pursuant to N.J.S.A. 19:44A-1 et seq. that, pursuant to
P.L. 2023, c. 30, would bar the award of this contract in the one year period preceding January 1, 2025 to any of the
following named candidate committee or joint candidates committee representing the elected officials of the Borough
of New Providence as defined pursuant to N.J.S.A. 19:44A-3 (q) and (r).
Mayor Allen Morgan
Councilperson Nadine Geoffroy
Councilperson Diane Bilicska
Councilperson Alex Kogan
Councilperson Matthew Cumiskey
Councilperson Lisa McKnight
Councilperson Kathleen Dolan
Part II – Ownership Disclosure Certification
I certify that the list below contains the names and home addresses of all owners holding 10% or more of the issued
and outstanding stock of the undersigned.
Check the box that represents the type of business entity:
Partnership
Corporation
Sole Proprietorship
Subchapter S Corporation
Limited Partnership
Limited Liability Corporation
Limited Liability Partnership Limited Liability Company
Name of Stock or Shareholder
Home Address
Part 3 – Signature and Attestation:
The undersigned is fully aware that if I have misrepresented in whole or part this affirmation and certification, I and/or
the business entity, will be liable for any penalty permitted under law.
Name of Business Entity:___________________________________________
Signed:________________________________ Title:__________________________________
Print Name:____________________________ Date:__________________________________
Subscribed and sworn before me this ___ day of
___________, 2 _____.
My Commission expires:
_________________________________
(Affiant)
____________________________
(Print name & title of affiant) (Corporate Seal)
BUSINESS ENTITY DISCLOSURE CERTIFICATION
FOR NON-FAIR AND OPEN CONTRACTS
Required Pursuant To N.J.S.A. 19:44A-20.8
The following is statutory text related to the terms and citations used in the Business Entity Disclosure
Certification form.
“Local Unit Pay-To-Play Law” (P.L. 2004, c.19, as amended by P.L. 2005, c.51)
19:44A-20.6 Certain contributions deemed as contributions by business entity.
5. When a business entity is a natural person, a contribution by that person's spouse or child, residing
therewith, shall be deemed to be a contribution by the business entity. When a business entity is other
than a natural person, a contribution by any person or other business entity having an interest therein
shall be deemed to be a contribution by the business entity.
19:44A-20.7 Definitions relative to certain campaign contributions.
6. As used in sections 2 through 12 of this act:
“business entity" means any natural or legal person, business corporation, professional services
corporation, limited liability company, partnership, limited partnership, business trust, association or any
other legal commercial entity organized under the laws of this State or of any other state or foreign
jurisdiction;
“interest" means the ownership or control of more than 10% of the profits or assets of a business entity or
10% of the stock in the case of a business entity that is a corporation for profit, as appropriate;
Temporary and Executing
12. Nothing contained in this act shall be construed as affecting the eligibility of any business entity to
perform a public contract because that entity made a contribution to any committee during the one-year
period immediately preceding the effective date of this act.
~~~~~~~~~~~~~~~~~~~~~
The New Jersey Campaign Contributions and Expenditures Reporting Act (N.J.S.A. 19:44A-1 et seq.)
19:44A-3 Definitions. In pertinent part…
q. The term "candidate committee" means a committee established pursuant to subsection a. of section 9
of P.L.1973, c.83 (C.19:44A-9) for the purpose of receiving contributions and making expenditures.
r. the term "joint candidates committee" means a committee established pursuant to subsection a. of
section 9 of P.L.1973, c.83 (C.19:44A-9) by at least two candidates for the same elective public offices in
the same election in a legislative district, county, municipality or school district, but not more candidates
than the total number of the same elective public offices to be filled in that election, for the purpose of
receiving contributions and making expenditures. For the purpose of this subsection: …; the offices of
member of the board of chosen freeholders and county executive shall be deemed to be the same
elective public offices in a county; and the offices of mayor and member of the municipal governing body
shall be deemed to be the same elective public offices in a municipality.
19:44A-8 and 16 Contributions, expenditures, reports, requirements.
While the provisions of this section are too extensive to reprint here, the following is deemed to be the
pertinent part affecting amounts of contributions:
“The $200 limit established in this subsection shall remain as stated in this subsection without further
adjustment by the commission in the manner prescribed by section 22 of P.L.1993, c.65 (C.
21
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Denise Brinkofski
Borough Clerk
hidden@email.com
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Timeline
First Discovered
Apr 28, 2026
Last Info Update
Apr 28, 2026
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