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Retaining Wall Design-Build Replacement at East Orange Campus High School Bid No. 2527 Acceptance: 2:00 p.m. on Wednesday April 15 th , 2015 East Orange School District 199 Fourth Avenue, East Orange, NJ 07017 4 th Floor Conference Room A NOTE: A post-award meeting will be scheduled between the East Orange School District and the awarded contractor at a date to be determined. Victor R. Demming Board Secretary/SBA Racquel C. Ferguson Acting Purchasing Agent
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Retaining Wall Design-Build Replacement at East Orange Campus High School

Bid No. 2527

Acceptance: 2:00 p.m. on Wednesday April 15th

, 2015 East Orange School District

199 Fourth Avenue, East Orange, NJ 07017 4

th Floor Conference Room A

NOTE: A post-award meeting will be scheduled between the East Orange School District and the awarded contractor at a date to be determined.

Victor R. Demming

Board Secretary/SBA

Racquel C. Ferguson

Acting Purchasing Agent

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EAST ORANGE SCHOOL DISTRICT “RRiissiinngg ttoo aa SSttaannddaarrdd ooff EExxcceelllleennccee”

Division of Business Services

Notice to Bidders

NOTICE IS HEREBY GIVEN that sealed bids will be received by the Board of Education of East Orange,

Essex County, New Jersey, for the following service:

Retaining Wall Design-Build Replacement at

East Orange Campus High School

Bid No. 2527

Bids for the above will be received by the Board of Education at the Office of Business Administration, 199 4th Avenue,

East Orange, New Jersey until 2:00 p.m. (prevailing time) on Wednesday, April 15, 2015 at which time they will be

publicly opened.

Bid documents and forms may be obtained from the Office of Business Administration, East Orange Board of Education

199 4th Avenue, East Orange, NJ, or by logging onto our website @ www.eastorange.k12.nj.us. Proposals must be

submitted on standard forms supplied by the Board of Education. All blank spaces must be filled in by typewriter or in

ink in a legible manner. Any and all changes (cross out, white out, or write over) must be initialed by the vendor. Bids

should be submitted in sealed envelopes, BEARING ON THE OUTSIDE THE NAME OF THE PROJECT. The

envelopes shall also bear the name and address of the bidder. If forwarded by mail, the sealed envelope containing the

bid, marked as heretofore directed, must be enclosed in another envelope properly addressed. All bids must be received

at the Office of Business Administration, 199 4th

Avenue, East Orange, NJ, 07017 prior to the opening date and time. No

responsibility shall be attached to any person or persons for the premature opening of any bid not properly endorsed.

Per Chapter 33, Laws of 1977, bidders must submit lists of names and addresses of stockholders or partners owning ten

percent (10%) or more of the corporation or partnership.

The East Orange Board of Education is an affirmative action employer and pursuant to the Federal and State

regulations (Executive Order I 1246 as amended and N.J.S.A 18:36-20) we must advise you of our intent to

negotiate business only with other affirmative action employers. All contractors and subcontractors with whom we

contract are obliged to take affirmative action to provide equal employment opportunity without regard to race,

creed, color, national origin, age or sex. Bidders are required to comply with the requirements of N.J.S.A. 10:5-31 et

seq. and N.J.A.C. 17:27-1 et seq.

The Board of Education reserves the right to reject any or all bids, and to waive informalities in the bid, if it is in their

interests to do so. No bids shall be withdrawn within thirty (30) calendar days after the actual opening thereof.

BY ORDER OF THE EAST ORANGE BOARD OF EDUCATION

Contact Person: Racquel C. Ferguson

Acting Purchasing Agent

973-266-5742

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“Rising to a Standard of Excellence” TTF

LIST OF BIDDING REQUIREMENT FORMS

GENERAL CONSTRUCTION

It is in the bidder’s best interest to complete and submit all required forms. Please

examine your documents carefully prior to submitting your bid. In the event that any

form is missing, please contact the Division of Business Services, Purchasing Department

of the East Orange Board of Education.

1. Affidavit of Non-Collusion

2. Affirmative Action Policy

3. Affirmative Action Affidavit

4. Mandatory Equal Employment Opportunity Language (Exhibit B)

5. Americans with Disabilities Act Verification

6. Statement of Stockholders or Partners

7. Information Showing Qualifications for Work

8. Business Registration Certificate-Effective September 2004 under P.L.

2004 c 57

9. State Department Letters of “Uncompleted Contracts” and in effect Notice

of Classification (To Be Supplied By Bidder)

10. State of New Jersey Department of Labor: “Public Works” Contractor

Registration Certificate (To Be Supplied By Bidder)

11. Certificate of Experience

12. Certificate of Surety (To Be Supplied By Bidder)

13. Equipment Certificate

14. Subcontractor’s Disclosure Statement

15. Disclosure of Investment Activities in Iran

16. Contractor’s Insurance Info/ Certificate – (Submitted by Bidder)

17. Accounts Payable Payment process (FYI)

18. Certification of payment of Prevailing Wages & Compliance with

Prevailing Wage Law

19. Affidavit of Non-Default

20. Procurement & Service Affirmative Action Agreement

21. Completion of Form AA 201 Initial Project Workforce Report

Construction (Instructions & Form)

22. Bidder’s Receipt of Addendum (if applicable)

23. Vendor’s Certification Form

24. Current Financial Statement (Submitted by Bidder)

Board Members Superintendent of Schools

Bergson Leneus, President Dr. Gloria C. Scott

Mustafa A. Brent, Vice President

Valerie Best

Hillary D. Curry Board Secretary/School Business Administrator

Cameron B. Jones, Sr. Mr. Victor R. Demming

Terry Swanson Tucker

Arthur L. Wright

EAST ORANGE SCHOOL DISTRICT

DIVISION OF BUSINESS SERVICES

199 Fourth Avenue

East Orange, New Jersey 07017-1026

Phone (862) 233-7300 Fax (973) 678-4987

www.eastorange.k12.nj.us

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Name (print):_______________________________________________

Signature: _________________________________________________

Company: __________________________________________________

Failure to complete and submit all of the above information may result in your bid being

nullified.

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NON-COLLUSION AFFIDAVIT State of New Jersey County of _________________ ss: I, _____________________________________________ residing in ___________________________________ (name of affiant) (name of municipality) in the County of ____________________________ and State of ___________________________of full age, being duly sworn according to law on my oath depose and say that: I am _________________________________________ of the firm of ___________________________ (title or position) (name of firm) _____________________________________ the bidder making this Proposal for the bid entitled ______________________________________, and that I executed the said proposal with (title of bid proposal) full authority to do so that said bidder has not, directly or indirectly entered into any agreement,

participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in

connection with the above named project; and that all statements contained in said proposal and in this

affidavit are true and correct, and made with full knowledge that the ______________________________

______________________________ relies upon the truth of the statements contained in said (name of contracting unit) proposal and in the statements contained in this affidavit in awarding the contract for the said project.

I further warrant that no person or selling agency has been employed or retained to solicit or secure such

contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent

fee, except bona fide employees or bona fide established commercial or selling agencies maintained by

_________________________________________________.

Subscribed and sworn to ________________________________________ before me this day Signature __________________________, 20___________ _________________________________________ (Type or print name of affiant under signature) ________________________________________ Notary public of My Commission expires __________________ (Seal)

“Rising to a Standard of Excellence”

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AFFIRMATIVE ACTION COMPLIANCE NOTICE N.J.S.A. 10:5-31 and N.J.A.C. 17:27

GOODS AND SERVICES CONTRACTS

(INCLUDING PROFESSIONAL SERVICES) This form is a summary of the successful bidder’s requirement to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27. The successful bidder shall submit to the public agency, after notification of award but prior to execution of this contract, one of the following three documents as forms of evidence:

(a) A photocopy of a valid letter that the contractor is operating under an existing

Federally approved or sanctioned affirmative action program (good for one year from the

date of the letter);

OR (b) A photocopy of a Certificate of Employee Information Report approval, issued in

accordance with N.J.A.C. 17:27-4;

OR (c) A photocopy of an Employee Information Report (Form AA302) provided by the

Division and distributed to the public agency to be completed by the contractor in

accordance with N.J.A.C. 17:27-4.

The successful vendor may obtain the Affirmative Action Employee Information Report (AA302) from the contracting unit during normal business hours.

The successful vendor(s) must submit the copies of the AA302 Report to the Division of Contract Compliance and Equal Employment Opportunity in Public Contracts (Division). The Public Agency copy is submitted to the public agency, and the vendor copy is retained by the vendor.

The undersigned vendor certifies that he/she is aware of the commitment to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27 and agrees to furnish the required forms of evidence. The undersigned vendor further understands that his/her bid shall be rejected as non-responsive if said contractor fails to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27. COMPANY: ________________________________________SIGNATURE: ____________________________ PRINT NAME: ________________________________________TITLE: ________________________________ DATE: ______________________

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Affirmative Action Policy EAST ORANGE SCHOOL DISTRICT

EAST ORANGE, NEW JERSEY

P.L. 1975 C. 127

AFFIRMATIVE ACTION POLICY – STATE OF NEW JERSEY

[X] Check the Appropriate Box [ ] Fifty [50] or more employees in the entire firm or corporation [ ] Less than fifty [50] employees in the entire firm or corporation [see next page]

FOR FIRMS OF FIFTY [50] OR MORE EMPLOYEES

Indicate on the applicable lines below whether you have met any criteria for compliance with the New Jersey Affirmative Action regulations. One of the following three must be checked: ____ A Federal Certificate of approval has been received. [Proof of this will be required at time of

award] ____ A New Jersey Affirmative Action Certificate of Approval has been received; the number is

_______________________ [Please enclose a copy] ____ Neither of the above. In this case, an Employee Information Report [Form AA302] must be

completed and returned to the East Orange Board of Education with seven [7] days after receipt of notification of intent to award contract or receipt of contract, whichever is sooner. The East Orange Board of Education will make the form available to you.

I certify that the above information is correct to the best of my knowledge: Firm Name: __________________________________________________________________________ Signature: ___________________________________________________________________________ Title: ________________________________________________________________________________ Date: ________________________________________________________________________________ Name of Bid: ________________________________________________________________________

FOR FIRMS OF LESS THAN FIFTY [50] EMPLOYEES

Vendors of less than fifty [50] employees are required to complete an affidavit of Affirmative Action. If during the term of the contract the firm’s workforce increases to fifty [50] or more employees, the East Orange Board of Education shall be notified. At this time, an Employee Information Report [Form AA302] must be completed and returned to the East Orange Board of Education.

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Affirmative Action Policy

AFFIRMATIVE ACTION AFFIDAVIT[to be completed by firms with less than fifty [50] employees]

STATE OF NEW JERSEY SS: COUNTY OF ESSEX I, ___________________________________________, of the ____________________________________ in the County of

____________________________________, State of __________________________________, of full age, be in duly sworn

according to law on my oath depose, and say that:

1. I am, [president, partner, owner] of the firm of _______________________________________ a bidder making a proposal upon the above named project.

2. ___________________________________ does not have fifty [50] employees or a more inclusive of

all officers and employees of every type.

3. I am familiar with the Affirmative Action requirements of P.L. 1975, c 127 and rules and regulations issued by the Treasurer, State of New Jersey, pursuant thereto.

4. ___________________________________ has complied with all the Affirmative Action

requirements of the State of New Jersey including those required by P.L. 1975, c 127 and the rules and regulations issued pursuant thereto, that no monies will be paid by the State of New Jersey, County of ________________________ of __________________________________, until an Affirmative Action plan is approved, I am also aware that the contract my be terminated and the _____________________________________________may be debarred from all public contracts, for a period of up to five [5] years.

5. In the event my workforce increases to fifty [50] employees, I must contact the Sate Affirmative

Action Office and complete an Employee Information Report. Sworn to and subscribed before _____________________________________________ Signature of Authorized Representative me this __________________day of _________ 20___________ __________________________________ Name & Title

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EXHIBIT B

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127)

N.J.A.C. 17:27

CONSTRUCTION CONTRACTS

During the performance of this contract, the contractor agrees as follows:

The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Such equal employment opportunity shall include, but not be limited to the following: employment, up‑grading, 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 placed by or on behalf of the contractor, state that all qualified applicants will

receive consideration for employment with- out regard to age, race, creed, color, national

origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression,

disability, nationality or sex.

The contractor or subcontractor will send to each labor union, with which it has a collective

bargaining agreement, a notice, to be provided by the agency contracting officer, advising the

labor union or workers' representative of the contractor's commitments under this act and shall

post copies of the notice in conspicuous places available to employees and applicants for

employment.

The contractor or subcontractor, where applicable, agrees to comply with any regulations

promulgated by the Treasurer, pursuant to N.J.S.A. 10:5-31 et seq., as amended and

supplemented from time to time and the Americans with Disabilities Act.

When hiring or scheduling workers in each construction trade, the contractor or subcontractor agrees to make good faith efforts to employ minority and women workers in each construction trade consistent with the targeted employment goal prescribed by N.J.A.C. l7:27‑7.2; provided, however, that the Division may, in its discretion, exempt a contractor or subcontractor from compliance with the good faith procedures prescribed by the following provisions, A, B and C, as long as the Division is satisfied that the contractor or subcontractor is employing workers provided by a union which provides evidence, in accordance with standards prescribed by the Division, that its percentage of active "card carrying" members who are minority and women workers is equal to or greater than the targeted employment goal established in accordance with N.J.A.C. l7:27‑7.2. The contractor or subcontractor agrees that a good faith effort shall include compliance with the following procedures:

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EXHIBIT B

(Cont.)

(A) If the contractor or subcontractor has a referral agreement or arrangement with a

union for a construction trade, the contractor or subcontractor shall, within three business days

of the contract award, seek assurances from the union that it will cooperate with the contractor

or subcontractor as it fulfills its affirmative action obligations under this contract and in

accordance with the rules promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et. seq.,

as supplemented and amended from time to time and the Americans with Disabilities Act. If

the contractor or subcontractor is unable to obtain said assurances from the construction trade

union at least five business days prior to the commencement of construction work, the

contractor or subcontractor agrees to afford equal employment opportunities minority and

women workers directly, consistent with this chapter. If the contractor's or subcontractor's

prior experience with a construction trade union, regardless of whether the union has provided

said assurances, indicates a significant possibility that the trade union will not refer sufficient

minority and women workers consistent with affording equal employment opportunities as

specified in this chapter, the contractor or subcontractor agrees to be prepared to provide such

opportunities to minority and women workers directly, consistent with this chapter, by

complying with the hiring or scheduling procedures prescribed under (B) below; and the

contractor or subcontractor further agrees to take said action immediately if it determines that

the union is not referring minority and women workers consistent with the equal employment

opportunity goals set forth in this chapter.

(B) If good faith efforts to meet targeted employment goals have not or cannot be met

for each construction trade by adhering to the procedures of (A) above, or if the contractor

does not have a referral agreement or arrangement with a union for a construction trade, the

contractor or subcontractor agrees to take the following actions:

(l) To notify the public agency compliance officer, the Division, and minority and women

referral organizations listed by the Division pursuant to N.J.A.C. 17:27-5.3, of its workforce

needs, and request referral of minority and women workers;

(2) To notify any minority and women workers who have been listed with it as awaiting

available vacancies;

(3) Prior to commencement of work, to request that the local construction trade union refer

minority and women workers to fill job openings, provided the contractor or subcontractor has

a referral agreement or arrangement with a union for the construction trade;

(4) To leave standing requests for additional referral to minority and women workers with the

local construction trade union, provided the contractor or subcontractor has a referral

agreement or arrangement with a union for the construction trade, the State Training and

Employment Service and other approved referral sources in the area;

(5) If it is necessary to lay off some of the workers in a given trade on the construction site,

layoffs shall be conducted in compliance with the equal employment opportunity and non-

discrimination standards set forth in this regulation, as well as with applicable Federal and

State court decisions;

(6) To adhere to the following procedure when minority and women workers apply or are referred to the contractor or subcontractor:

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EXHIBIT B

(Cont.)

(i) The contactor or subcontractor shall interview the referred minority or women worker.

(ii) If said individuals have never previously received any document or certification signifying

a level of qualification lower than that required in order to perform the work of the

construction trade, the contractor or subcontractor shall in good faith determine the

qualifications of such individuals. The contractor or subcontractor shall hire or schedule those

individuals who satisfy appropriate qualification standards in conformity with the equal

employment opportunity and non-discrimination principles set forth in this chapter. However, a

contractor or subcontractor shall determine that the individual at least possesses the requisite

skills, and experience recognized by a union, apprentice program or a referral agency, provided

the referral agency is acceptable to the Division. If necessary, the contractor or subcontractor

shall hire or schedule minority and women workers who qualify as trainees pursuant to these

rules. All of the requirements, however, are limited by the provisions of (C) below.

(iii) The name of any interested women or minority individual shall be maintained on a waiting

list, and shall be considered for employment as described in (i) above, whenever vacancies

occur. At the request of the Division, the contractor or subcontractor shall provide evidence of

its good faith efforts to employ women and minorities from the list to fill vacancies.

(iv) If, for any reason, said contractor or subcontractor determines that a minority individual

or a woman is not qualified or if the individual qualifies as an advanced trainee or

apprentice, the contractor or subcontractor shall inform the individual in writing of the

reasons for the determination, maintain a copy of the determination in its files, and send a

copy to the public agency compliance officer and to the Division.

(7) To keep a complete and accurate record of all requests made for the referral of workers in

any trade covered by the contract, on forms made available by the Division and submitted

promptly to the Division upon request.

(C) The contractor or subcontractor agrees that nothing contained in (B) above shall

preclude the contractor or subcontractor from complying with the union hiring hall or

apprenticeship policies in any applicable collective bargaining agreement or union hiring hall

arrangement, and, where required by custom or agreement, it shall send journeymen and

trainees to the union for referral, or to the apprenticeship program for admission, pursuant to

such agreement or arrangement. However, where the practices of a union or apprenticeship

program will result in the exclusion of minorities and women or the failure to refer minorities

and women consistent with the targeted county employment goal, the contractor or

subcontractor shall consider for employment persons referred pursuant to (B) above without

regard to such agreement or arrangement; provided further, however, that the contractor or

subcontractor shall not be required to employ women and minority advanced trainees and

trainees in numbers which result in the employment of advanced trainees and trainees as a

percentage of the total workforce for the construction trade, which percentage significantly

exceeds the apprentice to journey worker ratio specified in the applicable collective bargaining

agreement, or in the absence of a collective bargaining agreement, exceeds the ratio established

by practice in the area for said construction trade. Also, the contractor or subcontractor agrees

that, in implementing the procedures of (B) above, it shall, where applicable, employ minority

and women workers residing within the geographical jurisdiction of the union.

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EXHIBIT B

(Cont.)

After notification of award, but prior to signing a construction contract, the contractor shall

submit to the public agency compliance officer and the Division an initial project workforce

report (Form AA 201) electronically provided to the public agency by the Division, through its

website, for distribution to and completion by the contractor, in accordance with N.J.A.C.

17:27-7. The contractor also agrees to submit a copy of the Monthly Project Workforce Report

once a month thereafter for the duration of this contract to the Division and to the public agency

compliance officer.

The contractor agrees to cooperate with the public agency in the payment of budgeted funds, as is necessary, for on‑the‑job and/or off‑the‑job programs for outreach and training of minorities and women.

(D) The contractor and its subcontractors shall furnish such reports or other documents to

the Division of Public Contracts Equal Employment Opportunity Compliance as may be

requested by the Division from time to time in order to carry out the purposes of these

regulations, and public agencies shall furnish such information as may be requested by the

Division of Public Contracts Equal Employment Opportunity Compliance for conducting a

compliance investigation pursuant to Subchapter l0 of the Administrative Code (NJAC

17:27).

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AMERICANS WITH DISABILITIES ACT OF 1990 Equal Opportunity for Individuals with Disability

The contractor and the EAST ORANGE BOARD OF EDUCATION, (hereafter “owner”) do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U.S.C. S121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the owner pursuant to this contract, the contractor agrees that the performance shall be in strict compliance with the Act. In the event that the contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the owner in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the owner, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner’s grievance procedure, the contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense. The owner shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, If any action or administrative proceeding is brought against the owner or any of its agents, servants, and employees, the owner shall expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the owner or its representatives. It is expressly agreed and understood that any approval by the owner of the services provided by the contractor pursuant to this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the owner pursuant to this paragraph. It is further agreed and understood that the owner assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this 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.

SIGNATURE: _________________________________________ DATE: ________________________

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STOCKHOLDER DISCLOSURE CERTIFICATION This Statement Shall Be Included with Bid Submission

EAST ORANGE SCHOOL DISTRICT

� I certify that the list below contains the names and home addresses of all stockholders holding 10% or

more of the issued and outstanding stock of the undersigned. OR

� I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned.

Check the box that represents the type of business organization: �Partnership �Corporation �Sole Proprietorship �Limited Partnership �Limited Liability Corporation �Limited Liability Partnership �Subchapter S Corporation Sign and notarize the form below, and, if necessary, complete the stockholder list below. 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 _______ (Notary Public) My Commission expires:

_________________________________

(Affiant)

________________________________ (Print name & title of affiant)

(Corporate Seal)

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INFORMATION SHOWING QUALIFICATIONS FOR WORK The Bidder shall here furnish summary information relative to the ability and financial resources available for the fulfillment of the contract if such are awarded.

BIDDER’S QUALIFICATION: How many years has Bidder been engaged in the business under the present name? Been Organized? ______________________________________________________________________________________________________ Where Incorporated? ______________________________________________________________________________________________________ Financial Statement: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Credit available for this contract: ______________________________________________________________________________________________________ Contracts now in hand. (Gross Amount): _________________________________________________________________ Personnel Organization ______________________________________________________________________________________________________ Has Bidder ever refused to sign a Contract at the original bid? _______________________________________________ Has Bidder ever been adjudged a bankrupt or been subject to a receivership or an order of reorganization? If so, give details and particulars ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Is the business at this time subject to any court order relating to bankruptcy, receivership, liquidation or reorganization? ______________________________________________________________________________________________________ FINANCIAL RESOURCES: The information relative to the bidder’s financial resources can and may be obtained from the following: Name Business Address

Upon request, the Bidder will be expected to amplify the foregoing statements as necessary to satisfy the Board of Education concerning this ability to successfully perform the work in a satisfactory manner.

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“Rising to a Standard of Excellence”

BUSINESS REGISTRATION CERTIFICATE

All businesses must obtain a Business Registration Certificate (BRC) from the Department of the Treasury, Division of Revenue prior to conducting business in the State of New Jersey. Pursuant to NJSA 52:32-44, vendors providing goods or services to the State of New Jersey must be registered with the NJ Dept. of the Treasury, Division of Revenue, Effective September 1, 2004, pursuant to an amendment to NJSA 52:32-44, State and Local entities (including the Division of Purchase and Property) are prohibited from entering into a contract with an entity unless the contractor has provided a copy of this business registration certificate (or interim registration) as part of its bid submission. As mandated by this bill, failure to submit a copy of the Business Registration Certificate within the bid proposal will be cause for rejection of the bid proposal. This statute also makes contract vendors responsible for the business registration for subcontractors. Specifically, the law prohibits contractors from entering into a contract with a subcontractor who has not provided the contractor a copy of its business registration certificate. In addition, the law requires contractors to submit this registration certificate. In addition, the law requires contractors to submit these registration forms to the public body for filing along with the other procurement documents related to the contract. The contractor and any subcontractor providing goods or performing services under the contract, and each of their affiliates, shall, during the term of the contract, collect and remit to the Director of the Division of Taxation the Department of the Treasury the use tax due pursuant to the Sales and Use Tax Act, P.L. 1966, c.30 (N.J.S.A. 54-32-B-1 et seq.) on all their sales of tangible personal property delivered into the State. This requirement shall apply to all contracts awarded on and after September 1, 2004. Any questions in this regard can be directed to the Division of Revenue at (609) 292-1730 or register with the Division of Revenue at the following web site:

http://www.state.nj.us/treasury/purchase/busreg.htm.

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“Rising to a Standard of Excellence”

CERTIFICATE OF EXPERIENCE

_____________________________________ hereby certifies that ___________________________ has performed the following work within the last five [5] years:

NAME OF AMOUNT OF TYPE OF ADDRESS OWNER CONTRACT WORK OF OWNER [1] [2] [3] [4]

NAME OF BIDDER ________________________________________________________________ SIGNED BY ______________________________ TITLE________ __________________________ In compliance with N.J.S.A. 18A:12-1-25 et seq., bidders must be properly classified by the Department

of Treasury. No bids will be accepted from persons not qualified in accordance with such classification requirements.

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EQUIPMENT CERTIFICATION

Retaining Wall Design-Build Replacement at EOCHS Re: Bid Proposal for the East Orange Board of Education. Bid No. 2527 Bid Date: Wednesday, April 15, 2015 In accordance with N.J.S.A. 18A:18A-23, I hereby certify that A) (Name of Company) owns all the necessary

equipment

as required by the specifications and to complete the specified public work project.

or

B) (Name of Company) leases or controls all the necessary

equipment as required by the specifications and to complete the specified public work

project.

PLEASE NOTE: If your company is not the actual owner of the equipment, you shall submit with the bid

1. A certificate stating the source from which the equipment will be obtained and

2. Obtain and submit with the bid a certificate from the owner and person in control of

the equipment, definitely granting to the bidder the control of the equipment required during such time it may be necessary for the completion of that portion of the contract for which said equipment will be necessary.

Name of Company

Address

City, State, Zip Authorized Agent Title

SIGNATURE OF AUTHORIZED AGENT

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Subcontractor’s Disclosure Statement

(Complete for each trade if/where applicable)

Retaining Wall Design-Build Replacement at EOCHS

Bid No. 2527 Bid Date Wednesday April 15, 2015 The (Name of Bidding

Company)

Please Check One! __________ will sub-contract a portion of this project.

__________ will not sub-contract any portion of this project. Authorized Agent ____________________________Title

Signature of Bidder __________________________Date________________________ If the bidder is not going to subcontract any portion of this project, the bidder need not complete any further part of this document.

If the bidder will subcontract any of the following:

Plumbing/gas fitting work; Electrical work, tele-data, fire alarm or security systems

Refrigeration/heating/ventilating systems & equipment Structural steel/ornamental iron work

the bidder must do the following:

Identify the contract number and type of work he intends to subcontract; Provide the name, address and other pertinent information about the subcontractor;* If the cost of the work by the subcontractor shall exceed the amounts listed below,

the bidder shall provide in the bid package submission the following documents:

SUBCONTRACTOR DOCUMENT SUBMISSIONS

Estimated Value of Contract – Subcontractor

For Subcontractors in the four major branches listed above

For all other Subcontractors

Submit With Bid Submit Within ten (10 Days of Receipt of Notice of Award

$2,000 through $5,399 Contractor’s Registration Certificate

$5,400 through $17,499 Contractor’s Registration Certificate New Jersey Business Registration Certificate

$17,500 through $19,999 Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form

$20,000 or more Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form Notice of Classification Total Amount of Uncompleted Contracts -- Certified

Please list subcontractor(s) on the following pages.

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Bidders may make extra copies of the following pages.

* Failure to identify the names and addresses of any subcontractors required to be named in the bid, or to submit the appropriate documents for each such subcontractor, may be cause for the bid to be rejected as being non-responsive.

(Form continued on next page)

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Subcontractor’s Disclosure Statement (Continued

Retaining Wall Design-Build Replacement at EOCHS

Bid No. 2527 Bid Date Wednesday April 15, 2015

1. Sub-Contractor for PLUMBING AND GAS FITTING WORK

Name of Subcontracting Company

Address

City, State, Zip

Telephone Fax

E-Mail FEIN No: Authorized Agent Title

Will the cost of sub-contract exceed $20,000.00?

_____ Yes Estimated Value of Contract $

_____ No Estimated Value of Contract $ If checked yes, the sub-contractor must be pre-qualified to perform the work. The bidder must provide in the bid package the following:

The subcontractor’s Notice of Classification;

The subcontractor’s Total Amount of Uncompleted Contracts; and

Other documents that are required:

SUBCONTRACTOR DOCUMENT SUBMISSIONS

Estimated Value of Contract – Subcontractor

For Subcontractors in the four major branches listed above

For all other Subcontractors

Submit With Bid Submit Within ten (10 Days of Receipt of Notice of Award

$2,000 through $5,399 Contractor’s Registration Certificate

$5,400 through $17,499 Contractor’s Registration Certificate New Jersey Business Registration Certificate

$17,500 through $19,999 Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form

$20,000 or more Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form Notice of Classification Total Amount of Uncompleted Contracts -- Certified

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Certification of Equipment

The hereby certifies the above named Name of Bidding Company

subcontractor has the personnel, equipment, experience, financial and sufficient means to complete their portion of the contract in full accordance with the bid specifications.

_______________________________

________________________________

Authorized Agent (Print) -- Bidder Signature of Authorized Agent—

Bidder

(form continued on next page)

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Subcontractor’s Disclosure Statement (Continued) Retaining Wall Design-Build Replacement at EOCHS

Bid No. 2527 Bid Date Wednesday, April 15, 2015

2. Sub-Contractor for REFRIGERATION, HEATING & VENTILATING SYSTEMS AND EQUIPMENT

Name of Subcontracting Company

Address

City, State, Zip

Telephone Fax

E-Mail FEIN No: Authorized Agent Title

Will the cost of sub-contract exceed $20,000.00?

_____ Yes Estimated Value of Contract $

_____ No Estimated Value of Contract $ If checked yes, the sub-contractor must be pre-qualified to perform the work. The bidder must provide in the bid package the following:

The subcontractor’s Notice of Classification;

The subcontractor’s Total Amount of Uncompleted Contracts; and

Other documents that are required:

SUBCONTRACTOR DOCUMENT SUBMISSIONS

Estimated Value of Contract – Subcontractor

For Subcontractors in the four major branches listed above

For all other Subcontractors

Submit With Bid Submit Within ten (10 Days of Receipt of Notice of Award

$2,000 through $5,399 Contractor’s Registration Certificate

$5,400 through $17,499 Contractor’s Registration Certificate New Jersey Business Registration Certificate

$17,500 through $19,999 Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form

$20,000 or more Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form Notice of Classification Total Amount of Uncompleted Contracts -- Certified

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Certification of Equipment

The hereby certifies the above named Name of Bidding Company

subcontractor has the personnel, equipment, experience, financial and sufficient means to complete their portion of the contract in full accordance with the bid specifications.

_______________________________

________________________________

Authorized Agent (Print) -- Bidder Signature of Authorized Agent—

Bidder

(form continued on next page)

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Subcontractor’s Disclosure Statement (Continued)

Retaining Wall Design Build Replacement at EOCHS

Bid No. 2527 Bid Date Wednesday, April 15, 2015

3. Sub-Contractor for ELECTRICAL WORK; TELE-DATA, FIRE ALARM OR SECURITY SYSTEMS

Name of Subcontracting Company

Address

City, State, Zip

Telephone Fax

E-Mail FEIN No: Authorized Agent Title

Will the cost of sub-contract exceed $20,000.00?

_____ Yes Estimated Value of Contract $

_____ No Estimated Value of Contract $ If checked yes, the sub-contractor must be pre-qualified to perform the work. The bidder must provide in the bid package the following:

The subcontractor’s Notice of Classification;

The subcontractor’s Total Amount of Uncompleted Contracts; and

Other documents that are required:

SUBCONTRACTOR DOCUMENT SUBMISSIONS

Estimated Value of Contract – Subcontractor

For Subcontractors in the four major branches listed above

For all other Subcontractors

Submit With Bid Submit Within ten (10 Days of Receipt of Notice of Award

$2,000 through $5,399 Contractor’s Registration Certificate

$5,400 through $17,499 Contractor’s Registration Certificate New Jersey Business Registration Certificate

$17,500 through $19,999 Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form

$20,000 or more Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form Notice of Classification Total Amount of Uncompleted Contracts -- Certified

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Certification of Equipment

The hereby certifies the above named Name of Bidding Company

subcontractor has the personnel, equipment, experience, financial and sufficient means to complete their portion of the contract in full accordance with the bid specifications.

_______________________________

________________________________

Authorized Agent (Print) -- Bidder Signature of Authorized Agent—

Bidder

(form continued on next page)

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Subcontractor’s Disclosure Statement (Continued)

Retaining Wall Design-Build Replacement at EOCHS

Bid No. 2527 Bid Date: Wednesday, April 15, 2015

4. Sub-Contractor for STRUCTURAL STEEL & IRON WORK

Name of Subcontracting Company

Address

City, State, Zip

Telephone Fax

E-Mail FEIN No: Authorized Agent Title

Will the cost of sub-contract exceed $20,000.00?

_____ Yes Estimated Value of Contract $

_____ No Estimated Value of Contract $

If checked yes, the sub-contractor must be pre-qualified to perform the work. The bidder must provide in the bid package the following:

The subcontractor’s Notice of Classification;

The subcontractor’s Total Amount of Uncompleted Contracts; and

Other documents that are required:

SUBCONTRACTOR DOCUMENT SUBMISSIONS

Estimated Value of Contract – Subcontractor

For Subcontractors in the four major branches listed above

For all other Subcontractors

Submit With Bid Submit Within ten (10 Days of Receipt of Notice of Award

$2,000 through $5,399 Contractor’s Registration Certificate

$5,400 through $17,499 Contractor’s Registration Certificate New Jersey Business Registration Certificate

$17,500 through $19,999 Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form

$20,000 or more Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form Notice of Classification Total Amount of Uncompleted Contracts -- Certified

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Certification of Equipment

The hereby certifies the above named Name of Bidding Company

subcontractor has the personnel, equipment, experience, financial and sufficient means to complete their portion of the contract in full accordance with the bid specifications.

_______________________________

________________________________

Authorized Agent (Print) -- Bidder Signature of Authorized Agent—

Bidder

(form continued on next page)

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Subcontractor’s Disclosure Statement

Other Trades Retaining Wall Design-Build Replacement at EOCHS

Bid No. 2527 Bid Date Wednesday, April 15, 2015

5. Name of Trade/Type of Work

Name of Subcontracting Company

Address

City, State, Zip

Telephone Fax

E-Mail FEIN No: Authorized Agent Title

Will the cost of sub-contract exceed $20,000.00?

_____ Yes Estimated Value of Contract $

_____ No Estimated Value of Contract $ If checked yes, the sub-contractor must be pre-qualified to perform the work. The bidder must provide in the bid package the following:

The subcontractor’s Notice of Classification;

The subcontractor’s Total Amount of Uncompleted Contracts; and

Other documents that are required:

SUBCONTRACTOR DOCUMENT SUBMISSIONS

Estimated Value of Contract – Subcontractor

For Subcontractors in the four major branches listed above

For all other Subcontractors

Submit With Bid Submit Within ten (10 Days of Receipt of Notice of Award

$2,000 through $5,399 Contractor’s Registration Certificate

$5,400 through $17,499 Contractor’s Registration Certificate New Jersey Business Registration Certificate

$17,500 through $19,999 Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form

$20,000 or more Contractor’s Registration Certificate New Jersey Business Registration Certificate Chapter 271 Political Contribution Disclosure Form Notice of Classification Total Amount of Uncompleted Contracts -- Certified

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Certification of Equipment

The hereby certifies the above named Name of Bidding Company

subcontractor has the personnel, equipment, experience, financial and sufficient means to complete their portion of the contract in full accordance with the bid specifications.

_______________________________

________________________________

Authorized Agent (Print) -- Bidder Signature of Authorized Agent—

Bidder

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East Orange Board of Education STATE OF NEW JERSEY – DIVISION OF PURCHASE AND PROPERTY

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN

Quote Number: _________________ Bidder/Offeror: _______________

PART 1: CERTIFICATION BIDDERS MUST COMPLETE PART 1 BY CHECKING EITHER BOX

FAILURE TO CHECK ONE OF THE BOXES WILL RENDER THE PROPOSAL NON-RESPONSIVE Pursuant to public Law 2012, c. 25, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must complete the certification below to attest, under penalty of perjury, that neither the person or entity, nor any of its parents, subsidiaries, or affiliates, is identified on the Department of Treasury’s Chapter 25 list as a person or entity engaging in investment activities in Iran. The Chapter 25 list is found on the Division’s website at http://www.state.nj.us/treasury/purchase/pdf/Chapter25Listpdf. Bidders must review this list prior to completing the below certification. Failure to complete the certification will render a bidder’s proposal non-responsive. If the Director finds a person or entity to be in violation of law, s/he shall take action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party. PLEASE CHECK THE APPROPRIATE BOX: I certify, pursuant to Public Law 2012, c. 25, that neither the bidder listed above nor any of the bidder’s parents,

prohibited activities in Iran pursuant to P.L. 2012, c. 25 (“Chapter 25 List”). I further certify that I am the person listed above, or I am an officer or representative of the entity listed above and authorized to make this certification on its behalf. I will skip Part 2 and sign and complete the Certification below.

OR I am unable to certify as above because the bidder and/or one or more of its parents, subsidiaries, or affiliates is

listed on the Department’s Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in Part 2 below and sign and complete the Certification below. Failure to provide such will result in the proposal being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law.

PART 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN –

You must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the box below.

PLEASE PROVIDE THOROUGH ANSWERS TO EACH QUESTION.

Name: _____________________________________ Relationship to Bidder/Offeror ______________________________ Description of Activities _______________________________________________________________________________ __________________________________________________________________________________________________ Duration of Engagement ___________________________ Anticipated Cessation Date ____________________________ Bidder/Offeror Contact Name _______________________ Contact Phone Number _______________________________

Certification: I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the above-referenced person or entity. I acknowledge that the State of New Jersey is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the State to notify the State in writing of any changes to the answers of information contained herein. I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with the State of New Jersey and the State at its option may declare any contract(s) resulting from this certification void and unenforceable.

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Full Name (Print):___________________________________ Signature __________________________________________ Title: _____________________________________________ Date: _____________________________________________ Name of Company: __________________________________ City/State/Zip: ______________________________________

DDP Standard Forms Packet (11/2013)

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“Rising to a Standard of Excellence”

EAST ORANGE SCHOOL DISTRICT CONTRACTOR'S INSURANCE: Contractor's Liability Insurance: The Contractor shall maintain such insurance as will protect said contractor from claims under Workmen’s Compensation Acts and from any other claims for property damage, which may arise from operations under this Contract, whether such operations be by the Contractor, or by any Subcontractor or anyone directly or indirectly employed by either of them, or against any special hazards which may be encountered in the performance of this contract. The Contractor shall procure and maintain, during the life of this Contract: a) Adequate Workmen's Compensation Insurance and Employer’s Liability Insurance for all laborers

employed under this Contract who may come within the protection of Workmen's Compensation as required by the laws of the State of New Jersey and shall provide Employer's Liability Insurance for the benefit of said Contractor's employees not protected under such compensation laws. Employer's Liability Insurance shall be in an amount of not less than $100,000.

b) 1. Contractor's Public Liability Insurance written under a Comprehensive General Liability Policy, in an amount not less than $3,000,000 for injuries including death, to any person and subject to the same limits per person in an amount not less than $3,000,000 on account of one (1) accident and property damage liability in an amount not less than $300,000 on account of one (1) accident. Such insurance shall include the following. (a) Contractor's Protective and (b) Elevators and Hoists (c) Broad Form Property Damage Endorsement. 2. Contractors Automobile Public Liability Insurance written under a Comprehensive Automobile Liability Policy, in an amount not less than $3,000,000 for injuries, including death, to any person and subject to the same limits of one (1) accident, and property damage liability in an amount not less than $300,000 on account of one (1) accident.

Such insurance shall include the following: All automobiles owned, operated, non-owned, hired, and rented.

c) Contractual Liability Insurance to include the following: "The Contractor shall also protect, defend, save

harmless, and indemnify the Owner, the Owner's employees, Owner's Consultant and the public from any and all claims, loss, demands, damage, liability or expense incurred or claimed by reason of any act or omission of the Contractor, the Contractor's agents, servants, and employees, including subcontractors, or anyone employed directly or indirectly by the Contractor or any of them”.

Such insurance shall be in an amount not less than those required sub-paragraphs (b) 1 and (b) 2 hereof.

d) The Contractor shall provide an “All Risk Builders Risk Policy in the name of the Contractor and Owner as

their respective interest may appear, for an amount equal to the contract cost for the duration of the contract.

e) The Contract shall require each subcontractor to procure and maintain during the life of the subcontract, the same kinds and amounts of insurance as the Contractor is required to have under sub-paragraphs (1), (b) 1, (b) 2 (c) and (d) hereof, and (f), (g), and (i), if subcontractors may perform such work under the subcontract.

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“Rising to a Standard of Excellence”

Page 2

f) Should blasting be required in connection with this Contract, a special policy or rider, to the Contractor’s Contract, a special policy or rider, to the Contractor’s Public Liability Insurance Policy shall be provided by the Contractor covering Public Liability and Property Damage Liability for Blasting in an amount not less than $300,000 for injuries, including death, to any person and subject to the same limits per person in an amount not less than $500,000 on account of one (1) accident and property damage liability in an amount not less than $300,000 on account of one (1) accident. The Contractor shall notify the Owner that blasting is to be done, but blasting shall not be done until the Owner raises the amount of their insurance and so notifies the Contractor.

g) Should demolition be required in connection with this Contract, a special policy or rider, to the Contractor’s Public Liability Insurance Policy shall be provided by the Contractor, covering Public Liability and Property Damage Liability for demolition in an amount not less than $300,000 for injuries, including death, to any person and subject to the same limits per person, in an amount not less than $500,000 on account of one (1) accident and property damage liability in an amount not less than $300,000 on account of one (1) accident.

h) Should excavation or any underground work be required in connection with Contract, a special policy or rider to the

Contractor's Public Liability Insurance Policy shall be provided by the Contractor covering Public Liability and Property Damage Liability for any and all hazards which may be encountered in such underground work, including excavation, underpinning and shoring, in an amount not less than $500,000 on account of one (1) accident and Property Damage Liability in an amount not less than $300,000 on account of (1) accident.

i) Proof of Carriage of Insurance: The Contractor shall furnish through the Owner, three (3) copies of Certificates of Insurance, within one week from the effective date of the Contract, evidencing in particular, those insured to the extent of the insurance, amount, and locations and the operations to which the insurance applies, effective dates and dates of expiration. Such Certificates shall also contain substantially the following statement:

"This is to certify that policies (including endorsements) or insurance is described above, have been issued by the undersigned to named insured above and are in force at this time. If canceled or changed in any manner for any reason during the period of coverage as stated herein, so as to effect this Certificate, ten (10) days prior written notice will be given by this Insurance Company to: East Orange Board of Education, 715 Park Avenue, East Orange, New Jersey 07017.” OWNER'S LIABILITY INSURANCE: The Owner shall be responsible for and at their option may maintain such insurance as will protect them from their contingent liability for damages for personal injury including death, which may arise from operations under this contract. FIRE INSURANCE: The Owner, during the Progress of the Work, shall maintain a Standard Fire and Extended Coverage Insurance, on the completed building and include the Contractor as a named insured. The Owner and the Contractor shall be named as their respective interests may appear and in such amount as shall fully protect the interests of the Owner and Contractor.

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“Rising to a Standard of Excellence”

EAST ORANGE SCHOOL DISTRICT

 MEMORANDUM

TO: ALL POTENTIAL VENDORS FROM: Victor R. Demming Board Secretary/School Business Administrator SUBJECT: Accounts Payable Process The following events must take place prior to any general fund cash disbursements:

A. Requisition prepared and submitted to the Division of Business Services with all required signatures affixed. (original signatures only)

B. Purchase Order must be issued prior to the performance of any services. C. Requestor must have funds available and be in accordance with GAAP.

D. Vendor’s declaration must be received by the Division of Business Services directly from the vendor.

E. After the goods or services have been received or rendered, the receiving copy must be signed properly

and received by the Division of Business Services.

F. The Division of Business Services must receive original vendor’s invoice. In order to have a requested payment on the bill list for Board approval, items A through E must be completed properly prior to the second Friday before a Board Meeting. (Example: For a Board Meeting on September 22, the Division of Business Services would have had to have items A through E the morning of September 11.) This process should be explained to all parties who may have an interest in when their payment can be expected. This process is in accordance with Title 18A. Thank you for your cooperation.

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CERTIFICATION OF PAYMENT OF PREVAILING WAGES AND COMPLIANCE WITH PREVAILING WAGE LAW

STATE OF ) ) SS COUNTY OF ) _____________________________________, of full age, being sworn under his oath deposes and says: I am the _____________________________________________________________________________________ Title of Officer – Owner or Partner of __________________________________________________________________________________________

This is to certify that all persons employed or to be employed by the undersigned shall be paid full weekly wages earned, less permissible deductions for income taxes, social security, etc., and that no rebates will be made either directly or indirectly to the undersigned from the full weekly wages earned by any person in its employ. The undersigned further agree that all employees will be paid in accordance with The New Jersey Prevailing Wage Act, N.J.S.A. 34:11-56.25 et seq. The undersigned further agrees that pursuant to N.J.A.C. 12:60-2.1 and 6.1-Payroll Certification shall be submitted to the EOBOE and that wage rates to be submitted in the certified payroll for the classification of the respective tradesmen, mechanics and laborers for the work defined under the contract shall conform to the work performed. I make this statement under oath knowing the contents thereof and that the same are true and will be relied upon by the East Orange Board of Education in connection with the disbursement of the final payment for the above described work. AUTHORIZED SIGNATURE____________________________________________ DATE: ___________________________________

Sworn and subscribed to before me this __________day of ____________________, 20______. _______________________________________ (Seal) Notary Public of New Jersey My Commission expires ___________________

“Rising to a Standard of Excellence”

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AFFIDAVIT OF NON-DEFAULT STATE OF :

: COUNTY OF : The undersigned, being duly sworn according to law, deposes and says that, as the party making the foregoing Proposal; I certify as follows: 1. That all the statements made by me are true, complete and correct to the best of my knowledge

and belief and are made in good faith. 2. That I have not experienced defaults or noncompliance under any contract for the State of New

Jersey or any other governmental agency with, which I have contracts. 3. There has not been a suspension or termination of payments under any State of New Jersey or

any other governmental contract in which I have had a legal or beneficial interest attributable to my fault or negligence.

4. I have not been suspended, debarred or otherwise restricted by the State of New Jersey or any

other governmental agency from doing business with the State of New Jersey or any other agency of the State.

5. I have not defaulted on an obligation covered by a bond and have not been the subject of a claim

under any fidelity bond.

__________________________________ COMPANY NAME

__________________________________

OFFICIAL TITLE

__________________________________ AUTHORIZED SIGNATURE

Subscribed and sworn to before me this _________ day of __________________, 20_______ (Seal) Notary Public of New Jersey My Commission expires ___________________

“Rising to a Standard of Excellence”

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PROCUREMENT AND SERVICE AFFIMATIVE ACTION AGREEMENT

During the performance of this contract, the contractor agrees as follows:

a. The Contractor or subcontractor, where applicable, will not discriminate against an employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, 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, sex, affectional or sexual orientation. Such action shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; 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 non-discrimination clause;

b. The Contractor or subcontractor, where applicable, will in all solicitations or advertisements for

employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation;

c. The Contractor or subcontractor, where applicable, will send to each labor union or representative of

workers with which it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the Public Agency Compliance Officer advising the labor union or workers’ representative of the contractor’s commitments under this act and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

d. The Contractor or subcontractor, where applicable, agrees to comply with any regulations

promulgated by the Treasurer pursuant to P.L. 1975, c. 127, as amended and supplemented from time to time, and the Americans with Disabilities Act.

e. When hiring workers in each construction trade, the Contractor or subcontractor agrees to attempt in

good faith to employ minority and female workers in each construction trade consistent with the applicable county employment goals prescribed by N.J.A.C. 17:27-5.2, promulgates 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.

f. The Contractor or subcontractor agrees to inform in writing all recruitment agencies, 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, sex, affectional or sexual orientation and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.

“Rising to a Standard of Excellence”

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PROCUREMENT AND SERVICE AFFIMATIVE ACTION AGREEMENT

(continued)

g. “The Contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conform 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.”

h. 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, martial status, sex, affectional or sexual orientation, and conform with the applicable employment goals, consistent with the statutes and court decisions of the State of New Jersey and applicable federal law and applicable federal court decisions.

__________________________________ Name of Company Officer

__________________________________

Signature of Company Officer

__________________________________ Title

__________________________________

Name of Co. EEO Representative

__________________________________ Signature of Co. EEO Representative

Date _____________________

“Rising to a Standard of Excellence”

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INSTRUCTIONS FOR COMPLETING THE INITIAL PROJECT WORKFORCE REPORT – CONSTRUCTION (AA201)

DO NOT COMPLETE THIS FORM FOR GOODS AND/OR SERVICE CONTRACTS

1. Enter the Federal Identification Number assigned to the contractor by the Internal Revenue Service, or if a Federal Employer Identification Number has been applied for but not yet issued, or if your business is such that you have not or will not receive a Federal Identification Number, enter the social security number assigned to the single owner or one partner, in the case of a partnership. 2. Note: The Division of Public Contracts EEO Compliance will assign a contractor ID

number to your company. This number will be your permanently assigned contractor ID number that must be on all correspondence and reports submitted to this office.

3. Enter the prime contractor’s name, address and zip code number. 4. Check box if Company is Minority Owned or Woman Owned 5. Enter the complete name and address of the Public Agency awarding the contract.

Include the contract number, date of award and dollar amount of the contract.

6. Enter the name and address of the project, including the county in which the project is located.

7. Note: A project contract ID number will be assigned to your firm upon receipt of the completed

Initial Project Workforce Report (AA201) for this contract. This number must be indicated on all correspondence and reports submitted to this office relating to this

contract. 8. Check “Yes” or “No” to indicate whether a Project Labor Agreement (PLA) was established with the labor organization(s) for this project.

9. Under the Projected Total Number of Employees in each trade or craft and at each level of classification, enter the total composite workforce of the prime contractor and all subcontractors projected to work on the project. Under Projected Employees enter total minority and female employees of the prime contractor and all subcontractors projected to work on the project. Minority employees include Black, Hispanic, American Indian and Asian, (J=Journeyworker, AP=Apprentice). Include projected phase-in and completion dates. 10. Print or type the name of the company official or authorized Equal Employment Opportunity (EEO) official include signature and title, phone number and date the report is submitted.

This report must be submitted to the Public Agency that awards the contract and the Division of Public Contracts Equal Employment Opportunity Compliance after notification of award, but prior signing the contract.

THE CONTRACTOR IS TO RETAIN A COPY AND SUBMIT COPY TO THE PUBLIC AGENCY

AWARDING THE CONTRACT AND FORWARD A COPY TO:

NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF PUBLIC CONTRACTS EQUAL EMPLOYMENT OPPORTUNITY

COMPLIANCE P.O. BOX 209

TRENTON, NJ 08625-0209 (609) 292-9550

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THE BIDDER ACKNOWLEDGES RECEIPT OF THE FOLLOWING ADDENDA: Addendum No. ___________ Dated _____________ Addendum No. ___________ Dated _____________ Addendum No. ___________ Dated _____________ The Bidder understands that the Owner reserves the right to reject this bid but that this bid shall remain open and shall not be withdrawn for a period of sixty (60) calendar days after the date prescribed for its opening. If written notice to the acceptance of this bid is mailed, telegraphed, or delivered to the undersigned within thirty (30) days after the date of opening of bids, the undersigned will, within eight (8) days after the date of such mailing, telegraphing, or delivering of such notice execute a Contract. The undersigned hereby designates as his office to which such notice of acceptance may be mailed, telegraphed, or delivered. ______________________________________________________________________________________ This bid may be withdrawn at any time prior to the schedule date for opening of bids or any authorized postponement thereof.

_____________________________________ Name of Bidder

_____________________________________

Signature

_____________________________________ Title

_____________________________________

Address

_____________________________________ Telephone Number

Sworn and subscribed to before me this _____day of ________________, 20______. _______________________________________ (Seal) Notary Public of New Jersey My Commission expires ___________________

“Rising to a Standard of Excellence”

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VENDOR CERTIFICATION FORM A guaranty is accompanying this bid in the amount of 10% of the total bid not in excess of twenty

thousand dollars ($20,000.00) and is in the form of one of the following options: a Certified Check, a Cashier’s

Check or a Bid Bond from a reputable Insurance Company which the undersigned agrees is to be forfeited a

liquidated damages and not as a penalty, if the contract is awarded to the undersigned and the undersigned shall

fail to execute the contract for the project or to furnish the bond(s) or any other required documents in a timely

manner.

The undersigned is a (check one) sole proprietorship ( ), partnership ( ), corporation ( ) or joint venture

( ) under the laws of the State of ______________________________ having principal offices at

__________________________________________________________________________________________

CONTRACTOR:

BY:________________________

TITLE:________________________

ADDRESS:________________________

DATE:________________________

“Rising to a Standard of Excellence”

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RETAINING WALL REPLACEMENT PROJECTAT

EAST ORANGE CAMPUS HIGH SCHOOLCITY OF EAST ORANGE

ESSEX COUNTY, NEW JERSEY

GEC PROJECT #: EOBE-01

BASE BID BREAKDOWN

ITEM # ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE (ENGINEER)

TOTAL (ENGINEER

1 FINAL ENGINEER DESIGN FOR RETAINING WALL (SEE NOTES 2 AND 3)

1.00 LS -

2 PERMITS (SEE NOTE 3) 1.00 LS - 3 MOBILIZATION (SEE NOTE 1) 1.00 LS - 4 WALL A - DEMOLITION (INCLUDING SIDEWALK & RAILING) 1.00 LS - 6 WALL A - REMOVE & REINSTALL RAILING (INCLUDING WELD TO

EXIST SECTION WITH TOUCHUP AT THAT AREA)95.00 LF -

7 WALL A - FURNISH & INSTALL NEW RETAINING (SECTION 1) 110.00 LF - 8 WALL A - FURNISH & INSTALL NEW 6" NJDOT CLASS B SIDEWALK

(W/6X6X10/10 W.W.F.)1,090.00 SF -

9 WALL A - SITE RESTORATION AND LANDSCAPING 1.00 LS - 10 WALL B - DEMOLITION (INCLUDING SIDEWALK & RAILING) 1.00 LS - 11 WALL B - REMOVE & REINSTALL RAILING (INCLUDING WELD TO

EXIST SECTION WITH TOUCHUP AT THAT AREA)95.00 LF -

12 WALL B - FURNISH & INSTALL NEW RETAINING (SECTION 1) 110.00 LF - 13 WALL B - FURNISH & INSTALL NEW 6" NJDOT CLASS B SIDEWALK

(W/6X6X10/10 W.W.F.)1,100.00 SF -

14 WALL B - SITE RESTORATION AND LANDSCAPING 1.00 LS - TOTAL ESTIMATE (W/REINFORCED CMU WALL) -

ALTERNATE AITEM # ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE

(ENGINEER)TOTAL

(ENGINEER A-1 WALL A - REPLACE ITEM 7 OF BASE BID WITH ANCHOR BLOCK

(DIAMOND RETAINING WALL - STRAIGHT FACE [COLOR BY OWNER]) - SEE NOTE 4

100.00 LF -

A-2 WALL B - REPLACE ITEM 12 OF BASE BID WITH ANCHOR BLOCK (DIAMOND RETAINING WALL - STRAIGHT FACE [COLOR BY OWNER]) - SEE NOTE 4

100.00 LF -

TOTAL ESTIMATE (W/A-1 & A-2) -

NOTES1.

2.

3.

4.

5.

MOBILIZATION WILL BE BILLED AT 25% AT START OF CONSTRUCTION, 50% AT 50% PROJECT COMPLETION, AND 100% AT 75% PROJECT COMPLETION.ALL CONSTRUCTION TO BE PER NJ BUILDING CODE FOR RETAINING WALL AND PER FINAL ENGINEER DESIGN.

CONTRACTOR TO PROVIDE APPROVED RETAINING WALL DESIGN AND PERMITS PRIOR TO INSTALLATION.

CONTRACTOR TO PROVIDE APPROVED RETAINING WALL DESIGN AND PERMITS PRIOR TO INSTALLATION FOR ANCHOR WALL INSTALLATION.REMOVAL OF ENVIRONMENTALLY IMPACTED SOIL OR MATERIAL IS NOT ANTICIPATED AND AS SUCH IS NOT INCLUDED IN THE ENCLOSED SCOPE.

PAGE 1 OF 1 DATE: 03/12/15

racquel.ferguson
Cross-Out
racquel.ferguson
Cross-Out
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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 Ph 732.705.7373 • Fx 732.377.8612

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 1 of 7

 

Figure 1. Wall A showing Structural Deterioration

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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 12 Ph 732.705.7373 • Fx 732.377.86

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 2 of 7  

Figure 2. Wall A showing structural Deterioration

Replace entire wall from brick column to gate post. Shore gate column foundation as required

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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 Ph 732.705.7373 • Fx 732.377.8612

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 3 of 7

Figure 3. Wall A Elevation (looking south)

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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 Ph 732.705.7373 • Fx 732.377.8612

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 4 of 7

Figure 4. Sidewalk above Wall A

Railing to be removed and reinstalled after sidewalk is poured (both sides)

6" sidewalk (10' ± W x 85' ±L)

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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 Ph 732.705.7373 • Fx 732.377.8612

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 5 of 7

Figure 5. Wall B (north side) Elevation

Replace entire wall from brick column to gate post. Shore gate column foundation as required

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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 Ph 732.705.7373 • Fx 732.377.8612

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 6 of 7

Figure 6. Elevation of Wall B (Looking North)

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Grant Engineering & Construction Group, LLC 2517 Highway 35, Building P, Suite 202

Manasquan, NJ 08736 Ph 732.705.7373 • Fx 732.377.8612

Email: [email protected] www.grantecg.com

RETAINING WALL PHOTOS (TAKEN 01/15/15)

Page 7 of 7

 Figure 7. Sidewalk at top of Wall B

Railing to be removed and reinstalled after sidewalk is poured (both sides)

6" sidewalk (10' ± W x 85' ±L)

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CERTIFICATE OF AUTHORIZATION #: 24GA28146200

MANASQUAN, NJ 08736

2517 HIGHWAY 35, BUILDING P, SUITE 202

FX: 732-377-8612

PH: 732-705-7373

ENGINEER (CIVIL):

DRAWING NOTES:

THIS DRAWING AND ALL INFORMATION

CONSULTING GROUP, INC.

WITHOUT THE WRITTEN CONSENT OF LEWIS

RELIED UPON FOR ANY OTHER PURPOSE

COPIED, REUSED, DISCLOSED, DISTRIBUTED OR

CERTIFIED. THIS DRAWING MAY NOT BE

WAS CONTRACTED AND TO WHOM IT IS

ONLY BY THE PARTY FOR WHOM THE WORK

CONTAINED HEREIN IS AUTHORIZED FOR USE

REVISION DESCRIPTIONREV # DATE CHECKED:DRAWN BY: APPROVED:

EAST ORANGE CAMPUS HIGH SCHOOL

344 PROSPECT STREET

FOR

EAST ORANGE BOARD OF EDUCATION

RETAINING WALL REMOVAL

CITY OF EAST ORANGE NEW JERSEYESSEX COUNTY

EMAIL: [email protected]

CONSTRUCTION GROUP, LLC

GRANT ENGINEERING AND

#7 @ 8"o.c. EWT&B

(TYP.)

#7 @ 8" O.C.

12" C.M.U.

REMOVE

REINSTALL

EXISTING RAIL

EXISTING CONCRETE SIDEWALK TO BE

REMOVED AND REPLACED AFTER

INSTALLATION OF RETAINING WALL TO

FIRST CONTROL JOINT (±5' FROM

RETAINING WALL EDGE)

SECTION 1

SCALE: 3/8" = 1'-0"

NOTE:

FOR ESTIMATING USE ONLY

2/26/15DATE DRAWN:

SHEET #:

APPROVED BY:

PROJECT No.:

DATE APPROVED:

DRAWN BY:

EOBE-01

1 OF 3

2/27/15

BSG

CNL

3/8" = 1'-0"

SCALE:

DRAWING #:

---

Brian Grant
Line
Brian Grant
Callout
10' +/-
Brian Grant
Highlight
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Anchor-brand segmental retaining wall products, manufactured by Anchor Block Company (ABC) in Shakopee, MN, are in compliance for use in construction of gravity or geosynthetic-reinforced retaining walls under the 2009 and 2006 International Building Code (IBC).

Anchor Block Company, a licensee of Anchor Wall Systems, Inc., has been added to the ESR-1959 report as an additional listee.

The segmental concrete wall blocks evaluated in this report are Diamond®, Diamond Pro®, Highland Stone® and Vertica® retaining wall systems.

ANCHORBLOCK.COM

Highland Stone® wall system

The IBC’s rigorous acceptance criteria, AC276, required a series of tests and documentation:

• NCMA unit testing (ASTM C140-12 and ASTM C1372-11)

• ICC-ES Acceptance Criteria for Quality Documentation (AC10)

• Qualifying Inspection Report (Q-21)

Commercial and residential developers can rest assured that ABC applies rigorous attention to quality for all the products it manufactures.

Diamond Pro Stone Cut® wall system

EXPECT INNOVATION AND QUALITY

"As we continue to develop products and license manufacturers, we are always thinking of what will benefit the specifiers, owners, and installers. Nothing excites us more than seeing our high-quality products create beautiful landscapes."

Glenn Bolles,CEO, Anchor Wall Systems, Inc.

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ANCHORBLOCK.COM

© 2014 Anchor Block Company. With the exception of “ICC-ES” the logos, slogans, product names and other trademarks shown in this document are trademarks of Anchor Wall Systems, Inc. or Anchor Block Company. Visit www.anchorblock.com for more information. Anchor Block Company’s complete line of walls, pavers and edgers is locally made in Minnesota. 14.0333 .1 06/14

Anchor Block Company’s more than century-long commitment to quality manufacturing remains as strong as ever, as reflected in its extensive product lines:

• Segmental retaining and freestanding wall systems

• Paving systems

• Architectural and structural masonry and veneers

The United States’ leading evaluation service for innovative building materials is the International Code Council Evaluation Service (ICC-ES®), a non-profit company. Their evaluation process culminates with the issuance of technical reports that directly address the issue of code compliance, which are used by:

• Agencies to help determine code compliance and enforce building regulations

• Manufacturers as evidence that their products meet code requirements and warrant regulatory approval

Final approval of building products is always in the hands of the local regulatory agency. All ICC-ES Evaluation Reports can be accessed and downloaded free of charge at www.icc-es.org/Evaluation_Reports and are readily searchable based on attributes such as product type, manufacturer or report number.

Please visit www.icc-es.org for more information.

Concrete Masonry Unit, rockface finish and smooth finish

Diamond Pro Stone Cut® wall system

Highland Stone® wall system, Kingston Plus® paving system

"Obtaining the ICC-ES report for our products gives credibility to the quality of our products and manufacturing."

Nick Sowka,Vice-President of Sales

This overview is intended to provide information on a new or innovative building product or system for which an ICC-ES Evaluation Report has recently been issued. It should not be construed as a product endorsement or a recommendation for its use.

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BID PROPOSAL SHEET

Bid No. 2527

Retaining Wall Replacement at EOCHS

Company Name____________________________________________________

Address__________________________________________________________

_________________________________________________________________

Proposed Total Dollar Amount:

$________________________________________________________

(Option for Alternate A - Cost Total)

$________________________________________________________

(WRITTEN amount in dollars & cents)

_________________________________________________________________

Bidder’s Name: ___________________________________________________

(PLEASE PRINT)

Title: _____________________________________________________________

Date: _____________________________

Signature: _________________________________________________________


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