PD in Language Arts

CC 02-2021 PD ELA 1 | P a g e LAKEWOOD BOARD OF EDUCATION LAKEWOOD, NEW JERSEY 08701 Competitive Contracting Request for Proposal (RFP) Proposal Specifications & General Requirements PROFESSIONAL DEVELOPMENT IN LANGUAGE ARTS Proposal No: CC 02-2021 Friday, July 17, 2020 Proposal Opening Date 10:00 a.m. Proposal Opening Time Kevin Campbell Assistant School Business Administrator/Board Secretary CC 02-2021 PD ELA 2 | P a g e LAKEWOOD BOARD OF EDUCATION LAKEWOOD, NEW JERSEY 08701 Competitive Contracting-- Request for Proposals (RFP) Legal Advertisement The LAKEWOOD Board of Education, solicits proposals through the Competitive Contracting process Proposal No. CC 02-2021 Title: Professional Development in Language Arts All necessary proposal specifications and proposal forms may be secured upon written request to: Mr. Kevin Campbell Assistant School Business Administrator/Board Secretary LAKEWOOD Board of Education 200 Ramsey Ave LAKEWOOD, New Jersey 08701 E mail:

href="mailto:dpiasentini@lakewoodpiners.org">dpiasentini@lakewoodpiners.org Proposals must be sealed and delivered to the Office of the Assistant School Business Administrator/ Board Secretary of LAKEWOOD Board of Education, on or before date and time indicated below. The envelope is to bear the following information: Title: Professional Development in Language Arts Proposal No.: CC 02-2021 Name and Address of the Respondent Proposal Due Date: Friday, July 17, 2020 Proposal Opening Time: 10:00 a.m. Location of Proposal Opening LAKEWOOD BOARD OF EDUCATION 200 Ramsey Ave LAKEWOOD, New Jersey 08701 The proposal opening process will begin on the above date and time at the LAKEWOOD Board of Education, 200 Ramsey Ave, LAKEWOOD, New Jersey 08701. Proposals may also be submitted to the Assistant School Business Administrator/Board Secretary or his designee at the proposal opening meeting, in the Board Meeting Room, prior to the advertised date and time. On the advertised date and time, the Assistant School Business Administrator/Board Secretary shall publicly receive and open all proposals. No proposals shall be received after the time designated in the advertisement. (N.J.S.A. 18A:18A-21(b)). CC 02-2021 PD ELA 3 | P a g e Special Notice—Office of the School Business Administrator The Board of Education during this emergent time is currently closed and there is no guarantee the district offices will be opened by the advertised submission date. As the Assistant School Business Administrator/Board Secretary of the district, I am providing this Special Notice concerning the submission and opening of bids. Submission of Bids—US Postal Service/Delivery Service All potential respondents are encouraged to send their responses through the US Postal Service via certified mail/overnight delivery or other recognized delivery service that provides certification of delivery to the sender. Submission of Bids—Hand Deliver—Day of the Bid Opening While the use of the US Postal Service or courier service is preferred, the district will accept hand-delivered bid packages at the Board of Education Administrative Offices, 200 Ramsey Ave., Lakewood, NJ. A security specialist is posted at the reception area from 9:00 a.m. to 5:00 p.m. Monday thru Friday and will accept any Bid Packages hand delivered. Respondents using this option are to submit bids, prior to the advertised date and time, to insure the Bid Package is received by the Assistant Business Administrator in a timely manner. No Bids will be accepted after the scheduled time of the Bid opening. There will be no personal contact with district officials during the hand delivering of bids due to the health emergency. Opening of Bids—Online Live Streaming To ensure there is “social distancing” amongst all parties in the opening, the opening will be conducted via online live streaming. The names of the vendors and their prices will be announced on the online live streaming which may be viewed by the general public and interested parties on the advertised submission date and time. All potential respondents are to visit the Board of Education at https://www.lakewoodpiners.org/lakewood on the day of the opening for further instructions. The Board of Education does not accept electronic (e-mail) submission of Competitive Contracting proposals at this time. All respondents are required to comply with the requirements of N.J.S.A. 10:5-31 et seq., and N.J.A.C. 17:27 et seq. There will NOT be a Pre Proposal meeting for this solicitation Statement of Ownership Requirement: Pursuant to N.J.S.A. 52:25-24.2, Bidders shall submit a statement setting forth the names and addresses of all persons and entities that own ten percent or more of its stock or interest of any type at all levels of ownership. A Non-Collusion Affidavit and a Contractor Questionnaire/Certification also must be filed with the proposal. The proposal package will also include other documents that must be completed and returned with the proposal. Failure to complete and submit all required forms, may be cause for disqualification and rejection of the proposal. The Board of Education reserves the right to reject any or all proposals pursuant to N.J.S.A. 18A:18A-2(s), (t), (x), (y), 18A:18A-4(a), 18A:18A-22, and to waive any informalities. https://www.lakewoodpiners.org/lakewood CC 02-2021 PD ELA 4 | P a g e All proposals solicited and received are done so pursuant to the Competitive Contracting Process. N.J.S.A. 18A:18A-4.1 et seq. Mr. Kevin Campbell Assistant School Business Administrator/Board Secretary CC 02-2021 PD ELA 5 | P a g e ETHICS IN PURCHASING Statement to Vendors Board of Education Responsibility Recommendation of Purchases It is the desire of the Board of Education to have all Board employees and officials practice exemplary ethical behavior in the procurement of goods, materials, supplies, and services. School district officials and employees who recommend purchases shall not extend any favoritism to any vendor. Each recommended purchase should be based upon quality of the items, service, price, delivery, and other applicable factors in full compliance with N.J.S.A. 18A:18A-1 et seq. Solicitation/Receipt of Gifts – Prohibited School district officials and employees are prohibited from soliciting and receiving funds, gifts, materials, goods, services, favors, and any other items of value from vendors doing business with the Board of Education or anyone proposing to do business with the Board. Vendor Responsibility Offer of Gifts, Gratuities -- Prohibited Any vendor doing business or proposing to do business with the Board of Education, shall neither pay, offer to pay, either directly or indirectly, any fee, commission, or compensation, nor offer any gift, gratuity, or other thing of value of any kind to any official or employee of the Board of Education or to any member of the official’s or employee’s immediate family. Vendor Influence -- Prohibited No vendor shall cause to influence or attempt to cause to influence, any official or employee of the Board of Education, in any manner which might tend to impair the objectivity or independence of judgment of said official or employee. Vendor Certification Vendors or potential vendors will be asked to certify that no official or employee of the Board of Education or immediate family members are directly or indirectly interested in this request or have any interest in any portions of profits thereof. The vendor participating in this request must be an independent vendor and not an official or employee of the Board of Education. CC 02-2021 PD ELA 6 | P a g e LAKEWOOD BOARD OF EDUCATION ADVISORY INFORMATION FOR RESPONDENTS 1. PROMPTNESS OF PROPOSAL SUBMITTAL It is the responsibility of the respondent to ensure that their proposal is presented in a sealed envelope at the Office of the Assistant School Business Administrator/Board Secretary or designee, prior to the advertised date and time fixed for the receipt of the proposal. This will occur promptly for this proposal on Friday, July 17, 2020 @ 10:00 a.m. No extensions or exceptions will be made. The Business Office is opened Monday through Friday from 8:00 am – 4:00 pm according to the school calendar and 8:30 am – 3:30 pm during the summer. Access to the Business Office may be delayed because of security clearance. Respondents may also submit proposals to the Assistant School Business Administrator/Board Secretary or his designee at the proposal opening meeting held in the Administrative Offices located at 200 Ramsey Ave, Lakewood, NJ prior to the advertised proposal opening date and time. Once again, proposals will not be received after the time designated in the advertisement. 2. PARKING Parking in the vicinity of the Board of Education Administration Building is at a premium. Allow enough time to locate a parking space. Heavy traffic hours by the Board Offices on school days are from 7:00 a.m. to 8:30 a.m., and between 1:40 p.m. and 3:10 p.m. Be aware of parking signs. as you may receive a parking ticket or have your vehicle towed. 3. MAIL Mail is brought to the Board Offices in mailbags, approximately 10:00 am each day. The mail is then sorted within the district system, by departments. The Business Office routinely receives its mail at approximately 11:30 a.m. 4. UPS / FED EX / AND OTHER EXPRESS DELIVERY SERVICES Deliveries of this type are usually made from 10:00 a.m. on. These items are brought only to the receptionist at the main building entrance. The receptionist then calls the various departments with a request to pick up their items. There may be some delay in getting proposals to the Business Office. 5. HAND DELIVER PROPOSALS – SUGGESTED PRACTICE Keeping the aforementioned items in mind, the Board suggests that respondents arrange to hand deliver their proposal to the Office of the Assistant School Business Administrator/Board Secretary before the advertised date and time. Please understand that proposals arriving after the advertised date and time for any reason, cannot be accepted or opened or considered. CC 02-2021 PD ELA 7 | P a g e LAKEWOOD BOARD OF EDUCATION PROPOSAL CHECKLIST A. Documents to be Returned with Proposal 1. Acknowledgement of Addenda 2. Affirmative Action Questionnaire or Certificate of Employee Information Report 3. Assurance of Compliance 4. Chapter 271 Political Contribution Disclosure Form 5. Contractor/Vendor Questionnaire / Certification 6. Disclosure of Investment Activities in Iran 7. Financial Guarantee (Bid Bond, Cashier’s Check, or Certified Check)—If Required 8. Non-Collusion Affidavit 9. Proposal Form 10. Statement of Ownership The documents listed above when required, are to be submitted with the Proposal package. Failure to submit them may be cause for disqualification for being non-responsive pursuant to N.J.S.A. 18A:18A-2(y). B. Reminder Checklist As a courtesy, the Office of the Assistant School Business Administrator has prepared this reminder checklist for items pertaining to this Proposal. The checklist is not considered to be all-inclusive. Respondents are to read and become familiar with all instructions outlined in the Proposal package. Item Yes No 1. Have you verified your pricing to ensure accuracy? 2. Have you answered question fully and accurately? 3. Have you signed all your documents (blue ink)? No facsimile signature. 4. Have you prepared all documents for submission? 5. Did you make a copy of the Proposal package for your records? 6. Did you submit a Proposal Guarantee? Consent of Surety? (Only if required) 7. Did you correctly address the envelope? (Page 8 Item #2) 8. Have you allowed ample time for the Proposal to reach the Business Office? CC 02-2021 PD ELA 8 | P a g e LAKEWOOD BOARD OF EDUCATION Competitive Contracting GENERAL SPECIFICATIONS Mr. Kevin Campbell Assistant School Business Administrator/Board Secretary CC 02-2021 PD ELA 9 | P a g e LAKEWOOD BOARD OF EDUCATION Competitive Contracting/Request for Proposals (RFP) Professional Development in Language Arts Instructions for Respondents 1. PROPOSALS ARE TO BE SUBMITTED TO: Mr. Kevin Campbell Assistant School Business Administrator/Board Secretary LAKEWOOD Board of Education 200 Ramsey Ave LAKEWOOD, New Jersey 08701 BY: 10:00 a.m. PREVAILING TIME ON: Friday, July 17, 2020 The proposals may be delivered by mail, delivery service or in person. Proposals that are submitted are to be sealed and will be unsealed and announced at the proposal opening meeting. 2. Proposals must be placed in a sealed envelope/package and clearly marked with the Professional Development in Language Arts on the front of the envelope/package. Proposals must be submitted in duplicate on the submittal forms as provided, and in the manner designated. The Board of Education requires one original and one duplicate copy of the proposal package as well as a copy of the full proposal on a Thumb Drive. The Thumb Drive is necessary for processing the proposals. Respondents should also keep a complete copy of the proposal packet, exactly as submitted. Envelope Label Information: District: LAKEWOOD Board of Education Proposal No.: CC 02-2021 Project: Professional Development in Language Arts Proposal Date: Friday, July 17, 2020 Proposal Time: 10:00 a.m. Respondent Respondent Address City, State Zip Failure to properly label the proposal envelope may lead to the rejection of the proposal! 3. PURPOSE CC 02-2021 PD ELA 10 | P a g e The Board of Education is soliciting request for proposals (RFP’s) through the Competitive Contracting Process (N.J.S.A. 18A:18A-4.1 et seq.) for the purpose of entering into contract for Professional Development in Language Arts. 4. AFFIRMATIVE ACTION REQURIEMENTS Each company shall submit to the LAKEWOOD Board of Education, after notification of award, but prior to execution of a goods and services contract, one of the following three documents:  Appropriate evidence that the contractor is operating under an existing federally approved or sanctioned affirmative action program;  A certificate of Employee Information Report approval issued in accordance with N.J.A.C.17:27-4; or  The successful bidder (respondent) shall complete an Employee Information Report, Form AA- 302, and submit it to the Division of Purchase and Property Contract Compliance and Audit Unit with a check or money order for $150.00 made payable to the Treasurer, State of NJ and forward a copy of the form and check/money order to the board of education. Upon submission and review by the Division, the Report shall constitute evidence of compliance with the regulations. Please note: A completed and signed Affirmative Action Questionnaire is requested with submission of bid/proposal. However, the Board will accept in lieu of the Questionnaire, Affirmative Action Evidence in the form of a current Certificate of Employee Information Report submitted with the bid/proposal. If awarded a contract your company/firm will be required to comply with the requirements of N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 et seq., and the terms and conditions of the Mandatory Equal Employment Opportunity Language—Exhibit A. Sample Certificate of Employee Information Report All respondents are requested to submit with their response, a copy of their firm’s Certificate of Employee Information Report. Failure to submit the Certificate or other required documentation prior to the execution or award of contract will result in the rejection of the bid/proposal. CC 02-2021 PD ELA 11 | P a g e 5. ANTI-BULLYING BILL OF RIGHTS—REPORTING OF HARASSMENT, INTIMIDATION AND BULLYING— CONTRACTED SERVICE The contracted service provider shall comply with all applicable provisions of the New Jersey Anti- Bullying Bill of Rights Act—N.J.S.A. 18A:37-13.1 et seq., all applicable code and regulations, and the Anti-Bullying Policy of the Board of Education. The district shall provide to the contracted service provider a copy of the board’s Anti-Bullying Policy. In accordance with N.J.A.C. 6A:16-7.7 (c), a contracted service provider, who has witnessed, or has reliable information that a student has been subject to harassment, intimidation, or bullying shall immediately report the incident to any school administrator or safe schools resource officer, or the Assistant School Business Administrator/Board Secretary. 6. ANTI-DISCRIMINATION PROVISIONS—N.J.S.A. 10:2-1 N.J.S.A. 10:2-1. Antidiscrimination provisions. Every contract for or on behalf of the State or any county or municipality or other political subdivision of the State, or any agency of or authority created by any of the foregoing, for the construction, alteration or repair of any public building or public work or for the acquisition of materials, equipment, supplies or services shall contain provisions by which the contractor agrees that: a. In the hiring of persons for the performance of work under this contract or any subcontract hereunder, or for the procurement, manufacture, assembling or furnishing of any such materials, equipment, supplies or services to be acquired under this contract, no contractor, nor any person acting on behalf of such contractor or subcontractor, shall, by reason of race, creed, color, national origin, ancestry, marital status, gender identity or expression, affectional or sexual orientation or sex, discriminate against any person who is qualified and available to perform the work to which the employment relates; b. No contractor, subcontractor, nor any person on his behalf shall, in any manner, discriminate against or intimidate any employee engaged in the performance of work under this contract or any subcontract hereunder, or engaged in the procurement, manufacture, assembling or furnishing of any such materials, equipment, supplies or services to be acquired under such contract, on account of race, creed, color, national origin, ancestry, marital status, gender identity or expression, affectional or sexual orientation or sex; c. There may be deducted from the amount payable to the contractor by the contracting public agency, under this contract, a penalty of $50.00 for each person for each calendar day during which such person is discriminated against or intimidated in violation of the provisions of the contract; and d. This contract may be canceled or terminated by the contracting public agency, and all money due or to become due hereunder may be forfeited, for any violation of this section of the contract occurring after notice to the contractor from the contracting public agency of any prior violation of this section of the contract. CC 02-2021 PD ELA 12 | P a g e No provision in this section shall be construed to prevent a board of education from designating that a contract, subcontract or other means of procurement of goods, services, equipment or construction shall be awarded to a small business enterprise, minority business enterprise or a women's business enterprise pursuant to P.L.1985, c.490 (C.18A:18A-51 et seq.). 7. AWARD OF CONTRACT; RESOLUTION; NUMBER OF DAYS Any contract awarded under this process shall be made by resolution of the Board of Education. The award must be made within sixty (60) days of the receipt of the proposals, however subject to extension pursuant to N.J.S.A. 18A:18A-36 (a). 8. BRAND NAME OR EQUIVALENT Whenever the Board of Education requests a brand name for a particular item, it will consider a “brand name or equivalent”. If the respondent desires to propose an equivalent item the respondent shall do the following: a. On the Proposal Form, write in ink next to the item requested, the respondent’s substitute item, including brand name, model number and full description of item. This is the only change to the Proposal Form the Board will accept. b. Provide a sample of the substitute item if requested. The sample item must be provided before or at the time of the proposal opening. With the sample item shall be a paper, brochure or illustrative literature outlining the brand/manufacturer name, model number and full description of item. c. If a sample is not required the Board requests a brochure, pamphlet, or illustrative literature that outlines the specifications of the item including manufacturer’s name, model number, etc. d. Failure to provide a sample item or literature about substitute bids when requested may be cause for disqualification of that item from the proposal. e. It is the responsibility of the respondent to demonstrate equivalency of items offered. 9. BUSINESS REGISTRATION CERTIFICATE (N.J.S.A. 52:32-44) Pursuant to N.J.S.A. 52:32-44, the board of education is prohibited from entering into a contract with an entity unless the bidder/proposer/contractor, and each subcontractor that is required by law to be named in a bid/proposal/contract has a valid Business Registration Certificate on file with the Division of Revenue and Enterprise Services within the Department of the Treasury. Request of the Board of Education All bidders or companies providing responses for requested proposals, are requested to submit with their response package a copy of their “New Jersey Business Registration Certificate” as issued by the Department of Treasury of the State of New Jersey. The Board reminds all respondents that failure to submit the New Jersey Business Registration Certificate prior to the award of contract will result in the rejection of the proposal. http://njlaw.rutgers.edu/cgi-bin/njstats/getnjstat3.cgi?yr=1985&chap=490 CC 02-2021 PD ELA 13 | P a g e Subcontractors Prior to contract award or authorization, the contractor shall provide the Contracting Agency with its proof of business registration and that of any named subcontractor(s). Subcontractors named in a bid or other proposal shall provide proof of business registration to the bidder, who in turn, shall provide it to the Contracting Agency prior to the time a contract, purchase order, or other contracting document is awarded or authorized. During the course of contract performance: (1) The contractor shall not enter into a contract with a subcontractor unless the subcontractor first provides the contractor with a valid proof of business registration. (2) The contractor shall maintain and submit to the Contracting Agency a list of subcontractors and their addresses that may be updated from time to time. (3) The contractor and any subcontractor providing goods or performing services under the contract, and each of their affiliates, shall collect and remit to the Director of the Division of Taxation in the Department of the Treasury, the use tax due pursuant to the Sales and Use Tax Act, (N.J.S.A. 54:32B-1 et seq.) on all sales of tangible personal property delivered into the State. Any questions in this regard can be directed to the Division of Taxation at (609)292-6400. Form NJ-REG can be filed online at Before final payment is made under the contract, the contractor shall submit to the Contracting Agency a complete and accurate list of all subcontractors used and their addresses. N.J.S.A. 54:49-4.1: Violations of Registration Requirements; Penalties. A business organization that fails to provide a copy of a business registration as required pursuant to section 1 of P.L.2001, c.134 (C.52:32-44 et al.) or subsection e. or f. of section 92 of P.L.1977, c.110 (C.5:12-92), or that provides false information of business registration under the requirements of either of those sections, shall be liable for a penalty of $25 for each day of violation, not to exceed $50,000 for each business registration copy not properly provided under a contract with a contracting agency or under a casino service industry enterprise contract. http://njlaw.rutgers.edu/cgi-bin/njstats/getnjstat.cgi?yr=2001&chap=134 http://njlaw.rutgers.edu/cgi-bin/njstats/getnjstat.cgi?yr=1977&chap=110 http://njlaw.rutgers.edu/cgi-bin/njstats/getnjstat.cgi?yr=1977&chap=110 CC 02-2021 PD ELA 14 | P a g e All respondents are requested to submit with their response, a copy of their firm’s New Jersey Business Registration Certificate. Failure to submit the Certificate prior to the award of contract will result in the rejection of the proposal. 10. CERTIFICATE (CONSENT) OF SURETY  REQUIRED  NOT REQUIRED When required, each respondent shall submit with its proposal a certificate from a surety company stating that the surety company will provide the contractor with a performance bond in an amount equal to the amount of the contract (N.J.S.A. 18A:18A-25). Such surety company must be licensed and qualified to do business in the State of New Jersey. The certificate (consent) of Surety, together with a power of attorney, must be submitted with the proposal. Failure to sign the Certificate (Consent) of Surety by either the Surety or Principal, and/or failure to submit the properly executed Certificate (Consent) of Surety with the proposal, shall be deemed cause for disqualification and rejection of the proposal. SAMPLES OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATES CC 02-2021 PD ELA 15 | P a g e 11. CONTRACTOR/VENDOR REQUIREMENTS—ACCESS AND MAINTENANCE OF RECORDS Contractors/vendors doing business with the board of education are reminded of the following legal requirements pertaining to the Office of the New Jersey State Comptroller: A. Access to Relevant Documents and Information—N.J.S.A. 52:15C-14 (d) Private vendors or other persons contracting with or receiving funds from a unit in the Executive branch of State government, including an entity exercising executive branch authority, independent State authority, public institution of higher education, or unit of local government or board of education shall upon request by the State Comptroller provide the State Comptroller with prompt access to all relevant documents and information as a condition of the contract and receipt of public monies. The State Comptroller shall not disclose any document or information to which access is provided that is confidential or proprietary. If the State Comptroller finds that any person receiving funds from a unit in the Executive branch of State government, including an entity exercising executive branch authority, independent State authority, public institution of higher education, or unit of local government or board of education refuses to provide information upon the request of the State Comptroller, or otherwise impedes or fails to cooperate with any audit or performance review, the State Comptroller may recommend to the contracting unit that the person be subject to termination of their contract, or temporarily or permanently debarred from contracting with the contracting unit. B. Maintenance of Contract Records—N.J.A.C. 17:44-2.2 Relevant records of private vendors or other persons entering into contracts with covered entities are subject to audit or review by OSC pursuant to N.J.S.A. 52:15C-14(d). The contractor/vendor to whom a contract has been awarded, shall maintain all documentation related to products, transactions or services under this contract for a period of five years from the date of final payment. Such records shall be made available to the New Jersey Office of the State Comptroller upon request. 12. COORDINATION OF ACTIVITIES The following person will coordinate the activities for this proposal  Mr. Richard Goldstein-Principal Lakewood Middle School  Mrs. Tova Richt-Feifer- Supervisor of Language Arts 13. CRIMINAL HISTORY BACKGROUND CHECKS/DISCLOSURE OF INFORMATION When required, pursuant to N.J.S.A. 18A:6-7.1, providers for the services of this contract shall submit to the school district, prior to commencement of contract, evidence or proof that each employee assigned to provide services and that comes in regular contact with students, has had a criminal history background check, and that said check indicates that no criminal history record information exists on file for that worker. Failure to provide a proof of criminal history background check for any employee coming in regular contact with students, prior to commencement of contact, may be cause for breach of contract. If it is discovered during the course of the contract that an employee has a disqualifying criminal history or the employee has not had a criminal history background check, CC 02-2021 PD ELA 16 | P a g e that employee is to be removed from the as a service provider immediately. All contracted service providers shall comply with N.J.S.A. 18A:6-7.6 et seq., and NJDOE Broadcast September 9, 2019, as it pertains to disclosure of information from previous employers, when applicable. 14. DEBARMENT, SUSPENSION, OR DISQUALIFICATION The Board of Education will not enter into a contract for work with any person, company or firm that is on the State Department of Labor and Workforce Development; Prevailing Wage Debarment List, or the State of New Jersey Consolidated Debarment Report (www.state.nj.us/treasury/debarred). All respondents are required to submit a sworn statement indicating whether or not the respondent is, at the time of the proposal, included on the State Department of Labor and Workforce Development; Prevailing Wage Debarment List or the State of New Jersey Consolidated Debarment Report, or the Federal Debarred Vendor List--Excluded Parties List System—System for Award Management—SAM.gov 15. DOCUMENTS, MISSING/ILLEGIBLE The respondent shall familiarize himself with all forms* provided by the Board that are to be returned with the proposal. If there are any forms either missing or illegible, it is the responsibility of the respondent to contact the Assistant School Business Administrator/Board Secretary for duplicate copies of the forms. This must be done before the proposal opening date and time. The Board accepts no responsibility for duplicate forms that were not received by the respondent in time for the respondent to submit with his proposal. 16. DOCUMENT SIGNATURES – ORIGINAL; BLUE INK All documents returned to the Board shall be signed with an original signature in ink (blue). Failure to sign and return all required documents with the proposal package may be cause for disqualification and for the proposal to be rejected pursuant to N.J.S.A. 18A:18A-2(y) (non-responsive). The Board will not accept facsimile or rubber stamp signatures. *Forms provided by the Board of Education that must be returned with proposal.  Acknowledgement of Addenda  Affirmative Action Questionnaire or Certificate of Employee Information Report  Assurance of Compliance  Chapter 271 – Political Contribution Disclosure Form  Contractor/Vendor Questionnaire and Certification  Iran - Disclosure of Investment Activities  Non Collusion Affidavit  Proposal Form  Statement of Ownership  Federal Certifications—when applicable *Please check your RFP package for these forms! 17. EXAMINATION OF SPECIFICATIONS, ACKNOWLEDGEMENT The respondent, by submitting a proposal, acknowledges that he has carefully examined the proposal specifications, documents, addenda (if any), and the site; and that from his investigation, he has satisfied himself as to the nature and location of the work, the general and local conditions and all CC 02-2021 PD ELA 17 | P a g e matters which may in any way affect the work or its performance, and that as a result of such examination, he fully understands the intent and purpose thereof, his obligations thereunder, and that he will not make any claim for, or have any right to damages, because of the lack of any information. Each respondent submitting a proposal for a service contract shall include in his proposal price all labor, materials, equipment, services, and other requirements necessary, or incidental to, the completion of the work, and other pertinent work as hereinafter described, in accordance with the proposal specifications and documents. 18. FALSE MATERIAL REPRESENTATION – N.J.S.A. 2C:21-34-97(b) A person commits a crime if the person knowingly makes a material representation that is false in connection with the negotiation, award or performance of a government contract. If the contract amount is for $25,000.00 or above, the offender is guilty of a crime of the second degree. If the contract amount exceeds $2,500.00, but is less than $25,000.00, the offender is guilty of a crime of the third degree. If the contract amount is for $2,500.00 or less, the offender is guilty of a crime of the fourth degree. 19. FINANCIAL GUARANTEE AND BONDING REQUIREMENTS Please note: The name, address, and phone number of the Bond Underwriter as well as the Bond Number shall be included with all bonds submitted to the Board of Education. Financial Guarantee  REQUIRED  NOT REQUIRED Each proposal, when required, shall be accompanied by a bid bond, cashier’s check or certified check for ten percent (10%) of the amount of the total contract, but not in excess of $20,000 (twenty- thousand dollars). This guarantee shall be made payable to the LAKEWOOD Board of Education. Such deposit shall be forfeited upon refusal of a respondent to execute a contract; otherwise, checks shall be returned when the contract is executed. The financial guarantee check for unsuccessful respondents will be returned as soon after the proposal opening as possible but in no event later than (10) days after the proposal opening. Uncertified business checks, personal checks or money orders are not acceptable. All bid bonds submitted must be signed and witnessed with original signatures. The Board will not accept facsimile or rubber stamp signatures on the bid bond. Failure to sign the bid bond by either the Surety or Principal shall be deemed cause for disqualification of the proposal. The Attorney-in-Fact who executes the bond on behalf of the surety shall affix to the bond a certified and current copy of the Power of Attorney. The Board of Education will only accept bid bonds from companies that are licensed and qualified to do business in the State of New Jersey. Such a list may be available upon request to the State of New Jersey, Department of Banking and Insurance, CN 325, Trenton, New Jersey 08625. Failure to submit or failure to sign the financial guarantee shall be cause for disqualification and rejection of proposal. CC 02-2021 PD ELA 18 | P a g e 20. FORCE MAJEURE Neither party shall be liable in damages for any failure, hindrance or delay in the performance of any obligation under this Agreement if such delay, hindrance or failure to perform is caused by conditions beyond the control of either party, including, but not limited to, Acts of God, flood, fire, war or the public enemy, explosion, government regulations whether or not valid (including the denial or cancellation of any export or other necessary license), court order, state funding, or other unavoidable causes beyond the reasonable control of the party whose performance is affected which cannot be overcome by due diligence. Vendors, and/or contractors who have a contract with the Board of Education to provide goods or services cannot unilaterally claim an increase in the cost of the contract because of Force Majeure. 21. GENERAL CONDITIONS A. Authorization to Proceed -- Successful Vendor/Contractor No service shall be rendered by the successful contractor unless the vendor/contractor receives an approved purchase order authorizing the vendor/contractor to render the service. B. Award of Contract It is the intention of the Board of Education to award the contract for this proposal pursuant to N.J.S.A. 18A:18A-4.3, 18A:18A-4.4(b), and 18A:18A-4.5(d) (e). C. Contracts Upon notification of award of contract by the Board of Education, the successful vendor shall sign and execute a formal agreement between the board and the vendor.  Purchase Order—considered to be a contract. N.J.S.A. 18A:18A-2 (n) If a formal contract is not required by the Board of Education, an approved and signed Board of Education Purchase Order will constitute as a contractual agreement. When a formal contract is required, the contractor shall sign and execute said contracts and return the contracts with other required documents to the Office of the Assistant School Business Administrator/Board Secretary. Failure to execute the contract and return said contract and related documents within the prescribed time may be cause for a delay in payment for services rendered or products received or the annulment of award by the Board of Education with any financial security becoming property of the Board of Education. The Board of Education reserves the right to accept the proposal of the next lowest responsible respondent.  Renewal of Contract; Availability and Appropriation of Funds—When Applicable The Board of Education may, at its discretion, request that a contract for certain services be renewed in full accordance with N.J.S.A. 18A:18A-42. The Assistant School Business Administrator/Board Secretary, may negotiate terms for a renewal of contract proposal and present such negotiated proposal to the Board of Education. All multi-year contracts and contract renewals are subject to the availability and appropriation annually of sufficient funds as may be needed to meet the extended obligation. The Board of Education is the final authority in awarding renewals of contracts. CC 02-2021 PD ELA 19 | P a g e  Term of Contract The successful respondent, to whom the contract is awarded, will be required to do and perform the work/services and to provide and furnish the materials in connection therewith in accordance with the plans and specifications on or before the date listed in the Technical Specifications. D. Purchase Order Required; Notice to Proceed No contractor or vendor shall commence any project or deliver any goods until he is in receipt of an approved purchase order authorizing work to begin or goods to be delivered. E. Deadline for Submitting Proposals All proposals shall be addressed to: Mr. Kevin Campbell Assistant School Business Administrator/Board Secretary LAKEWOOD Board of Education 200 Ramsey Ave LAKEWOOD, New Jersey 08701 All proposals are to be received by the Board of Education no later than Friday, July 17, 2020 10:00 a.m. Proposals received after the date and time noted shall not be accepted or considered. H. Number of Copies to be Submitted -- One (1) Original; One (1) Copy; Thumb Drive of entire proposal. The district requires one (1) original proposal and one (1) copy and an Thumb Drive of the proposal to be submitted at the proposal date and time. Other instructions on submission may be found in the technical specifications. 22. INSURANCE AND INDEMNIFICATION Required  Not Required The respondent, to whom the contract is awarded for any service work or construction work, shall secure, pay the premiums for and keep in force until the contract expires, insurance of the types and amounts listed below: Commercial General Liability $2,000,000. General Aggregate $2,000,000. Products $1,000,000. Personal Injury $1,000,000. Each Occurrence Combined Single Limit for Bodily Injury and Property Damage $50,000 Fire Damage $5,000 Medical Expense Excess Umbrella Liability $4,000,000 CC 02-2021 PD ELA 20 | P a g e $1,000,000 Sexual Harassment Comprehensive Automobile Liability Insurance $1,000,000 Combined Single Limit for Bodily Injury and Property Damage (A) Insurance Certificate – When Required a. The contractor must present to the Board of Education an insurance certificate in the above types and amounts before any work or service begins. b. Automobile liability insurance shall be included to cover any vehicle used by the insured. c. The certificate holder shall be as follows: LAKEWOOD Board of Education c/o Assistant School Business Administrator/Board Secretary d. Additional Insured Claim -- The contractor must include the following clause on the insurance certificate. “LAKEWOOD Board of Education is named as an additional insured” OTHER INSURANCES WORKERS COMPENSATION Evidence of adequate Workers Compensation Insurance as required by the laws of the State of New Jersey and the United States, must be available for perusal. The minimum limits are the following, unless a greater amount is required by law: Bodily Injury by Accident $1,000,000. Each Accident Bodily Injury by Disease $1,000,000. Policy Limit Bodily Injury by Disease $1,000,000. Each Employee (B) Indemnification The contractor shall assume all risk of and responsibility for, and agrees to indemnify, defend, and save harmless the Board and its agents, employees and Board members, from and against any and all claims, demands, suits, actions, recoveries, judgments and costs and expenses (including, but not limited to, attorney’s fees) in connection therewith on account of the loss of life or property or injury or damage to any person, body or property of any person or persons whatsoever, which shall arise from or result directly or indirectly from the work and/or materials supplied under this contract or the performance of services by the contractor under the agreement or by a party for the whole contract is liable. This indemnification obligation is not limited by, but is in addition to, the insurance obligations contained in this agreement. The contractor is to assume all liability of every sort incident to the work, including property damage caused by him or his employees or by any subcontractor employed by him or any of the subcontractor’s employees. CC 02-2021 PD ELA 21 | P a g e 22(a) INSURANCE; PROFESSIONAL LIABILITY – CERTIFICATE REQUIRED  Required  Not Required The successful respondent to whom the contract is awarded shall provide to the Board of Education with contract documents a Professional Liability Insurance Certificate with the following limits: $1,000,000 Each Incident; Occurrence; Wrongful Act $3,000,000 Aggregate The insurance certificate name as to the certificate holder shall be as follows: The LAKEWOOD Board of Education c/o Assistant School Business Administrator and remain in full force during the term of contract. 23. INTERPRETATIONS AND ADDENDA Respondents are expected to examine the RFP with care and observe all their requirements. A Pre- Submission Proposal Conference may be held at a time, date and location identified in the Public Notice for this RFP. This Conference will afford the respondents the opportunity to make comments and submit questions regarding this RFP. Attendance at the Pre-Proposal Conference is strongly recommended. (when applicable) Recipients of the RFP package will have the option of submitting comments and questions at the Pre-Proposal Conference. All questions about the meaning or intent of this RFP, all interpretations and clarifications considered necessary by the District’s representative in response to such comments and questions will be issued by Addenda mailed or delivered to all parties recorded by the District as having received the RFP package. Only comments and questions responded to by formal written Addenda will be binding. Oral interpretations, statements or clarifications will be without legal effect. No interpretation of the meaning of the specifications will be made to any respondent orally. Every request for such interpretations should be made in writing to the Assistant School Business Administrator must be received at least ten (10) days, not including Saturdays, Sundays and holidays, prior to the date fixed for the opening of proposals to be given consideration. Any and all interpretations and any supplemental instructions will be distributed in the form of a written addenda to the specifications. The addenda will be provided in accordance with N.J.S.A. 18A:18A-21(c) to the respondents by certified mail or certified fax no later than seven (7) days Saturdays, Sundays, and holidays excepted, prior to the date for acceptance of proposals. All addenda so issued shall become part of the contract document. 24. IRAN DISCLOSURE OF INVESTMENT ACTIVITIES FORM N.J.S.A. 18A:18A-49.4 The LAKEWOOD Board of Education, pursuant to N.J.S.A. 18A:18A-49.4, shall implement and comply with Public Law 2012, c.25, Disclosure of Investment Activities in Iran—N.J.S.A. 52:32-55 et seq. 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 a certification attesting, under penalty of perjury, that neither the person or entity, nor any of its parents, subsidiaries, or affiliates, is identified CC 02-2021 PD ELA 22 | P a g e 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 Divisions website http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf. If the Board determines that a person or entity has submitted a false certification concerning its engagement in investment activities in Iran under section 4 of P.L.2012, c.25 (C.52:32-58), the board shall report to the New Jersey Attorney General the name of that person or entity, and the Attorney General shall determine whether to bring a civil action against the person to collect the penalty prescribed in paragraph (1) of subsection a. of section 5 of P.L.2012, c.25 (C.52:32-59). In addition, bidders must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the boxes on the lower portion of the enclosed form. The Board has provided within the specifications, a Disclosure of Investments Activities certification form for all persons or entities, that plan to submit a bid, respond to a proposal, or renew a contract with the board, to complete, sign and submit with the proposal. Failure to complete, sign and submit the Disclosure of Investment Activities in Iran form with the bid/proposal shall be cause for rejection of the proposal. 25. LIABILITY – COPYRIGHT The contractor (vendor) shall hold and save the Board of Education, its officials and employees, harmless from liability of any nature or kind for or on account of the use of any copyrighted or un- copyrighted composition, secret process, patented or unpatented invention, article or appliance furnished or used in the performance of his contract. 26. NON COLLUSION AFFIDAVIT A notarized Non-Collusion Affidavit shall be submitted with the bid/proposal. The bidder/respondent has to certify that he has not directly or indirectly, entered into any agreement, participated in any collusion, discussed any or all parts of this proposal with any potential bidders, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named bid, and that all statements contained in said Proposal and in this affidavit are true and correct, and made with full knowledge that the Board of Education relies upon the truth of the statements contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said bid. The respondent has to 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 of bona fide established commercial or selling agencies maintained by the respondent. The LAKEWOOD Board of Education has provided a Non-Collusion Affidavit form here within the specifications package. All respondents are to complete, sign, have the signature notarized and submit the form with the proposal response. Failure to submit the Non-Collusion Affidavit with the proposal may be cause for the disqualification of the proposal. http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf CC 02-2021 PD ELA 23 | P a g e 27. OPENING OF PROPOSALS Sealed proposals shall be opened publicly by the Assistant School Business Administrator/Board Secretary on Friday, July 17, 2020 10:00 a.m. The names and addresses of the respondents submitting proposals will be read publicly. All vendors, agents of the vendors and the general public are invited to attend the opening of proposals. 28. PAYMENTS Every effort will be made to pay vendors and contractors within thirty (30) to sixty (60) days and in accordance with N.J.S.A. 18A:18A-10.1, provided the Board of Education receives the appropriate documentation including but not limited to:  Signed voucher by vendor;  Packing Slips; and  Invoices. Payment will be rendered upon completion of services or delivery of full order to the satisfaction of the Board of Education, unless otherwise agreed to by written contract or mandated by N.J.S.A. 18A:18A- 40.1. The Board may, at its discretion may make partial payments. All payments are subject to approval by the Board of Education at a public meeting. Payment may be delayed from time to time depending on the Board of Education meeting schedule. 29. PERFORMANCE BOND  REQUIRED  NOT REQUIRED When required, the successful vendor shall furnish a Performance, Payment and Completion Bond in a sum of at least one hundred percent (100%) of the total amount payable by the terms of this Contract. Such bond shall be in the form required by Statute. Such bond shall further carry a stipulation that no advance, premature, excessive or delayed payments by the Owner shall in any way affect the obligation of the Surety on its bond. Such bond shall further stipulate that no payments made to the Contractor, nor partial or entire use of occupancy of the work by the Owner shall be an acceptance of any work or materials not in accordance with this Contract and the Surety shall be equally bound to the same extent as the Contractor. It is expressly stipulated that the Surety for the Contractor on the project shall be obligated to make periodic inquiries of the Owner at reasonable times, to determine whether its Principal has performed or was performing the Contract in accordance with all of its terms and conditions, particularly in relation to the progress payments scheduled under said Contract with the Owner. In the event the Contractor defaults or fails to perform or finish the work prescribed under the CC 02-2021 PD ELA 24 | P a g e Contract for any reason whatsoever, it shall become the unqualified obligation of the Surety for the defaulting contractor to complete the Contract in accordance with its terms following receipt of notice from the owner of such default. Successful respondent shall execute formal contract with the Board in the form required and in such number of counterparts as the Board may request. Such Performance, Payment and Completion Bond shall be furnished and such Contracts shall be executed and delivered by the successful respondent within ten (10) days after the receipt by the successful respondent of notice accepting his proposal by the Board. The Board of Education will only accept performance bonds from surety companies that are licensed and qualified to do business in the State of New Jersey. 30. POLITICAL CONTRIBUTIONS DISCLOSURE – REQUIREMENTS Annual Disclosure A business entity as defined by law is advised of its responsibility to file an annual disclosure statement on political contributions with the New Jersey Election Law Enforcement Commission pursuant to N.J.S.A. 19:44A-20.13 (P.L. 2005 Chapter 271 section 3) if the business entity receives contracts in excess of $50,000 from public entities in a calendar year. It is the business entity’s responsibility to determine if filing is necessary. Additional information on this requirement is available from the New Jersey Election Law Enforcement commission at 1-888-313-3532 or at www.elec.nj.us. Chapter 271 Political Contribution Disclosure Form Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 (N.J.S.A. 19:44A-20.26). This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to:  any State, county, or municipal committee of a political party  any legislative leadership committee*  any continuing political committee (a.k.a., political action committee)  any candidate committee of a candidate for, or holder of, an elective office: of the public entity awarding the contract of that county in which that public entity is located of another public entity within that county or of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county. The disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on reportable contributions. The LAKEWOOD Board of Education has provided a Chapter 271 Political Contribution Disclosure Form within the specifications package for use by the business entity. The Board has also provided a list of agencies to assist the contractor. The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to http://www.elec.nj.us/ CC 02-2021 PD ELA 25 | P a g e identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement. The enclosed Chapter 271 Political Contribution Disclosure form, a content-consistent facsimile, or an electronic data file containing the required details (along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act. POLITICAL CONTRIBUTIONS/AWARD OF CONTRACTS Pursuant to N.J.A.C. 6A:23A-6.3 (a) (1-4) please note the following:  Award of Contract -- Reportable Contributions -- N.J.A.C. 6A:23A-6.3 (a) (1) “No board of education will vote upon or award any contract in the amount of $17,500 or greater to any business entity which has made a contribution reportable by the recipient under P.L.1973, c83 (codified at N.J.S.A. 19:44A-1 et seq.) to a member of the board of education during the preceding one year period.  Contributions During Term of Contract – Prohibited -- N.J.A.C. 6A:23A-6.3 (a) (2-3) “Contributions reportable by the recipient under P.L. 1973, c83 (codified at N.J.S.A. 19:44A-1 et seq.) to any member of the school board from any business entity doing business with the school district are prohibited during the term of the contract.” “When a business entity referred in 4.1(e) is a natural person, contribution by that person’s spouse or child that resides 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.”  Chapter 271 Political Contribution Disclosure Form – Required -- N.J.A.C. 6A:23A-6.3 (a) (4) All business entities shall submit with their bid/proposal package a completed and signed Chapter 271 Political Contribution Disclosure Form. The Chapter 271 form will be reviewed by the Board to determine whether the business entity is in compliance with the aforementioned N.J.A.C. 6A:23A- 6.3 (a) (2) Award of Contract. The Chapter 271 Political Contribution Disclosure form shall be submitted with the response to the bid/proposal. Failure to provide the completed and signed form may be cause for disqualification of the bid/proposal. 31. PRE-EMPLOYMENT REQUIREMENTS--CONTRACTED SERVICE PROVIDERS When applicable, all contracted service providers, whose employees have regular contact with students, shall comply with the Pre-Employment Requirements in accordance with New Jersey P.L. 2018 c.5, N.J.S.A. 18A:6-7.6 et seq. Contracted service providers are to review the following New Jersey Department of Education—Pre-Employment Resource P.L. 2018 c.5 link below for guidance and compliance procedures. http://nj.gov/education/educators/crimhist/preemployment/ 32. PRESENTATION AND INTERVIEWS The Board of Education may at its option, require providers of its choice to attend interviews and make presentations to district officials. This process may only take place after proposals have been opened http://nj.gov/education/educators/crimhist/preemployment/ CC 02-2021 PD ELA 26 | P a g e and reviewed and prior to the completion of the evaluation. Under no circumstances shall the provisions of the proposal be subject to negotiation—N.J.S.A. 18A:18A-4.5 (b) 33. PRE-SUBMISSION OF PROPOSAL MEETING (Pre-Proposal Conference Meeting)- No Meeting The Board of Education will hold a pre-submission of proposal meeting on _________________________ 10:00 a.m. The location of the meeting will be held at LAKEWOOD Board of Education 200 Ramsey Ave LAKEWOOD, New Jersey 08701 The purpose of this meeting is to review all legal and technical requirements of the proposal. Respondents are encouraged to attend this meeting. Addenda to the proposal may be issued as a result of the meeting. 34. RESPONDENT’S RESPONSIBILITY FOR PROPOSAL SUBMITTAL It is the responsibility of the respondent to ensure that their proposal is presented to the Business Office and officially received before the advertised date and time of the proposal. It is understood and agreed upon that any person in the Board of Education will be absolved from responsibility for the premature opening of any proposal not properly labeled and sealed. 35. RIGHT TO KNOW LAW All potentially hazardous materials or substances must be properly labeled in full accordance with the New Jersey Right to Know Law - N.J.S.A. 34:5A-1 et seq. All contractors or vendors who need additional information about the New Jersey Right to Know Law are to contact the: New Jersey Department of Health and Senior Services Right to Know Program CN 368 Trenton, New Jersey 08625-0368 36. STATEMENT OF OWNERSHIP (N.J.S.A. 52:25-24.2) No business organization, regardless of form of ownership, shall be awarded any contract for the performance of any work or the furnishing of any goods and services, unless, prior to the receipt of the bid or accompanying the bid of said business organization, bidders shall submit a statement setting forth the names and addresses of all persons and entities that own ten percent or more of its stock or interest of any type at all levels of ownership. The included Statement of Ownership shall be completed and attached to the bid proposal. This requirement applies to all forms of business organizations, including, but not limited to, corporations and partnerships, publicly-owned corporations, limited partnerships, limited liability corporations, limited liability partnerships, sole proprietorship, and Subchapter S corporations. Failure to submit a disclosure document shall result in rejection of the bid as it cannot be remedied after bids have been opened. CC 02-2021 PD ELA 27 | P a g e Not-for-profit entities should fill in their name, check the not-for-profit box, and certify the form. No other information is required. 37. SUBCONTRACTING; ASSIGNMENT OF CONTRACT Contractors, services providers, and all vendors with whom the Board of Education have an executed contract may not subcontract any part of any work done or assign any part of contract for goods or materials for the Board without first receiving written permission from the Assistant School Business Administrator. Contractors, service providers, and vendors using subcontractors assume all responsibility for work performed by subcontractors. The Board Business Office may require the following documents to be secured from all approved subcontractors:  Insurance Certificate as outlined in the proposal specifications;  Affirmative Action Evidence as outlined in the proposal specifications;  New Jersey Business Registration Certificate; and  Other documents as may be required by the Board of Education. In cases of subcontracting, the Board of Education shall only pay the prime contractor. It is the sole responsibility of the prime contractor to ensure that all subcontractors are paid. The Board of Education shall not be responsible for payments to subcontractors and shall be held harmless against any or all claims generated against prime contractors for non-payment to subcontractors. Transportation carriers hired by the vendor to deliver goods and materials are not considered to be subcontractors. 38. TAXES As a New Jersey governmental entity, the Board of Education is exempt from the requirements under New Jersey state sales and use tax (N.J.S.A. 54:32B-1 et. seq.), and does not pay any sales or use taxes. Respondents should note that they are expected to comply with the provisions of said statute and the rules and regulations promulgated thereto to qualify them for examinations and reference to any and all labor, services, materials and supplies furnished to the Board of Education. Contractors may not use the Board’s tax exempt status to purchase supplies, materials, service or equipment. A contractor may qualify for a New Jersey Sales Tax Exemption on the purchase of materials, supplies and services when these purchases are used exclusively to fulfill the terms and conditions of the contract with the Board of Education. All contractors are referred to New Jersey Division of Taxation– Tax Bulletin S&U-3 for guidance. Again, contractors are not permitted to use the Board’s tax identification number to purchase supplies, materials, services of equipment. 39. TERMINATION OF CONTRACT If the Board determines that the contractor has failed to comply with the terms and conditions of the proposal upon which the issuance of the contract is based or that the contractor has failed to perform said service, duties and or responsibilities in a timely, proper, professional and/or efficient manner, then the Board shall have the authority to terminate the contract upon written notice setting forth the reason for termination and effective date of termination. CC 02-2021 PD ELA 28 | P a g e Termination by the Board of the contract does not absolve the contractor from potential liability for damages caused the District by the contractor’s breach of this agreement. The Board may withhold payment due the contractor and apply same towards damages once established. The Board will act diligently in accordance with governing statutes to mitigate damages. Damages may include the additional cost of procuring said services or goods from other sources. The contractor further agrees to indemnify and hold the Board harmless from any liability to subcontractors or suppliers concerning work performed or goods provided arising out of the lawful termination of this agreement. 40. WITHDRAWAL OF PROPOSALS Before The Proposal Opening The Assistant School Business Administrator may consider a written request from a respondent to withdraw a proposal if the written request is received by the Assistant School Business Administrator before the advertised time of the proposal opening. Any respondent who has been granted permission by the Assistant School Business Administrator to have his/her proposal withdrawn cannot re-submit a proposal for the same advertised proposal project. That respondent shall also be disqualified from future proposals on the same project if the project is re-advertised. After The Proposal Opening The Board of Education may consider a written request from a respondent to withdraw a proposal, if the written request is received by the Assistant School Business Administrator within five (5) business days after the proposal opening. A request to withdraw a proposal after the specified number of days will not be honored. The contractor/vendor who wishes to withdraw a proposal must provide a certification supported by written factual evidence that an error or omission was made by the contractor and that the error or omission was a substantial computational error or an unintentional omission or both. The request to withdraw a proposal after the proposal opening may be reviewed by the Assistant School Business Administrator, the Director of Facilities, other interested administrators’ and the Architect of Record for the project (if applicable) and/or the Board Attorney and a recommendation will be made to the Board of Education. If the Board of Education grants permission to have the proposal withdrawn the contractor/vendor shall be disqualified from quoting on the same project if the project is re-advertised. If the contractor/vendor fails to meet the burden of proof to have the proposal withdrawn, the request to withdraw the proposal will be denied and if the contractor/vendor fails to execute the contract the bid guarantee will be forfeited and become property of the Board of Education. CC 02-2021 PD ELA 29 | P a g e LAKEWOOD BOARD OF EDUCATION Competitive Contracting PROPOSAL DOCUMENTS AND REQUIRED DOCUMENTATION All documents in this section shall be completed, signed and submitted with the proposal package – Failure to submit the proposal documents and other documents so specified may be cause to reject the proposal for being non-responsive (N.J.S.A. 18A:18A-2(y)). Mr. Kevin Campbell Assistant School Business Administrator/Board Secretary CC 02-2021 PD ELA 30 | P a g e LAKEWOOD BOARD OF EDUCATION Business Office 200 Ramsey Avenue Lakewood, NJ 08701 Proposal Form CC 02-2021 PROFESSIONAL DEVELOPMENT IN LANGUAGE ARTS I/we hereby submit the following proposal for PROFESSIONAL DEVELOPMENT IN LANGUAGE ARTS: Cost per Full Day In-Person (not less than 6 hours of work not including ½ hour for lunch) $__________ Cost per Half Day In-Person (not less than 3 hours of work) $____________________ Cost of two (2) hour live session (with recording for the district) $_____________________ Cost of three (3) hour live session (with recording for the district) $_____________________ Cost of four (4) hour live session (with recording for the district) $______________________ Cost of five (5) hour live session with recording for the district $______________________ Cost of one (1) hour video recorded for the district $______________________ Cost of 2- one (1) hour videos for the district $______________________ **Please note that prior to each training session a collaboration with District Supervisor and/or Administrator will be expected via phone or email at no extra cost to the District** Name Address _______________________________________ P.O. Box _______________ City, State, Zip Code Federal Tax ID Number ___________________________________________________ Phone Number ( ) _________________________ Extension CC 02-2021 PD ELA 31 | P a g e Fax No. ( ) ________________________________ E-Mail Authorized Agent ___________________________ Title Agent’s Signature ____________________________________ Date CC 02-2021 PD ELA 32 | P a g e To be completed, signed below and returned with proposal. ACKNOWLEDGEMENT OF ADDENDA Proposal Number CC 02-2021 Proposal Date: Friday, July 10, 2020 The Respondent acknowledges receipt of the hereinafter enumerated Addenda which have been issued during period of proposal and agrees that said Addenda shall become a part of this contract. The Respondent shall list below the numbers and issuing dates of the Addenda. ADDENDA NO. ISSUING DATES  No Addenda Received Name of Company Address ___________________________________________________ P.O. Box City, State, Zip Code Name of Authorized Representative Signature ___________________________________ Date CC 02-2021 PD ELA 33 | P a g e To be completed, signed below and returned with proposal. AFFIRMATIVE ACTION QUESTIONNAIRE Proposal No. CC 02-2021 Proposal Date: Friday, July 10, 2020 This form is to be completed and returned with the proposal. However, the Board will accept in lieu of this Questionnaire, Affirmative Action Certificate of Employee Information Report stapled to this page. 1. Our company has a federal Affirmative Action Plan approval.  Yes  No If yes, please attach a copy of the plan to this questionnaire. 2. Our company has a N.J. State Certificate of Employee Information Report.  Yes  No If yes, please attach a copy of the certificate to this questionnaire. 3. If you answered “NO” to both questions No. 1 and 2, you must apply for an Affirmative Action Employee Information Report – Form AA302. Please visit the New Jersey Department of Treasury website for the Division of Public Contracts Equal Employment Opportunity Compliance: www.state.nj.us/treasury/contract compliance/  Click on “Employee Information Report”  Complete and submit the form with the appropriate payment to: Department of Treasury Division of Purchase and Property Contract Compliance and Audit Unit—EEO Monitoring Program P.O. Box 206 Trenton, NJ 08625-0206 All fees for this application are to be paid directly to the State of New Jersey. A copy shall be submitted to the Board of Education prior to the execution or award of contract. I certify that the above information is correct to the best of my knowledge. Name: __________________________________________________________________ Signature _______________________________________________________________ Title ___________________________________________ Date _____________________ Name of Company__________________________________________________________ Address __________________________________________________________________ City, State, Zip _____________________________________________________________ http://www.state.nj.us/treasury/contract%20compliance/ CC 02-2021 PD ELA 34 | P a g e To be completed, signed below and returned with proposal. ASSURANCE OF COMPLIANCE Contact with Students There may be times during the performance of this contract, where a contracted service provider may come in contact with students of the school district. The district fully understands it obligation to provide to all students and staff members, a safe educational environment. To this end, the district is requiring all bidders to sign a statement of Assurance of Compliance, acknowledging the bidder’s understanding of the below listed requirements and further acknowledging the bidder’s assurance of compliance with those listed requirements. Anti-Bullying Reporting--Requirement When applicable, the contracted service provider shall comply with all applicable provisions of the New Jersey Anti-Bullying Bill of Rights Act—N.J.S.A. 18A:37-13.1 et seq., all applicable code and regulations, and the Anti-Bullying Policy of the Board of Education. In accordance with N.J.A.C. 6A:16-7.7 (c), a contracted service provider, who has witnessed, or has reliable information that a student has been subject to harassment, intimidation, or bullying shall immediately report the incident to any school administrator or safe schools resource officer, or the Assistant School Business Administrator/Board Secretary. Criminal History Background Checks—N.J.S.A. 18A:6-7.1--Requirement When applicable, the contracted service provider, shall provide to the school district prior to commencement of contract, evidence or proof that each employee assigned to provide services and that comes in regular contact with students, has had a criminal history background check, and furthermore, that said background check indicates that no criminal history record information exists on file for that worker. Failure to provide a proof of criminal history background check for any employee coming in regular contact with students, prior to commencement of contact, may be cause for breach of contract. All contracted service providers shall comply with N.J.S.A. 18A:6-7.6 et seq., and NJDOE Broadcast September 9, 2019, as it pertains to disclosure of information from previous employers, when applicable. Pre-Employment Requirements When applicable, all contracted service providers, whose employees have regular contact with students, shall comply with the Pre-Employment Requirements in accordance with New Jersey P.L. 2018 c.5, N.J.S.A. 18A:6-7.6 et seq. Contracted service providers are to review the following New Jersey Department of Education, Office of Student Protection—Pre-Employment Resource P.L. 2018 c.5 link below for guidance and compliance procedures. http://nj.gov/education/educators/crimhist/preemployment/ Name of Company Name of Authorized Representative Signature ___________________________________ Date http://nj.gov/education/educators/crimhist/preemployment/ CC 02-2021 PD ELA 35 | P a g e To be completed, signed below and returned with proposal. LAKEWOOD Board of Education Chapter 271 Political Contribution Disclosure Form (Contracts that Exceed $17,500.00) Ref. N.J.S.A. 52:34-25 The undersigned, being authorized and knowledgeable of the circumstances, does hereby certify that ______________________________________________________(Business Entity) has made the following reportable political contributions to any elected official, political candidate or any political committee as defined in N.J.S.A. 19:44- 20.26 during the twelve (12) months preceding this award of contract: Reportable Contributions Date of Contribution Amount of Contribution Name of Recipient Elected Official/ Committee/Candidate Name of Contributor The Business Entity may attach additional pages if needed. _________________________________________________________________________________________  No Reportable Contributions (Please check () if applicable.) I certify that ____________________________________(Business Entity) made no reportable contributions to any elected official, political candidate or any political committee as defined in N.J.S.A. 19:44-20.26. Certification I certify, that the information provided above is in full compliance with Public Law 2005—Chapter 271. Name of Authorized Agent ____________________________________________________________ Signature _________________________________ Title ____________________________________ Business Entity______________________________________________________________________ CC 02-2021 PD ELA 36 | P a g e C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Contractor Instructions Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 (N.J.S.A. 19:44A- 20.26). This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to:  any State, county, or municipal committee of a political party  any legislative leadership committee*  any continuing political committee (a.k.a., political action committee)  any candidate committee of a candidate for, or holder of, an elective office: o of the public entity awarding the contract o of that county in which that public entity is located o of another public entity within that county o or of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county The disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on reportable contributions. N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a natural person. This includes the following:  individuals with an “interest” 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  all principals, partners, officers, or directors of the business entity or their spouses  any subsidiaries directly or indirectly controlled by the business entity  IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity and filing as continuing political committees, (PACs). When the 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.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the disclosure. Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report. The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement. The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act. The contractor must also complete the attached Stockholder Disclosure Certification. This will assist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts. 1 N.J.S.A. 19:44A-3(s): “The term "legislative leadership committee" means a committee established, authorized to be established, or designated by the President of the Senate, the Minority Leader of the Senate, the Speaker of the General Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65 (C.19:44A-10.1) for the purpose of receiving contributions and making expenditures. P.L. 2005, c.271 (Unofficial version, Assembly Committee Substitute to A-3013, First Reprint*) CC 02-2021 PD ELA 37 | P a g e AN ACT authorizing units of local government to impose limits on political contributions by contractors and supplementing Title 40A of the New Jersey Statutes and Title 19 of the Revised Statutes. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: 40A:11-51 1. a. A county, municipality, independent authority, board of education, or fire district is hereby authorized to establish by ordinance, resolution or regulation, as may be appropriate, measures limiting the awarding of public contracts therefrom to business entities that have made a contribution pursuant to P.L.1973, c.83 (C.19:44A-l et seq.) and limiting the contributions that the holders of a contract can make during the term of a contract, notwithstanding the provisions and parameters of sections 1 through 12 of P.L.2004, c.19 (C. 19:44A-20.2 et al.) and section 22 of P.L.1973, c.83 (C.19:44A-22). b. The provisions of P.L.2004, c.19 shall not be construed to supersede or preempt any ordinance, resolution or regulation of a unit of local government that limits political contributions by business entities performing or seeking to perform government contracts. Any ordinance, resolution or regulation in effect on the effective date of P.L.2004, c.19 shall remain in effect and those adopted after that effective date shall be valid and enforceable. c. An ordinance, resolution or regulation adopted or promulgated as provided in this section shall be filed with the Secretary of State. 52:34-25 2. a. Not later than 10 days prior to entering into any contract having an anticipated value in excess of $17,500, except for a contract that is required by law to be publicly advertised for Proposals, a State agency, county, municipality, independent authority, board of education, or fire district shall require any business entity Proposal thereon or negotiating therefor, to submit along with its Proposal or price quote, a list of political contributions as set forth in this subsection that are reportable by the recipient pursuant to the provisions of P.L.1973, c.83 (C.19:44A-l et seq.) and that were made by the business entity during the preceding 12 month period, along with the date and amount of each contribution and the name of the recipient of each contribution. A business entity contracting with a State agency shall disclose contributions to any State, county, or municipal committee of a political party, legislative leadership committee, candidate committee of a candidate for, or holder of, a State elective office, or any continuing political committee. A business entity contracting with a county, municipality, independent authority, other than an independent authority that is a State agency, board of education, or fire district shall disclose contributions to: any State, county, or municipal committee of a political party; any legislative leadership committee; or any candidate committee of a candidate for, or holder of, an elective office of that public entity, of that county in which that public entity is located, of another public entity within that county, or of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county, or any continuing political committee. The provisions of this section shall not apply to a contract when a public emergency requires the immediate delivery of goods or services. b. 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. When a business entity is other than a natural person, a contribution by: all principals, partners, officers, or directors of the business entity or their spouses; any subsidiaries directly or indirectly controlled by the business entity; or any political organization organized under section 527 of the Internal Revenue Code that is directly or indirectly controlled by the business entity, other than a candidate committee, election fund, or political party committee, shall be deemed to be a contribution by the business entity. c. As used in this section: "business entity" means a 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; and "State agency" means any of the principal departments in the Executive Branch of the State Government, and any division, board, bureau, office, commission or other instrumentality within or created by such department, the Legislature of the State and any office, board, bureau or commission within or created by the Legislative Branch, and any independent State authority, commission, instrumentality or agency. CC 02-2021 PD ELA 38 | P a g e P.L. 2005,c271 Page 2 d. Any business entity that fails to comply with the provisions of this section shall be subject to a fine imposed by the New Jersey Election Law Enforcement Commission in an amount to be determined by the commission which may be based upon the amount that the business entity failed to report. 19:44A-20.13 3. a. Any business entity making a contribution of money or any other thing of value, including an in-kind contribution, or pledge to make a contribution of any kind to a candidate for or the holder of any public office having ultimate responsibility for the awarding of public contracts, or to a political party committee, legislative leadership committee, political committee or continuing political committee, which has received in any calendar year $50,000 or more in the aggregate through agreements or contracts with a public entity, shall file an annual disclosure statement with the New Jersey Election Law Enforcement Commission, established pursuant to section 5 of P.L.1973, c.83 (C.19:44A-5), setting forth all such contributions made by the business entity during the 12 months prior to the reporting deadline. b. The commission shall prescribe forms and procedures for the reporting required in subsection a. of this section which shall include, but not be limited to: (1) the name and mailing address of the business entity making the contribution, and the amount contributed during the 12 months prior to the reporting deadline; (2) the name of the candidate for or the holder of any public office having ultimate responsibility for the awarding of public contracts, candidate committee, joint candidates committee, political party committee, legislative leadership committee, political committee or continuing political committee receiving the contribution; and (3) the amount of money the business entity received from the public entity through contract or agreement, the dates, and information identifying each contract or agreement and describing the goods, services or equipment provided or property sold. c. The commission shall maintain a list of such reports for public inspection both at its office and through its Internet site. d. 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. When a business entity is other than a natural person, a contribution by: all principals, partners, officers, or directors of the business entity, or their spouses; any subsidiaries directly or indirectly controlled by the business entity; or any political organization organized under section 527 of the Internal Revenue Code that is directly or indirectly controlled by the business entity, other than a candidate committee, election fund, or political party committee, shall be deemed to be a contribution by the business entity. As used in this section: "business entity" means a 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; and "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. e. Any business entity that fails to comply with the provisions of this section shall be subject to a fine imposed by the New Jersey Election Law Enforcement Commission in an amount to be determined by the commission which may be based upon the amount that the business entity failed to report. 4. This act shall take effect immediately. * Note: Bold italicized statutory references of new sections are anticipated and not final as of the time this document was prepared. Statutory compilations of N.J.S.A. 18A:18A-51 is anticipated to show a reference to N.J.S.A. 40A:11-51 and to N.J.S.A. 52:34-25 --- CC 02-2021 PD ELA 39 | P a g e List of Agencies with Elected Officials Required for Political Contribution Disclosure N.J.S.A. 52:34-25 List of Agencies with Elected Officials Required for Political Contribution Disclosure N.J.S.A. 19:44A-20.26 County Name: Ocean State: Governor, and Legislative Leadership Committees Legislative District #s: 9, 10, & 30 State Senator and two members of the General Assembly per district. County: Freeholders County Clerk Sheriff Surrogate Municipalities (Mayor and members of governing body, regardless of title): Barnegat Light Borough Jackson Township Pine Beach Borough Barnegat Township Lacey Township Plumsted Township Bay Head Borough Lakehurst Borough Point Pleasant Beach Borough Beach Haven Borough Lakewood Township Point Pleasant Borough Beachwood Borough Lavallette Borough Seaside Heights Borough Berkeley Township Little Egg Harbor Township Seaside Park Borough Brick Township Long Beach Township Ship Bottom Borough Dover Township Manchester Township South Toms River Borough Eagleswood Township Mantoloking Borough Stafford Township Harvey Cedars Borough Ocean Gate Borough Surf City Borough Island Heights Borough Ocean Township Tuckerton Borough Boards of Education (Members of the Board): Barnegat Township Lakehurst Borough Plumsted Township Bay Head Borough Lakewood Township Point Pleasant Beach Borough Beach Haven Borough Lavallette Borough Point Pleasant Borough Berkeley Township Little Egg Harbor Township Seaside Heights Borough Brick Township Long Beach Island Seaside Park Borough Central Regional Manchester Township Southern Regional Eagleswood Township Mantoloking Stafford Township Island Heights Borough Ocean Gate Borough Toms River Regional Jackson Township Ocean Township Tuckerton Borough Lacey Township Pinelands Regional Fire Districts (Board of Fire Commissioners): Brick Township Fire District No. 1 Jackson Township Fire District No. 3 Brick Township Fire District No. 2 Jackson Township Fire District No. 4 Brick Township Fire District No. 3 Lakewood Township Fire District No. 1 Dover Township Fire District No. 1 Little Egg Harbor Township. Fire District No. 1 Dover Township Fire District No. 2 Little Egg Harbor Township Fire District No. 2 Jackson Township Fire District No. 1 Little Egg Harbor Township Fire District No. 3 Jackson Township Fire District No. 2 Plumsted Township Fire District No. 1 CC 02-2021 PD ELA 40 | P a g e To be completed, signed below and returned with proposal. CONTRACTOR/VENDOR QUESTIONNAIRE & CERTIFICATION Proposal Number CC 02-2021 Proposal Date: Friday, July 17, 2020 Professional Development in Language Arts Name of Company _____________________________________________________________ Address PO Box _____________ City, State, Zip ________________________________________________________________ Business Phone Number (____)_________________________ Ext. ___________________ Emergency Phone Number (_____)______________________________________________ FAX No. (____)________________________ E-Mail _________________________________ FEIN No. _____________________________ Years in Business Number of Employees __________________ References – Work previously done for School Systems in New Jersey Name of District Address Contact Person/Title Phone 1. 2. 3. Vendor Certification Direct/Indirect Interests I declare and certify that no member of the LAKEWOOD Board of Education, nor any officer or employee or person whose salary is payable in whole or in part by said Board of Education or their immediate family members are directly or indirectly interested in this proposal or in the supplies, materials, equipment, work or services to which it relates, or in any portion of profits thereof. If a situation so exists where a Board member, employee, officer of the board has an interest in the proposal, etc., then please attach a letter of explanation to this document, duly signed by the president of the firm or company. Gifts; Gratuities; Compensation I declare and certify that no person from my firm, business, corporation, association or partnership offered or paid any fee, commission or compensation, or offered any gift, gratuity or other thing of value to any school official, board member or employee of the Board of Education. Vendor Contributions I declare and certify that I fully understand N.J.A.C. 6A:23A-6.3(a) (1-4) concerning vendor contributions to school board members. Debarment I certify that my company is not debarred from doing business with any public entity in New Jersey or the United States of America. I further certify that I understand that it is a crime in the second degree in New Jersey to knowingly make a material representation that is false in connection with the negotiation, award or performance of a government contract. __________________________________ ________________________________________ President or Authorized Agent (Print) SIGNATURE CC 02-2021 PD ELA 41 | P a g e To be completed, signed below and returned with proposal. CC 02-2021 PD ELA 42 | P a g e To be completed, signed below and returned with proposal. NON-COLLUSION AFFIDAVIT Professional Development in Language Arts Re: Proposal for the Board of Education. Proposal No. CC 02-2021 STATE OF _______________) Proposal Date: Friday, July 17, 2020 :ss: COUNTY OF _____________) I, ____________________________________ of the City of ____________________________ in the County of __________________________ and the State of _________________________ of full age, being duly sworn according to law on my oath depose and say that: I am__________________________ of the firm/company of and the Respondent making the Proposal for the above names contract, and that I executed the said Proposal with full authority so to do; that I have not, directly or indirectly, entered into any agreement, participated in any collusion, discussed any or all parts of this Proposal with any potential Respondents, or otherwise taken any action in restraint of free, competitive proposals in connection with the above named Proposal, and that all statements contained in said Proposal and in this affidavit are true and correct, and made with full knowledge that the Board of Education relies upon the truth of the statements contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said Proposal. 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 of bona fide established commercial or selling agencies maintained by ____________________________________________________________________________________ (Print Name of Contractor/Vendor) Subscribed and sworn to: __________________________________________________________ (SIGNATURE OF CONTRACTOR/VENDOR) before me this _______ day of _____________________, Month Year Print name of Notary Signature of Notary My commission expires ______________________ _________________, ________. - Seal – Month Day Year CC 02-2021 PD ELA 43 | P a g e To be completed, signed and returned with Bid/Proposal STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43) This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or proposal. Name of Organization:_________________________________________________________________ Organization Address:_________________________________________________________________ City, State, ZIP: Part I Check the box that represents the type of business organization: Sole Proprietorship (skip Parts II and III, execute certification in Part IV) Non-Profit Corporation (skip Parts II and III, execute certification in Part IV) For-Profit Corporation (any type) Limited Liability Company (LLC) Partnership Limited Partnership Limited Liability Partnership (LLP) Other (be specific): ______________________________________________ Part II Check the appropriate box  The list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a 10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR  No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV) (Please attach additional sheets if more space is needed): Name of Individual or Business Entity Home Address (for Individuals) or Business Address Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II If a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal CC 02-2021 PD ELA 44 | P a g e Security and Exchange Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #’s Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part II other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and in