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1
Middletown Township Public Schools
834 Leonardville Road, 2nd Floor
Leonardo, NJ 07737
(732) 671-3850
(732) 291-1035 Fax
SPECIFICATIONS ATTACHED FOR:
BID #16-17 001
FIRE ALARM AND BURGLAR ALARM EQUIPMENT
SERVICE, AS-NEEDED REPLACEMENT AND MONITORING
FOR THE 2016-2017 SCHOOL YEAR
BID DUE: MAY 10, 2016
11:00 a.m.
2
TABLE OF CONTENTS
Notice to Bidders
Instructions to Bidders
Contract Data Sheet
Bid Proposal Forms
Receipt of Addenda Form
Stockholder Disclosure Certification
Non-Collusion Affidavit
Mandatory Affirmative Action
American with Disabilities Act of 1990
Bid Bond
Consent of Surety Form
Disclosure of Investment Activities in Iran
Contractor/Vendor Questionnaire/Certification
Bid Document Checklist
3
Middletown Township Public Schools
Middletown, NJ 07748
NOTICE TO BIDDERS
NOTICE IS HEREBY GIVEN that sealed bids will be received by Amy P. Gallagher, CPA, Business Administrator for
the Middletown Township Board of Education, County of Monmouth, State of New Jersey on May 10, 2016, at 11:00
a.m., prevailing time at the August T. Miner Administrative Offices, 834 Leonardville Road, 2nd Floor, Leonardo, NJ
07737 for:
Bid # 16-17 001 - Fire Alarm and Burglar Alarm Equipment Service, As-needed Replacement and Monitoring
Specifications and instructions to bidder may be obtained from the District website under Our District, Business Office:
www.middletownk12.org. Bids must be submitted by mail or by hand in sealed envelopes and distinctly marked as stated
above on or before the hour designated. The Board of Education assumes no responsibility for mailed bids that arrive late.
Facsimile or e-mailed bids will not be accepted.
All prices and amounts must be written in ink or preferably typewritten. Bids containing any conditions, omissions, or
unexplained erasures or alterations, items not called for in the bid proposal form, attachments or additive information
mot required by the specifications or irregularities of any kind may be rejected by the Board of Education. Any changes,
whiteouts, strikeouts, etc. on the proposal page must be initialed in ink by the person responsible for signing the bid.
No bidder may withdraw the bid for a period of thirty (30) calendar days. Bids opened and read shall remain
irrevocable for a period of sixty (60) days. It is the intent of the Board to award the contract within sixty (60) days of
the receipt of bids.
Any corporation bidding must provide the name of all stockholders possessing over 10% of the issued stock in the
corporation. Bidders are required to comply with the requirement of P.L. 1975, c. 127 (N.J.A.C. 17:27 et seq.)
Bids must be accompanied by a Bid Bond or Certified Check drawn to the order of Middletown Township Board of
Education for not less than ten (10%) of the amount of the bid, not to exceed $20,000.
Pursuant to N.J.S.A. 18A: 18A-27 et seq., all bidders on any contract for public work in which the entire cost of the
project exceeds $20,000.00 must be pre-qualified by the Department of the Treasury, Division of Building and
Construction.
Bidders are required to submit a Certificate of Registration under The Public Works Contractor Registration Act.
Pursuant to P.L. 2004,c.57, effective September 1, 2004, bidders will be required to register with the State and provide
the Board of Education with a copy of their “Business Registration Certificate”.
The Board of Education reserves the right to accept or reject any or all bids, or any part of the bid due to any defects or
informalities and not adhering to the specifications, or for any other reason as may be deemed best for the interest of the
Board of Education. Where applicable, the Board reserves the right to award the bid in whole or in part.
Dated: 4/25/16 Amy P. Gallagher
Business Administrator
4
MIDDLETOWN TOWNSHIP PUBLIC SCHOOLS
SPECIFICATIONS FOR FIRE ALARM AND BURGLAR ALARM EQUIPMENT SERVICE, AS-NEEDED
REPLACEMENT AND MONITORING
SCOPE OF WORK:
Base Bid Part 1- Flat annual rate for furnishing all labor, materials, equipment, service, engineering and monitoring
required for the maintenance of the Fire Detection Alarms and Burglar Alarms to keep them in a perpetual state of
readiness so that they are completely and consistently responsive twenty-four (24) hours a day, seven days a week, 365
days a year including State required annual inspections at all locations.
Base Bid Part 2- Provide repair of existing Fire Detection Alarms and Burglar Alarms on a Time and Material Basis
Base Bid Part 3- Furnish all labor and materials for installation of replacement of existing fire or burglar alarm systems.
Fire Alarm Systems are located in the seventeen (17) buildings listed below:
High Schools: Middletown North, Middletown South
Middle Schools: Bayshore, Thompson, Thorne
Elementary Schools: Bayview, Fairview, Harmony, Leonardo, Lincroft, Middletown Village, Navesink, New
Monmouth, Nut Swamp, Ocean Avenue, Port Monmouth, River Plaza
The successful bidder must be able to maintain, repair and/or replace the current Public Address, Clock and Bell
Systems in Middletown Schools which include, but are not limited to the following:
Bogen
Lathem
Masters
Notifier
Rauland
Simplex
Standard
Telecor
Valcom
Viking
For any and all new work, the Contractor must obtain all necessary permits and inspections from the local building
official. All bids should include cost for any permits in the bid price agreement. All work must be performed according
to Uniform Code.
All procedures listed herein shall be in direct compliance with the State of New Jersey Uniform Fire Code; N.F.P.A.
Standard 72-A,B,C,D,E,H; Standard 13-A and all manufacturer’s’ guidelines. The service contractor shall be capable
of testing and making repairs of all pneumatic capillary tubing systems, including pump test on all existing pneumatic
loops.
SERVICE CALLS ON ALL EQUIPMENT
Normal Service
The service contractor shall, upon notifications, respond to the job site and provide required repairs within 24 hours. If
systems are beyond repair or parts required for repairs are not immediately available, the Administrative Supervisor for
Facilities shall be notified and a request made of authorization to take corrective action.
The service contractor shall notify the head custodian or an authorized employee upon arrival at a school for a service
call.
A service report outlining time on the job, technician, parts used and description of work accomplished shall be provided
to the Administrative Supervisor for Facilities on each service call.
5
MIDDLETOWN TOWNSHIP PUBLIC SCHOOLS
Emergency Service
Emergency service shall be available on a twenty-four (24) hours a day, seven (7) days a week, 365 days a year basis.
The service contractor shall respond to all emergency calls within four (4) hours from service call notification. Board of
Education personnel shall be available to open locked areas of the building being serviced to expedite repair services.
Emergency services on Saturday, Sunday and after 4:30 p.m. on normal workdays, shall be invoiced at overtime rates
specified on Bid Proposal Form.
A service report outlining time on the job, technician, parts used and description of work accomplished shall be provided
to the Administrative Supervisor for Facilities on each service call.
Installation of Replacement Fire and/or Burglar Alarm Systems
The service contractor shall, upon notification by the Administrative Supervisor for Facilities, provide a quote for the
replacement of a Fire or Burglar alarm system(s). Written quote must be provided and should be based upon the hourly
rates and material discounts as specified on the BID PROPOSAL FORM.
PARTS, REPLACEMENTS AND GUARANTEES
The service contractor shall guarantee repairs for a period of thirty (30) days. The guarantee shall include labor, prompt
field service, pick up and delivery. New systems or replacement system controls shall be free from defects in
workmanship and material for a period of twelve (12) months commencing upon the school’s beneficial use of the new
equipment. The service contractor shall supply original manufacturer parts. All parts shall be guaranteed for a period of
twelve (12) months from installation date. Contractor shall bid the discount off of list price upon demand. It is expected
that the service contractor will arrive on site with all required tools, replacement parts, and fully prepared to make all
repairs.
GENERAL SPECIFICATIONS
Bidders shall meet all of the following criteria and submit proof of it by completion a attached “Contractor Data Sheet”.
As the following qualification items are mandatory, failure to comply with any of these items will result in immediate
rejection of quotes as non-responsive.
1. Contractor must be regularly engaged in the services and installation of Fire and Burglar Alarm Systems for at least
five (5) years if bidding on Base Bid.
2. Contractor must maintain a live answering service to receive emergency calls between the normal close of business
hours each day until reopening of business hours, plus weekends and holidays, 365 days a year. Answering service
will maintain a listing of technicians on call at all times. Contractor will provide answering service phone number
upon bid. Answering machines will not be acceptable and will cause immediate rejection of bid as non-responsive
to specification requirements.
3. Contractor must monitor Fire and Burglar Alarm Systems 24 hours a day, seven days a week, 365 days a year.
4. The service contractor will not deactivate any fire alarm equipment unless permission is first obtained from the
Administrative Supervisor for Facilities.
5. The servicing of equipment may involve the handling of 115 and 270 volts AC power to the system control; therefore,
it will be mandatory that the service company, a licensed employee or sub-contractor must hold a valid State of New
Jersey Electrical Contractor’s License.
6
MIDDLETOWN TOWNSHIP PUBLIC SCHOOLS
6. A listing of qualified employees with a minimum of three (3) years of experience servicing fire alarm equipment
will be submitted as part of these bid documents.
7. The service contractor will maintain an inventory of manpower, electrical material, spare parts and new replacement
equipment for existing systems to satisfy immediate replacement of, or repairs to, part or all of existing systems in
the event of emergencies.
8. Contractor must be able to demonstrate the ability to satisfactorily perform service work, programming and
maintenance of EST IRC-3 advanced multiplex systems, the Notifier AM2020 systems, and Notifier 5000 systems.
In situations where new installation or construction exists, any person employed by the contractor or sub-contractor
shall be paid at the rate not less than the prevailing wage established by the New Jersey
State Department of Labor for the appropriate trades for the period of time involved, as per N.J.S.A. 34:11-56.27 et
seq. - N.J.A.C. 12:60.
9. Contractor is required to furnish to the Board of Education three (3) references of businesses for both repair work
done during the past year as well as new installations, monitoring and testing.
10. Contractor will use only domestic materials as provided under N.J.S.A. 52:31-52:33-4.
CONTRACTOR RESPONSIBILITIES
The contractor will be responsible for his work and materials until the same is completed and accepted. Should any
damage occur to any part or portion of the existing premises or building, or its equipment or to adjoining property,
during the performance of the work under this Contract, which might in anyway be attributed to this Contractor, his
subcontractors, their employees, agents, or in the receipt or delivery of the materials or supplies, or in any other manner,
said damage shall immediately be properly repaired and made good without additional charge.
Contractor will not leave the area in an unsafe condition and shall protect work completed overnight from weather
conditions as well as vandalism. Contractor will be held responsible for all damages to work areas or otherwise, during
operation of project.
Under Federal and State Regulations, please be advised that a document named “The Asbestos Management Plan” is
available for your review. This plan has identified Asbestos containing building material within the site where the
contracted work is to proceed.
The successful contractor will be responsible to comply with all NJ Right To Know Regulations (NASA 34:5A-1) and
OSIER guidelines for safety in the workplace.
Contractor will submit a detailed invoice for time and materials on a monthly basis.
BASIS OF AWARD
The Contract for the Bid will be awarded to the lowest responsive, responsible bidder on the basis of the Annual Rate
for Service Contract, an average of the Hourly Labor Rate for Normal Service and Emergency Service for Technician
and an average of the Hourly Rate for Labor for the installation of replacement burglar and/or fire alarm systems as well
as the discount from Manufacturer’s list price.
All billing will be forwarded for payment on a “Time and Material” basis. Contractor will itemize hourly rate charged
for Technician and amount of hours Technician worked for the district at the rate bid on the Bid Proposal Form.
Contractor will itemize materials used indicating list prices less discount at rate bid on the Bid Proposal Form.
Replacement parts, new system equipment, alterations and additions to systems, vandalism, fire, water damage and acts
of God which affect systems operations shall be invoiced at specified rates as per bid proposal.
7
MIDDLETOWN TOWNSHIP PUBLIC SCHOOLS
Quoted Rates to be effective through June 30, 2017. The Middletown Township Board of Education reserves the right
to cancel the contract for any reason with 30 days notice. The Board of Education reserves the right to extend the
contract for an additional year if agreed to by both parties, as per N.J.S.A. 18A:18A-42(h).
INSURANCE
The Contractor shall not commence work under this Contract until he has obtained all insurance by the following
paragraphs:
A) Workers’ Compensation - Employers’ Liability Insurance shall be maintained in force during the life of this
Contract, by the Contractor and all subcontractors, covering all employees engaged in performance of this Contract, in
accordance with the applicable statute.
Employers’ Liability Insurance shall be for an amount not less than $1,000,000.
B) General Liability Insurance with limits of not less than:
$2,000,000 Bodily Injury and Property Damage
$3,000,000 combined single limit shall be maintained in force during the life of this Contract by the Contractor and all
subcontractors.
C) Automobile Liability Insurance covering Contractor for claims arising from owned, hired and non-owned vehicles,
with limits of not less than $1,000,000 combined single limit.
D) If any of the above work is subcontracted, all of the insurance specified above as being required to be furnished by
the Contractor, including the same limits and special endorsements as are required for the Contractor (including
workers’ compensation insurance), shall be provided by, or on behalf of, each such subcontractor.
E) The Board of Education shall be named as an additional named insured on all policies.
PROOF OF CARRIAGE OF INSURANCE
The Contractor shall furnish satisfactory proof of the required insurance. This proof shall consist of three (3) certificates
of each insurer insuring the Contractor or any subcontractor employed on the project under this Contract.
GENERAL CONDITIONS
Bid may not be modified after submittal. Bidder may withdraw did any time prior to the bid opening.
Bids will be opened publicly and will be read aloud. The Middletown Township Board of Education will award
contracts or reject any or all bids, or parts thereof, within sixty (60) days unless otherwise agreed by the parties. The
Middletown Township Board of Education reserves the right to waive any informalities in or to reject any and/or all
bids, or parts thereof, as may be deemed to be in its best interest.
The bidder shall indemnify and hold harmless the Board, its employees and agents for any and all claims, liability,
damages and expenses, including reasonable attorneys fees arising out of, resulting from or in connection with this bid,
which are caused by any error, omission, neglect or intentional act of the Board, its employees and agents.
8
Middletown Township Public Schools
834 Leonardville Road, 2nd Floor
Leonardo, NJ 07737
CONTRACT DATA SHEET
Fire and Burglar Alarm Equipment Service and Monitoring
TO BE COMPLETED BY VENDOR AND
SUBMITTED AS PART OF BID PACKET
1. The number of years your firm has been performing maintenance of fire alarm systems.________
The number of years your firm has been performing maintenance of burglar alarm systems.________
2. Location of vendor’s office that will be responsible for managing this contract
NAME _____________________________________
ADDRESS _____________________________________
_____________________________________
PHONE # _____________________________________
3. A. Number of qualified Service Technicians capable of repairing and servicing these systems (full time)
____________
4. Name(s) and phone number(s) of management personnel to be contacted if problems of emergencies occur.
NAME __________________________________
PHONE # __________________________________
NAME __________________________________
PHONE # __________________________________
5. Name and phone number of live answering service.
6. Provide a list of institutions now under contract with your firm. Include the length of time each contract has
been in force and the name of a person (with phone number) for reference to your company’s qualifications.
9
Middletown Township Public Schools
834 Leonardville Road, 2nd Floor
Leonardo, NJ 07737
CURRENT CLIENTS LENGTH OF CONTRACT NAME & PHONE# TO CONTACT
1.___________________ ___________________
2.___________________ ___________________
3.___________________ ___________________
4.___________________ ___________________
5.___________________ ___________________
7. Provide a listing of contracts your firm has lost during the last three (3) years with reason for termination.
CLIENT REASON TERMINATED
1.____________________________ _____________________________
2.____________________________ _____________________________
3.____________________________ _____________________________
8.
New Jersey Electrical Contractor’s License #
(or License # of Sub Contractor)
10
Middletown Township Public Schools
834 Leonardville Road, 2nd Floor
Leonardo, NJ 07737
BID #16-17 001
BID PROPOSAL FORM
BASE BID
1. Annual Rate for maintenance and monitoring and required annual inspection of District Fire and Burglar
Alarm Systems:
Annual Rate for service contract as per specifications (payable on a monthly basis)-
$
2. Hourly Labor Rate for repairs as follows:
Please specify what days and hours are included in each rate.
Time Days Included Hours Hourly Rate Straight From to
Time and a half From to
Double From to
Discount from manufacturers’ List Price for parts %
3. Hourly Labor Rate for Replacement of Burglar and/or Fire Alarm systems as follows:
Please specify what days and hours are included in each rate.
Time Days Included Hours Hourly Rate
Straight
From to
Time and a half From to
Discount from manufacturers’ List Price for parts %
11
MIDDLETOWN TOWNSHIP BOARD OF EDUCATION
PO Box 4170
Middletown, NJ 07748
ACKNOWLEDGMENT OF RECEIPT OF ADDENDA
The undersigned Bidder hereby acknowledges receipt of the following Addenda:
Addendum Number Dated
________________ ________________
________________ ________________
________________ _________________
Acknowledged for: ________________________________
(Name of Bidder)
By: ____________________________________________
(Signature of Authorized Representative)
Name: _________________________________________
Title: __________________________________________
12
MIDDLETOWN TOWNSHIP BOARD OF EDUCATION
PO Box 4170
Middletown, NJ 07748
STOCKHOLDER DISCLOSURE STATEMENT
Chapter 33, Law of 1977
(Assembly Bill No. 22, Approved March 8, 1977)
BE IT ENACTED by the Senate and General Assembly of the State of New Jersey:
1. No corporation or partnership shall be awarded any contract nor shall any agreement be
entered into for the performance of any work or the furnishing of any materials or supplies, the cost
of which is to be paid with or out of any public funds, by the State, or any county, municipality or
school district or any subsidiary or agency of the State, or of any county, municipality or school
district, or by any authority, board or commission which exercises governmental functions, unless
prior to the receipt of the bid or accompanying the bid, of said corporation or said partnership, there
is submitted a statement setting forth the names and addresses of all stockholders in the corporation
or partnership who own 10% or more of its stock, or any who own 10% or greater interest therein,
as the case may be. If one or more such stockholder or partner is itself a corporation or partnership,
the stockholders holding 10% or more of the corporation’s stock, or the individual partners owning
10% or greater interest in that partnership, as the case may be, shall also be listed. The disclosure
shall be continued until names and addresses of every non-corporate stockholder, and individual
partner, exceeding the 10% ownership criteria established in this act, has been listed.
I certify that the list below contains the names and home addresses of all
of all stockholders holding 10% or more of the issued and outstanding stock of the
undersigned.
I certify that no one stockholder owns 10% or more of the issued and
outstanding stock of the undersigned.
Partnership Corporation Sole Proprietorship
PLEASE CHECK APPROPRIATE BOXES ABOVE AND SIGN BELOW.
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID. FAILURE
TO DO SO WILL RESULT IN DISQUALIFICATION.
13
Stockholders
Name:_________________________ Name:_________________________
Home Address:__________________ Home Address:__________________
______________________________ ______________________________
Name:_________________________ Name:_________________________
Home Address:__________________ Home Address:__________________
______________________________ ______________________________
Name:_________________________ Name:_________________________
Home Address:__________________ Home Address:
_______________________________ _______________________________
Subscribed and sworn before me _______________________________
this ______day of ____________,20 __. (Affiant)
________________________________ _______________________________
(Notary Public) (Print name & Title of Affiant)
My Commission expires:
(Corporate Seal)
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID. FAILURE
TO DO SO WILL RESULT IN DISQUALIFICATION.
14
Middletown Township Board of Education
PO Box 4170
Middletown, NJ 07748
NON - COLLUSION AFFIDAVIT
State of New Jersey
ss:
County of ___________
I, ______________________residing in ____________________________
(name of affiant) (name of municipality)
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 of ____________________
(title or position) (name of firm)
__________________________the bidder making this Proposal fro the bid proposal
entitled _______________________, and that I executed the said proposal with full
(title of bid proposal)
authority to do so that said bidder has not, directly or indirectly entered into any
agreement, participated in any collusion, or otherwise taken any action in restraint of
free, competitive bidding in connection with the above named project; and that all
statements contained in said proposal and in this affidavit are true and correct, and
made with full knowledge that the ______________________relies upon the truth of
(name of contracting unit)
the statements contained in said Proposal and in the statements contained in this
affidavit in awarding the contract for the said project.
I further warrant that no person or selling agency has been employed or retained
to solicit or secure such contract upon an agreement or understanding for a
15
commission, percentage, brokerage, or contingent fee, except bona fide employees or
bona fide established commercial or selling agencies maintained by _______________
__________________.
Subscribed and sworn to
before me this _____ day of
________________, 20__.
(type or print name of affiant under signature)
______________________
Notary public of
My Commission expires
,
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID. FAILURE
TO DO SO WILL RESULT IN DISQUALIFICATION.
16
MANDATORY AFFIRMATIVE ACTION LANGUAGE
PROCUREMENT, PROFESSIONAL AND SERVICE CONTRACTS
P.L. 1975, c. 127 (N.J.A.C. 17:27)
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment
because of age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation. The
contractor will take affirmative action to ensure that such applicants are recruited and employed, and that employees are
treated during employment, without regard to their age, race creed, color, national origin, ancestry, marital status or sex,
affectional or sexual orientation. Such action shall include, but not be limited to the following: employment, upgrading,
demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places,
available to employees and applicants for employment, notices to be provided by the public agency compliance officer
setting forth provisions of this nondiscrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisements, for employees place by or on
behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age,
race, creed, color, national origin, ancestry, marital status or sex, affectional or sexual orientation;
The contractor or subcontractor, where applicable, will send to each labor union or representative or workers with which it
has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency
contracting officer advising that labor union or workers’ representative of the contractor’s commitments under this act and
shall post copies of the notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with the regulations promulgated by the treasurer
pursuant to p.l. 1975, c. 127, as amended and supplemented from time to time.
The contractor or subcontractor agrees to attempt in good faith to employ minority and female workers consistent with the
applicable county employment goals prescribed by n.j.a.c 17:27-5.2 promulgated by the treasurer pursuant to p.l. 1975, c.
127, as amended and supplemented from time to time or in accordance with a binding determination of the applicable
county employment goals determined by the affirmative action office pursuant to n.j.a.c 17:27-5.2 promulgated by the
treasurer pursuant to p.l. 1975, c. 127, as amended and supplemented from time to time.
The contractor or subcontractor agrees to inform in writing appropriate recruitment agencies in the area, including
employment agencies, placement bureaus, colleges, universities, labor unions, that it does not discriminate on the basis of
age, creed, color, national origin, ancestry, marital status or sex, and that it will discontinue the use of any recruitment
agency which engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel
testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the state of
new jersey and as established by applicable federal law and applicable federal court decisions.
The contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to
ensure that all such actions are taken without regard to age, creed, color, national origin, ancestry, marital status or sex,
affectional or sexual orientation, and conform with the applicable employment goals, consistant with the statutes and court
decisions of the state of New Jersey, and applicable federal law and applicable federal court decisions.
The contractor and its subcontractors shall furnish such reports or other documents to the affirmative action office as may
be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies
shall furnish such information as may be requested by the Affirmative Action Office for conducting a compliance
investigation pursuant to Subchapter 10 of the administrative code (njac 17:27).
COMPANY:________________________ SIGNATURE:____________________________
TITLE:____________________________
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID. FAILURE TO
DO SO WILL RESULT IN DISQUALIFICATION.
17
MIDDLETOWN TOWNSHIP BOARD OF EDUCATION
PO Box 4170
Middletown, NJ 07748 REQUIRED EVIDENCE
AFFIRMATIVE ACTION REGULATIONS
P.L. 1975, C. 127 (N.J.A.C. 17:27)
If awarded a contract, all procurement and service contractors will be required to comply with
the requirements of P.L. 1975, C. 127, (N.J.A.C. 17:27). Within seven (7) days after receipt of
the notification of intent to award the contract or receipt of the contract, whichever is sooner, the
contractor should present one of the following to the Business Office:
1. A photocopy of a valid letter from the U.S. Department of Labor that the contractor
has an existing federally approved or sanctioned Affirmative Action Plan (good for one year
from the date of the letter).
OR
2. A photocopy of approved Certificate of Employee Information Report.
OR
3. An Affirmative Action Employee Information Report (Form AA302)
OR
4. All successful contraction contractors must submit within three days of the signing of
the contract an Initial Project Manning Report (AA201) for any contract award that meets or
exceeds the Public Agency bidding threshold (available upon request).
NO FIRM MAY BE ISSUED A CONTRACT UNLESS IT COMPLIES WITH THE
AFFIRMATIVE ACTION REGULATIONS OF P.L. 1975, C. 127.
------------------------------------------------------------------------------------------------------------------
The following questions must be answered by all bidders:
1. Do you have a federally approved or sanctioned Affirmative Action Program?
YES_____ NO_____
If yes, please submit a copy of such approval.
2. Do you have a certificate of Employee Information Report Approval?
YES_____ NO_____
If yes, please submit a copy of such certificate.
The undersigned contractor certifies that he is aware of the commitment to comply with the
requirements of P.L. 1975, c. 127 and agrees to furnish the required documentation pursuant to
the law.
COMPANY:_________________________ SIGNATURE:_____________________
TITLE:_____________________________
Note: A contractor’s bid must be rejected as non-responsive if a contractor fails
to comply with requirements of P.L. 1975, c. 127, within the time frame.
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID.
FAILURE TO DO SO WILL RESULT IN DISQUALIFICATION.
18
AMERICANS WITH DISABILITIES ACT OF 1990
Equal Opportunity for Individuals with Disability
The CONTRACTOR and the OWNER do hereby agree that the provisions of Title II of the American With
Disabilities Act of 1990 (the “ACT”) (42 U.S.C. S12101 et seq.), which prohibits discrimination on the
basis of disability by public entities in all services, programs and activities provided or made available by
public entities, and the rules and regulations promulgated pursuant thereunto, are made a part of this
contract. In providing any aid, benefit, or service on behalf of the OWNER pursuant to this contract, the
CONTRACTOR agrees that the performance shall be in strict compliance with the Act. In the event that
the Contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the
Act during the performance of this contract, the CONTRACTOR shall defend the OWNER in any action or
administrative proceeding commenced pursuant to the Act. The CONTRACTOR shall indemnify, protect,
and save harmless the OWNER, its agents, servants, and employees from and against any and all suits,
claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the
alleged violation. The CONTRACTOR shall, at its own expense, appear, defend, and pay any and all
charges for legal services and any and all costs and other expenses arising from such action or
administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant
to the OWNER grievance procedure, the CONTRACTOR agrees to abide by any decision of the OWNER
which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results
in an award of damages against the OWNER or if the OWNER incurs any expense to cure a violation of the
ADA which has been brought pursuant to its grievance procedure, the CONTRACTOR shall satisfy and
discharge the same at its own expense.
The OWNER shall, as soon as practicable after a claim has been made against it, give written notice thereof
to the CONTRACTOR along with full and complete particulars of the claim. If any action or administrative
proceedings is brought against the OWNER or any of its agents, servants, and employees, the OWNER
shall expeditiously forward or have forwarded to the CONTRACTOR every demand, complaint, notice,
summons, pleading, or other process received by the OWNER or its representatives.
It is expressly agreed and understood that any approval by the OWNER of the services provided by the
CONTRACTOR pursuant to this contract will not relieve the CONTRACTOR of the obligation to comply
with the Act and to defend, indemnify, protect, and save harmless the OWNER pursuant to this paragraph.
It is further agreed and understood that the OWNER assumes no obligation to indemnify or save harmless
the CONTRACTOR, its agents, servants, employees and subcontractors for any claim which may arise out
of their performance of this Agreement. Furthermore, the CONTRACTOR expressly understands and
agrees that the provisions of this indemnification clause shall in no way limit the CONTRACTOR’S
obligations assumed in this Agreement, nor shall they be construed to relieve the CONTRACTOR from any
liability, nor preclude the OWNER from taking any other actions available to it under any other provisions
of the Agreement or otherwise at law.
COMPANY:________________________ SIGNATURE:____________________________
TITLE:____________________________
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID.
FAILURE TO DO SO WILL RESULT IN DISQUALIFICATION.
19
MIDDLETOWN TOWNSHIP BOARD OF EDUCATION
PO Box 4170
Middletown, NJ 07748
BID BOND
We, the undersigned__________________________________, as Principal, and
___________________, as Surety, are hereby held firmly bound unto the
_______________________, as Owner, in the penal sum of ________________ for the payment
of which, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs,
executors, administrators, successors, and assigns.
WHEREAS, the Principal has submitted a bid for Bid No.
NOW, THEREFORE, if said Bid shall be rejected then this obligation shall be void, otherwise
the same shall remain in force and effect; it being expressly understood and agreed that the
liability of the surety for any and all claims hereunder shall, in no event, exceed the penal amount
of this obligation as herein stated.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety
and its bond shall be in no way impaired or affected by any extension of the time within which
the Owner may accept such bid; and said surety does hereby waive notice of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals,
and such of them as are corporations have caused their corporate seals to be signed by their
proper officers, the day and year set forth below.
Signed and Sealed this _____ day of ________, 20__.
________________
Principal
________________ ________________
Witness Title
________________
Surety
____________________ _________________
Witness Title
THIS SHEET MUST BE COMPLETED, ATTACHED TO ACTUAL BID BOND, AND
INCLUDED WITH YOUR BID. FAILURE TO DO SO MAY RESULT IN
DISQUALIFICATION.
20
CONSENT OF SURETY
A performance bond will be required from the successful bidder on this project, and
consequently, all bidders shall submit, with their bid, a certificate in substantially the
following form:
To:
(Owner)
Re:
(Contractor)
(Project Description)
This is to certify that the
(Surety Company)
will provide to a performance bond in the
(Contractor)
full amount of awarded contract in the event that said contractor is awarded a contract for
the above project.
(Authorized Agent of Surety Company)
CERTIFICATE OF SURETY MUST BE SIGNED BY AN AUTHORIZED AGENT
OR REPRESENTATIVE OF A SURETY COMPANY AND NOT BY THE
INDIVIDUAL OR COMPANY SUBMITTING THE BID.
THIS SHEET MUST BE COMPLETED AND INCLUDED WITH YOUR BID.
FAILURE TO DO SO WILL RESULT IN DISQUALIFICATION.
21
22
To be completed and signed below Return With Bid
Middletown Township Public Schools
Contractor/Vendor Questionnaire/Certification
Bid Number___________ Bid Date ______________________________
Name of Company ______________________________________________________________
Street Address _________________________________________________________________
City, State, Zip _________________________________________________________________
Business Phone Number (____)_______________________________________ Ext. _________
Emergency Phone Number (____)_____________________________________ Ext. _________
Fax (____)________________ 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 District/Indirect Interests
I declare and certify that no member of the Middletown Township 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 bid 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 this bid, etc., then please
attaché a letter of explanation to this document, duly singed by the president of the firm or company.
I certify that I am not an official or employee of the Middletown Township Board of Education.
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 Middletown Township Board of Education.
Vendor Contributions
I declare and certify that I fully understand N.J.A.C. 6A:23A-6.3(a1-4) concerning vendor contributions to school board members.
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
23
Middletown Township Public Schools
834 Leonardville Road, 2nd Floor
Leonardo, NJ 07737
BID DOCUMENT CHECKLIST
Required Read, Signed
by Owner & Submitted
X Contract Data Sheet __________
X Bid Proposal Form __________
X Receipt of Addenda Form __________
X Stockholder Disclosure Certification __________
X Non-Collusion Affidavit __________
X Affirmative Action Statement __________
X Americans with Disabilities Act of 1990 __________
X Bid Bond Attachment __________
Complete and attached to Bid Bond
X Consent of Surety Form __________
X Disclosure of Investment Activities in Iran __________
X Contractor/Vendor Questionnaire/Certification __________
X Business Registration Certificate __________
X Public Works Contractor Registration Certificate __________
X Notice of Prevailing Wage Statement __________