Borough of Roselle Park County of Union, State of New Jersey 1 10 East West?eld Avenue Roselle Park, NJ 07204 E-MAIL: acasais@rosellepark.net PHONE: (908) 245-6222 Fax: (908) 245-5598 ANDREW J. CASAIS, RMC, QPA Borough Ierk cf: Quali?ed Purchasing Agent REQUEST FOR PROPOSALS Sealed proposals will be received by the Quali?ed Purchasing Agent for the Borough of Roselle Park on Friday, November 30, 2018 at 10:00 prevailing time, in the Conference Room of Roselle Park Borough Hall, 1 10 East West?eld Avenue, Roselle Park, NJ. 07204 at which time and place proposals will be Opened and read in public for: 2019 LICENSED SITE REMEDIATION PROFESSIONAL Proposals must be made on the standard prOposal forms, be enclosed in a sealed package bearing the name and address of the bidder and labeled ?2019 LICENSED SITE REMEDIATION on the outside, addressed to Andrew J. Casais, RMC, QPA, Quali?ed Purchasing Agent at the address above. Speci?cations may be obtained in-person at the Of?ce of the Borough Clerk or online at All prospective vendors shall comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27 et seq. regarding Equal Employment Opportunity and Af?nnative Action. Small, Minority and Women?s Business Enterprises are encouraged to obtain speci?cations and compete for the contracts. @624, Andrew J. Casais, RMC, QPA Quali?ed Purchasing Agent Page 1 of 26 2. BOROUGH OF ROSELLE PARK GENERAL INSTRUCTIONS INTENT OF SOLICITATION The Borough of Roselle Park is soliciting a Request for Proposals (RFP) for the provision of professional services, as more particularly described herein. Vendors interested in providing services to the Borough through the provision of such services must prepare and submit a proposal inclusive of a Submission Form I Quali?cation Statement in accordance with the procedure and schedule in this RFP. The Borough intends to qualify person(s) ande?or ?rm(s) that: (I) possess the professional, ?nancial and administrative capabilities to provide the proposed services, and (2) comply with the terms and conditions determined by the municipality to provide the greatest bene?t to the taxpayers, and operational ef?ciencies of the Borough of Roselle Park. REQUIREMENTS FOR SUBMISSION A. Proger and Timely Receipt Submissions considered timely shall be submitted and received, in hand, no later than Friday, November 30, 2018 at 10:00 21.11]. as listed in the public notice of this solicitation to the attention of: Andrew J. Casais, RMC, QPA Borough Clerk I Quali?ed Purchasing Agent 1 10 East West?eld Avenue Roselle Park, New Jersey 07204 B. Number of Cooies Required - One (I) originally signed (in ink) copy along with one (I) digital copy (via CD or USB drive) of each proposal shall be submitted. Vendors should not submit more than the required number of copies as outlined herein. C. Transmittal Instructions Proposals must be submitted in sealed envelopes clearly marked with the vendor name as well the service for which the proposal is being submitted. Each proposal must be provided on a Submission Form Quali?cation Statement as supplied in the package, and signed by the professional services entity or principal thereof. Submission Forms Quali?cation Statements, as part of the submission as a whole, must also be accompanied by a completed RFP checklist, a statement of ownership disclosure, a non-collusion af?davit, the required EEO/Af?rmative Action evidence and signed compliance notice, Acknowledgement of Americans with Disabilities Act Language of 1990, a disclosure of investment activities in Iran, an insurance requirement acknowledgement form, a certi?cation regarding political contributions, the New Jersey Business Registration Certi?cate of the Vendor, and a W-9 ofthe vendor. All prices and amounts must be written in ink or, preferably, typewritten. Each signatory Page 2 of 26 to the submission must initial all erasures or corrections. The Borough of Roselle Park explicitly prohibits transmittal of proposals by way of facsimile. The Borough of Roselle Park strongiy urges vendors to verify the completeness of their submissions by carefully reviewing the submission checklist herein. The Borough of Roselle Park will not be responsible for submissions forwarded through the US. Mail or any delivery service if lost in transit at any time before submission opening, or if hand-delivered to an incorrect location. D. Withdrawal of Proposal - Submissions forwarded to the Borough of Roselle Park before the time of opening of proposals may be withdrawn upon written request of the professional services entity who shall be required to produce evidence showing that they are or represent the principal(s) involved in the submission. Submissions may not be withdrawn within twenty-four (24) hours of the stipulated time of opening of submissions. Once submissions have been opened, they must remain ?rm for a period of sixty (60) days. E. Discrepancy in Cost Proposals - If applicable, in the event there is a discrepancy between the unit prices and the extended totals, the unit prices shall govern or if between the correct sum of the extended totals and the total submission submitted, the correct sum shall govern. Amounts written in words shall govern over the amounts written in numerals. F. One Proposal Per Entitv - More than one (I) submission from an individual, ?rm, partnership, corporation, or association of principals under the same or different names shall not be considered. Should more than one (1) submission be so received by an entity, it shall disqualify the entity from consideration. SCOPE OF SOLICITATION The Borough of Roselle Park seeks to receive proposals for 2019 Licensed Site Remediation Professional for the contract period commencing no sooner than January 1, 2019 and terminating no later than December 31, 2019. Pursuant to the New Jersey Local Public Contracts Law, no language herein shall be construed so as to contemplate award of a professional services contract for a period of time greater than twelve (12) consecutive months. SCOPE OF WORK, MINIMUM VENDOR REQUIREMENTS SELECTION CRITERIA A. Scope of Work - The Borough of Roselle Park intends to procure certain services as part ofthis solicitation, the scope ofwork for such services should be understood, at a minimum, as follows: (1) Provide professional services and assist in providing administrative and litigation support in matters involving environmental issues effecting water, air, solid waste, hazardous waste and historic fill, including underground storage tanks and historic operations of property within the Borough of Roselle Park; (2) Provide Page 3 of 26 project managers with adequate municipal experience to ensure the Borough?s full and unquali?ed compliance with environmental regulations promulgated by state and federal agencies; (3) Obtain, on behalf of the Borough, permits and approvals from various state, county, and local environmental regulatory agencies; (4) Work and operate in concert with any and all legal counsel and engineers quali?ed by the Borough; (5) Prepare, of behalf of the Borough, grant applications for environmental matters; and (6) Attend Special and Regular Meetings of the Mayor and Council as required, requested, or directed. B. Minimum Vendor Requirements The Borough of Roselle Park intends to procure certain services as part ofthis solicitation from a vendor with the following minimum requirements understood: A successful vendor shall, at a minimum be: (I) a Licensed Site Remediation Professional of the State of New Jersey for a minimum of ten (10) years preceding the proposed appointment; (2) experienced in providing environmental consulting services to municipalities including demonstrated experience with a wide-range of environmental issues, including, but not limited to emergency response, investigation and remediation of current and historic releases of contaminants on both residential, public, and industrial sites under the current federal and state environmental laws and regulatory programs for a minimum of ten (10) years preceding the proposed appointment. [t is expected that a vendor will expand upon these minimum requirements in their Quali?cations Statement by setting forth a variety of information inclusive of: the name and roles of the individuals who will perform services and the descriptions of the individuals? experience including their education and certi?cations; (2) professional references and a demonstrated records of success providing the same service; (3) description of ability to provide the services desired in a timely fashion (including staf?ng levels and familiarity with subject matter); (4) cost details. C. Selection Criteria - The selection criteria to be used in awarding contracts shall include the following: (I) Meeting "Minimum Vendor Requirements? as stated in the forgoing solicitation; (2) Quali?cations of the individuals who will perform the services/tasks and the amounts of their respective participation; (3) Experience and references; (4) Ability to perform the services/tasks in a timely fashion, including staf?ng and familiarity with the subject matter, including familiarity with the Borough of Roselle Park; (5) Cost considerations, including, but not limited to, historical costs for similar professional services, expertise involved, and comparable costs for comparable public entities; (6) Possessing demonstrable experience in the representation of public bodies, including but not limited to, Counties, Municipalities and the State ofNew Jersey; and, (7) demonstrable experience Page 4 of 26 and relationships with the New Jersey Department of Environmental Protection. EVALUATION AND AWARD A. Time for Contract Award - The Borough of Roselle Park shall award a contract, or reject all submissions, within such time as may be speci?ed in the invitation for submission, but in no case more than sixty (60) days, except that the submissions of any professional services entities who consent thereto may, at the request of the contracting unit, be held for consideration for such longer period as may be agreed. The right is reserved by the Borough of Roselle Park to award submissions on a "service by service" basis, "per project" basis, in-part or in-whole as determined by the Borough. B. Restrictions on Award A contract award for this service will not be made unless the Borough?s Chief Financial Of?cer has certified the necessary funds in a lawful manner. C. Evaluation of Proposals - Proposals submitted by vendors will be evaluated by the Borough of Roselle Park in consideration of factors most advantageous to the Borough including managerial competency, quali?cations as submitted, and price. After initial review to determine legal responsiveness, interviews of prospective vendors may be conducted by the governing body or any committee or designee thereof. It is particularly noted that any vendor who submits a proposal in connection with the forgoing solicitation explicitly consents to such an interview process should the governing body choose to exercise such an option. Upon completion of the evaluation process, the matter of contract award shall be publically considered in the form of a Resolution of the governing body. The Borough of Roselle Park reserves the right to reject all proposals for any reason. The Borough of Roselle Park expressly reserves the right to waive any informality in any submission, and to accept the submission, which in the Borough?sjudgment serves its best interests. PRICE PROPOSALS Prospective vendors must include a schedule of prices with their proposal. Such proposal shall include hourly rates or a flat fee for services rendered. If the latter option is chosen by the prospective vendor, it is understood that payments by the Borough of Roselle Park will be made on a pro-rated basis for services provided. Hourly price proposals shall indicate the vendor?s minimum billing units tenths of an hour, quarters of an hour, The Borough of Roselle Park reserves the right to consider cost proposals that are, in its sole discretion, the most advantageous. Furthermore, the Borough of Roselle Park reserves the right to enter into negotiations with prospective vendors, as it relates to prices for professional services as permitted by N.J.S.A. 40Azl 1-5. NOTE: The Borough will not compensate or reimburse a vendor for routine and reoccurring expenses that relate to doing business with the Borough; including, but not limited to: copying, scanning, and faxing documents, and vehicle mileage for travel to or Page 5 of 26 from meetings. CONTRACTUAL GUIDANCE A. Payment Processing - Checks are processed by the Borough of Roselle Park?s Finance Department on approximately the ?rst and third Thursday of each month. It is necessary that approved, signed Borough of Roselle Park vouchers be accompanied by an invoice and submitted in advance of these dates to: Borough of Roselle Park Finance Department - Accounts Payable 1 10 East West?eld Avenue Roselle Park, New Jersey 07204 B. No Guaranteed Minimum Pavments - Nothing provided within these speci?cations shall be construed so as to imply or guarantee any minimum payments by the Borough of Roselle Park to a vendor in receipt of a contract award. The Borough of Roselle Park shall only remit payment for receipt of services actually rendered and received. C. Termination of Contract - The Borough of Roselle Park reserves the right to terminate any contract entered into upon thirty (30) calendar days? written notice within its sole discretion, with or without cause. D. Transitional Period - In the event that a new contract has not been awarded prior to the contract expiration date, it shall be incumbent upon the professional services entity to continue the contract under the same terms and conditions until a new contract can be completely operational. At no time shall this transitional period extend more than ninety (90) days beyond the expiration date of the contract. Page 6 of 26 VA )2 EIIZHZI Signature: Print Name: Christopher Martel] BOROUGH OF ROSELLE PARK SUBMISSION CHECKLIST THE FOLLOWING ITEMS, AS INDICATED BELOW I, SHALL BE PROVIDED WITH THE RECEIPT OF SEALED SUBMISSIONS Completed RFP Checklist Completed Submission Form Quali?cation Statement Statement of Ownership Disclosure Non-Collusion Af?davit Required EEO/Af?rmative Action Evidence Signed Compliance Notice Acknowledgement of Americans with Disabilities Act Language of 1990 Disclosure of investment Activities in [ran insurance Requirement Acknowledgement Form Certi?cation Regarding Political Contributions New Jersey Business Registration Certi?cate of Vendor W-9 of Vendor This checklist is provided for vendor?s use in assuring compliance with required documentation; however, it does not include all submission requirements and does not relieve the vendor of the need to read and comply with the RFP. Name ofV on or: ESA Environmental Consultants Date: Ii Vice President, Technical Services Page 7 of 26 BOROUGH OF ROSELLE PARK SUBMISSION FORM QUALIFICATION STATEMENT (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPEIWRITE: 1. Names and roles of the individuals who will perform the services and description of their education and experience with projects similar to the services contained herein: Joseph P. Novelli, LSRP EDUCATION Rutgers University, New Brunswick. New Jersey Master of Science in Civil Environmental Engineering {Graduated May 1996} Bachelor of Science in Civil Environmental Engineering (Graduated January I989) LICENSES Licensed Site Remediation Professional #573517. State of New Jersey Engineer State Of New Jersey Record Application, National Council of Examiners for Engineering and Surveying As a Licensed Site Remediation Protessmnal Since July 2009, more than seventy (T0) Response Action Outcomes have been issued on projects for which environmental investigation and remediation costs ranged from $2,000 to $500,000. Page 8 of 26 SUBMISSION UALIFICATION STATEMENT (CONTINUED) (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPEIWRITE: 2. References and record of success of same or similar service: Boonton Township, Terry McCue, Township Administrator Unrestricted Use RAO issued re: Underground Storage Tank (UST) system release Borough of Neptune, Henry Underhill, Borough Administrator Unrestricted RAO issued re: out-of?service UST system Frelinghuysen Arboretum, David Helmer, Executive Director Unrestricted RAO issued following 20l2 spill Hanover Park Regional High School, Carol Grossi, Superintendent of Schools Unrestricted RAO issued following 2015 spill James Caldwell High School, Paula Getty, President, Board of Education Unrestricted RAO issued following 2015 spill City of Vineland, Brian Myers, Director of Engineering Remedial lnvestigatiom?Remedial Action of public works maintenance garage that will effectively resolve the contamination of a City public supply well Page 9 of 26 SUBMISSION FORM I QUALIFICATION STATEMENT (CONTINUED) (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPEIWRITE: 3. Description of ability to provide the services in a timely fashion (including staf?ng, familiarity and location of key staff): Mr. Novelli is a key member of ESA's contract LSRP staff and has full access to technical staff. As a company, ESA is familiar with Roselle Park and we are currently conducting work in neighboring Linden, NJ. And although BSA conducts work in the Tri-State area, we are a New Jersey-centric ?rm, able to respond to emergent issues immediately and as necessary. Page 10 of 26 SUBMISSION FORM I QUALIFICATION STATEMENT (CONTINUED) (ATTACH ADDITIONAL SHEETS AS NECESSARY, BUT DO NOT SIMPLY ATTACH VENDOR MATERIALS AND TYPEIWRITE: 4. Cost details, including the annual fee for primary duties and the hourly rates of each ofthc individuals who will perform services, and all expenses for any work that is not included in the primary duties: LSRP: $I4S.96/hr Project Manager: $135.15/hr Associate Project Manager: $1 18.93/hr Environmental Scientist: $86.50/hr CERTIFICATION OF PROPOSAL (Sign Below) Firm: ESA Environmental Consultants Date: Authorized .-.- - Martell Signature: Title: Vice PresidV . Telephone No.: 732?469?8888 Fax No.: 732-469-1 120 Page 11 of 26 BOROUGH OF ROSELLE PARK STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. (P.L. 1977, c.33, as amended by PL. 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: ESA Environmental Consultants Organization Address: 495 Union Ave.. Suite ID, Middlesex, NJ 08846 Part I Check the box that represents the type of business organization: nSole Proprietorship (skip Parts II and Ill, execute certi?cation in Part IV) nNon-Pro?t Corporation (skip Parts and Ill, execute certi?cation in Part IV) For-Pro?t Corporation (any type) nLimited Liability Company (LLC) Partnership Limited Partnership Limited Liability Partnership (LLP) nOther (be speci?c): Part II a 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 l0 percent or greater interest therein, as the case may be. (COMPLETE THE LIST ON THE NEXT PAGE IN THIS SECTION) OR No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP T0 PART IV) Page 12 of 26 STATEMENT OF OWNERSHIP DISCLOSURE (Continued) (Please attach additional sheets if more space is needed): Name of Individual or Business Entity Home Address (for Individuals) or Business Address Stephen E. Fauer 33 Mountain Ave., Summit, NJ 07901 Part 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 bene?cial interest in the publicly traded pa rent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivalent ?ling, ownership disclosure can be met by providing links to the website(s) containing the last annual ?ling(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 bene?cial interest in the publicly traded parent entity, along with the relevant page numbers of the ?ling(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website containin the last annual SEC or to uivalent ?lin Pa Please list the names and addresses of each stockholder, partner or member owning a l0 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (L LC) listed in Part 11 other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every noncorporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N..I.S.A. 5225-242 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Home Address (for Individuals) or Business Address Corresponding Entity Listed in Part II Page 13 of 26 Part IV Certi?cation 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 certi?cation on behalf of the bidder/proposer; that the Borough of Roselle Park is relying on the information contained herein and that I am under a continuing obligation from the date of this certi?cation through the completion of any contracts with the Borough of Roselle Park to notify the Borough of Roselle Park 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 certi?cationsubject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the Borough of STATEMENT OF OWNERSHIP DISCLOSURE (Continued) Roselle Park to declare any contract(s) resulting from this certi?cation void and unenforceable. Full Name (Print): Stephen E. Fauer Title: CEO Signature: Date: ides/Aw Page 14 of 26 ?ow 1 018 BOROUGH OF ROSELLE PARK NON-COLLUSION AFFIDAVIT State of New Jersey County of Middlesex ss: 1, Christopher Martell ofthe City of New Providence in the County of Union and State of New Jersey full age, being duly sworn according to law on my oath depose and say that: 1 am Vice President, Technical Servicesofthe ?rm of BSA Environmental Consultants (Title or Position) (Name of Firm) the bidder making this Proposal for the above named project, and that executed the said proposal with full authority so to do; that said bidder has not, directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and in this af?davit are true and correct, and made with knowledge that the Borough of Roselle Park relies upon the truth of the statements contained in said proposal and in the statements contained in this a?idavit 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 tide employees or bona ?dc employees or bona ?de established commercial or selling agencies maintained by ESA Environmental CONSUIIWIS (name of contractor). Subscribed and sworn to before me this .26 7l?clay Mm. 13 - Signature . RUSSELL P. SWIATEK a NOTARY PUBLIC OF NEW JERSEY 5?1: SQ e. My Commission Em,? W021 (Type or print name of?af?ant under Signature) Notary public of My Commission expires Page 15 of 26 BOROUGH OF ROSELLE PARK AFFIRMATIVE ACTION COMPLIANCE NOTICE N.J.S.A. 10:5-31 and N.J.A.C. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS This form is a summary of the successful bidder?s requirement to comply with the requirements of N.J.S.A. l0:5-3l and N.J.A.C. 17:27-1 et seq. The successful bidder shall submit to the public agency, after noti?cation of award but prior to execution of this contract, one ofthe following three documents as forms of evidence: a) A photocopy of a valid letter that the contractor is operating under an existing Federally approved or sanctioned affirmative action program (good for one year from the date of the letter); OR b) A photocopy of a Certi?cate of Employee Information Report approval, issued in accordance with l7z27-4; OR o) A photocopy of an Employee Information Report (Form AA302) provided by the Division and distributed to the public agency to be completed by the contractor in accordance with N.J.A.C. 17:27-4. The successful vendor may obtain the Af?rmative Action Employee Information Report (AA302) from the contracting unit during normal business hours. The successful vendor(s) must submit the copies of the AA302 Report to the Division of Contract Compliance and Equal Employment Opportunity in Public Contracts (Division). The Public Agency copy is submitted to the public agency, and the vendor copy is retained by the vendor. The undersigned vendor certi?es that he/she is aware of the commitment to comply with the requirements of NJ .S.A. 10:5?31 and 17:27.1 et seq. and agrees to furnish the required forms of evidence. The undersigned vendor further understands that his/her bid shall be rejected as non-responsive if said contractor fails to comply with the requirements of N.J.S.A. 10:5-31 and NJ.A.C. l7:27-l et seq. COMPANY: ESA?Environmental Coqsultants SIGNATURE: PRINT NAME: TITLE: Vice President, Technical Services DATE: Page 16 of 26 BOROUGH OF ROSELLE PARK EXHIBIT A MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127) N.J.A.C. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS During the performance of this contract, the contractor agrees as follows: The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or eXpression, disability, nationality or sex. Such equal employment opportunity shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Of?cer setting forth provisions of this nondiscrimination clause. The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting of?cer, 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. 10:5-3] et seq., as amended and supplemented from time to time and the Americans with Disabilities Act. The contractor or subcontractor agrees to make good faith efforts to meet targeted Borough employment goals established in accordance with NJ.A.C. 17:27-52. 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 ob-related testing, as established by the statutes and court decisions of the State of New Jersey and as established by applicable Federal law and applicable Federal court decisions. In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken Page 17 of 26 EXHIBIT A MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127) N.J.A.C. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS (Continued) without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions. The contractor shall submit to the public agency, after noti?cation 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 Certi?cate 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 The contractor and its subcontractors shall furnish such reports or other documents to the Division of Purchase Property, CCAU, EEO Monitoring Program as may be requested by the of?ce from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Purchase Property, CCA U, EEO Monitoring Program for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27. Page 18 of 26 BOROUGH OF ROSELLE PARK 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 Americans with Disabilities Act of I990 (the "Act") (42 U.S.C. $121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the owner pursuant to this contract, the contractor agrees that the performance shall be in strict compliance with the Act. In the event that the contractor, its agents, Servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the owner in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the owner, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner?s grievance procedure, the contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense. The owner shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, If any action or administrative proceeding is brought against the owner or any of its agents, servants, and employees, the owner shall expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the owner or its representatives. It is expressly agreed and understood that any approval by the owner of the services provided by the contractor pursuant to this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the owner pursuant to this paragraph. It is further agreed and understood that the owner assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this indemni?cation clause shall in no way limit the contractor?s obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law. The undersigned vendor consents to the full understanding of the forgoing Americans with Disabilities Act Language of 1990: Bidder/VendorszSA Environmental Signature: Full Name (Print): Title: Vice President, Technical Services Date Page 19 of 26 BOROUGH OF ROSELLE PARK DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN PART I: CERTIFICATION BIDDERS MUST COMPLETE PART 1 BY CHECKING EITHER BOX. Pursuant to Public Law 2012, c. 25, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must complete the certi?cation below to attest, under penalty of per] ury, that neither the person or entity, nor any of its parents, subsidiaries, or af?liates, is identi?ed on the Department of Treasury?s Chapter 25 list as a person or entity engaging in investment activities in Iran. The Chapter 25 list is found on the Division?s website at Bidders must review this list prior to completing the below certi?cation. Failure to complete the certi?cation will render a bidder?s proposal non-responsive. PLEASE CHECK EITHER BOX: I certify, pursuant to Public Law 2012, c. 25, that neither the person/entity listed above nor any of the entity?s parents, subsidiaries, or af?liates is listed on the NJ. Department of the Treasury?s list of entities determined to be engaged in prohibited activities in Iran pursuant to 2012, c. 25 (?Chapter 25 List?). I further certify that I am the person listed above, or I am an of?cer or representative of the entity listed above and am authorized to make this certi?cation on its behalf. 1 will skip Part 2 and sign and complete the Certi?cation below. 0R I am unable to certify as above because I or the bidding entity andfor one or more of its parents, subsidiaries, or af?liates is listed on the Department?s Chapter 25 list. 1 will provide a detailed, accurate and precise description of the activities in Part 2 below and sign and complete the Certi?cation below. Failure to provide such will result in the proposal being rendered as non-responsive and appropriate penalties, ?nes and/or sanctions will be assessed as provided by law. PART 2 PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN You must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or af?liates, engaging in the investment activities in Iran outlined above by completing the form below. (PROVIDE RELATIVE TO THE ABOVE QUESTIONS. PLEASE PROVIDE THOROUGH ANSWERS TO EACH QUESTION. IF YOU NEED TO MAKE ADDITIONAL ENTRIES, USE ADDITIONAL PAGES). Name: Relationship to Bidder/Vendor: Description of Activities: Duration of Engagement: Anticipated Cessation Date: Bidder/Vendor: Contact Name: Contact Phone Number: Page 20 of 26 DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN (Continued) CERTIFICATION I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I attest that I am authorized to execute this certi?cation on behalf of the below-referenced person or entity. I acknowledge that the Borough of Roselle Park is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certi?cation through the completion of contracts with the Borough of Roselle Park to notify the Borough of Roselle Park in writing of any changes to the answers or information contained herein. I acknowledge that am aware that it is a criminal offense to make a false statement or misrepresentation in this certi?cationrecognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreements(s) with the Borough of Roselle Park and that the Borough of Roselle Park at its option may declare any contract(s) resulting from this certi?cation void and unenforceable. Full Name (Print ChristoPhemaI-tell Signature: Title: Vice Presid echnical rvices Date Bidder/Vendor: ESA Environmental Consultants Page 21 of 26 BOROUGH OF ROSELLE PARK INSURANCE REQUIREMENTS AND ACKNOWLEDGEMENT FORM Certi?cate(s) of Insurance shall be ?led with the Borough Clerk's Of?ce upon award of contract by the governing body The minimum amount of insurance to be carried by the Professional Service Entity shall be as follows: PROFESSIONAL LIABILITY INSURANCE Limits shall be a minimum of $l,000,000.00 for each claim and $1,000,000.00 aggregate each policy period. DATE: $2 5&2 Acknowledgement of Insurance Requirement: SIGNATURE: Christopher Martel], (Printed Name Title)" echnical Services Page 22 of 26 BOROUGH OF ROSELLE PARK CERTIFICATION REGARDING POLITICAL CONTRIBUTIONS STATE OF NEW JERSEY COUNTY OF Middlesex SS 1, Christopher Martell Vice President, Technical Servicesof the ESA Environmental (Mnsultants of Middlesex in the County of Middlescx and the State of New Jersey, of ??y-one years full age, being duly sworn according to law on my oath depose and say that: I am the Vice President, Technical Services of the ?rm of BSA Environmental Consultants the Professional Service Entity making the submissions for the above named Service, and that executed the said submission with full authority to do so; that said Professional Service Entity acknowledges that it is aware that the Borough of Roselle Park pursuant to Section 2-4 of the Borough Code prohibits the awarding of any public contract to any Professional Service Entity that has contributed in excess of two hundred ($200.00) dollars to a campaign committee of any Borough of Roselle Park candidate or holder of the public of?ce having ultimate responsibility for the award of the contract, or to any Borough of Roselle Park or Union County Party Committee, or to any political action committee (PAC) that is organized for the primary purpose of promoting or supporting Borough of Roselle Park municipal candidates or municipal of?ceholders, within one calendar year immediately preceding the date of the contract or agreement. I further warrant that pursuant to Roselle Park Borough Section 2-4, a ?professional service provider? seeking a public contract means: an individual, including the individual?s spouse, if any, and any child living at home; person; ?rm; corporation; professional corporation; partnership; organization; or association. The de?nition of a service provider includes all principals who own one percent or more of the equity in the corporation or business trust, partners, and of?cers in the aggregate employed by the provider as well as any subsidiaries directly controlled by the service provider. I further warrant that I have reviewed Borough Code Section 2-4. I hereby certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment for contempt of Cou . Subscribed and sworn to before me this 529?: 11 day of 20 (X (Signature of Notary) 3" (Af?x Seal) Page 23 of 26 BOROUGH OF ROSELLE PARK THESE ARE SAMPLES OF THE ONLY ACCEPTABLE BUSINESS REGISTRATION CERTIFICATES. FAILURE TO POSSESS A NEW JERSEY BUSINESS REGISTRATION CERTIFICATE MAY BE CAUSE FOR REJECTION OF YOUR PROPOSAL REGARDLESS OF THE FACT THAT A COPY MAY ALREADY BE ON FILE WITH THE BOROUGH OF ROSELLE PARK TAXPAYER IDENTIFICATIONI: SEQU NUMBER . r. ITO-0574821500 am: an 9555 ISSUANCE one Bum: LWWH ?Ir-r? P- STATE OF NEW JERSEY IMP TuspaycrNumm TAX REG INT Trade Name: Adult-us: 847 ROEBLIBG AVE NJ 0861 I Ccnil?lcalc Number: 1093907 Dale of luunnce: October 14. Eli}! Fur 0113:: Use Only: 20041014112111.3533 81?1?! OF NEW JERSEY Hamlin Humane? annular: ecu-mm WWI I . -. 31m 1.1:ch MD cumo ?mace 3w?? "IrTAXPAYER NAME ms AME . REGISTRATION TEST I STRAT mumhaul-rum 1 EWNIOOMI molt,? nan-?mat 1 BUSINESS REGISTRATION CERTIFICATE I Page 24 of 26 BOROUGH OF ROSELLE PARK EXAMPLE W-9 FORM Request for Taxpayer . . GiveFomIo?v-o Emma-M Identi?cation Number and Certi?cation requesterwant! In :31 aqua Inn Wp?mwn 9 cue-wan: Dammit-n Pan-amp rm ?mum: um imam, H'hlotw. Sea Spa-silo an?. . m. Barnum 1 ?ll yaw Mastic" "1.1mm 01' Certi?cation I. WWMm?ulmnuI-nym 2. midi-MSW vii-holding ?Walla; Fannigageuampn?. and mm gal-ml; was ?mainland 559" sigma? Hm twp-am? Mb General Instructions mud. dur?aympt?duigomm Purpose of Form MMuunylmeW-?requnadmamudu?em nun-ha Wuhan in: can: {3de at punch] Whit-chars) 1%:me 1WTW OFa-m1m-Cinmdaddu?x] mm mm: runaW-D {Ransom END OF DOCUMENT Page 26 of26 NJ. Department of Treasury - Division of Revenue, On-Line Inquiry Page 1 of 1 STATE OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATE Taxpayer Name: ENVIRONMENTAL STRATEGIES APPLICATIONS, INC. Trade Name: Address: 495 UNION AVENUE SUITE 1-D MIDDLESEX, NJ 08846?1962 Certi?cate Number: 0554651 Effective Date: September 25, 1989 Date of Issuance: September 06, 2017 For Of?ce Use Only: 20170906140124507 STATE NEW JERSEY CERTIFICATE OF AUTHORITY Tine pun-Jon. pannenlup corporation famed below Is hereby r-Ihonzed to culled Na? JERSEY UJE TAX N.J-S-A- :1 Su?- pursuanl lo ?fi? aulhonmllon IS good ONLY 10! 1he named person :11 ?It in: anon spanner: hm"; Sta?1:, auihonzallon I-.. null and vow] -l any Chang-:- or ownerahg- address cite. Iml qumnni Inxahon ENVIRONMENTAL 5 A Tax No 347 .ELIZABBTH I IE Inx Elfeclwe Dale 01-29-493 NJ 05073 Documenl Localor No 150000225431 issued 35-25?9?5 A-i 5'92 {Sea ?avors?: Sat! - 9/6/20] 7 Certification 17 2 2 8 CERTIFICATE OF EMPLOYEE INFORMATION REPORT RENEWAL This is to certity that the contractor listed below has submitted an Employee Information Report pursuant to N.J.A.C. et. seq. and the State Treasurer has approved said report. This approval will remain in etiectforthe period of 15-AUG-2015 to Fina .. g: ENVIROMNTAL STATEGIES G: APPLICATIONS . INC 495 UNION SUITE 1D MIDDLESEX NJ 03346 4 Andrew P. Sidamon-Eristoh? State Treasurer 5min of ?sh! 32:52}; DEPARTMENT OF THE TREASURY CHRIS CHRISTIE DIVISION OF PURCHASE PROPERTY ANDREW P. SIDAMON-ERISTOFF Governor CONTRACT COMPLIANCE AUDIT UNIT State Treasurer KIM GUADAGNO EEO MONITORING PROGRAM Lt. Govemor P.O- BOX 206 TRENTON. NJ 08625-0206 RENEWAL NOTICE The Certi?cate of Employee Information Report (hereinafter referred to as the" State Certi?cate") issued by this Division is due to expire within the next 90 days. In order for your ?rm to continue to provide a current State Certi?cate for public contract awards, you must apply for renewal by properly completing the following renewal documents: 1. The Employee Information Report Form for the facility indicated on the ?State Certi?cate? and any additional New Jersey facilities, with a check in the amount of $150.00 payable to ?the Treasurer, State of New Jersey? (fee is non-refundable) and 1. The Vendor Activity Summary Report forms, one for each of the four (4) personnel activities noted (new hires, promotions, transfers and terminations etc.) for the previous ?State Certi?cate? period, or 3. If you are operating under a federally approved af?rmative action plan, a photocopy of the letter of Federal Approval issued by the US Department of Labor, Of?ce of Federal Contract Compliance Programs, not greater than one year old, may be submitted to the awarding agency in lieu of the State Certi?cate. Please do not submit an Report as it will not be accepted. All goods, service and professional service vendors are encouraged to complete and ?le these renewal documents electronically by accessing the Division?s website at This website provides access to the Forms in electronic format or on-line internet submission registration via the internet. Or you may call the Division at (609) 292-5473 and a representative will be available to assist you. Please have your certi?cate number ready when calling. Your certi?cate number is noted at the end of your company name on your mailing label. Upon receipt of the above-referenced documents, the Division will approve or reject your application within sixty (60) days of submission. If your application is approved, the Division will issue a Certi?cate provided your ?rm meets the standards of good faith compliance with the Af?rmative Action Regulations set forth in N.J.A.C. 17:27? 1.I et seq. Periodic reviews may be conducted and additional information may be requested, as required by the Division. In all instances, however, a copy of the Certi?cate must be presented to the public agency awarding the contract, prior to the award of the contract. (AA-02 Rev. Jan-I2) New Jamey I: an Equal Oppommitr Emplorer 0 Primed on Recvried and Recyclable Paper