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SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business...

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SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR PROSOSALS FOR AUDITING SERVICES Contract Term June 2017 through May 2018 SUBMISSION DEADLINE 1:00 P.M. February 8, 2017 ADDRESS ALL PROPOSALS TO: Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West Long Branch, NJ 07764
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Page 1: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

SHOREREGIONALBOARDOFEDUCATION

REQUESTFORPROSOSALSFOR

AUDITINGSERVICES

ContractTerm

June2017throughMay2018

SUBMISSIONDEADLINE

1:00P.M.

February8,2017

ADDRESSALLPROPOSALSTO:

BusinessAdministrator/BoardSecretaryShoreRegionalBoardofEducation132MonmouthParkHighwayWestLongBranch,NJ07764

Page 2: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

REQUESTFORPROPOSALS

GENERALINFORMATION&SUMMARY

SchoolDistrictShoreRegionalBoardofEducation132MonmouthParkHighwayWestLongBranch,NJ07764ContactPersonMs.CoreyJ.Lowell,SFOBusinessAdministrator/BoardSecretaryShoreRegionalBoardofEducation132MonmouthParkHighwayWestLongBranch,NJ07764732-222-9300ext.2080PurposeoftheRequestTheShoreRegionalBoardofEducation(“Board”)requestsproposalsforindependentauditorsforthe2017-2018schoolyear.TheAuditorsmustbecertifiedpublicaccountantslicensedinNewJerseywhoholdanun-canceledregistration licenseas apublic school accountant forNew Jersey. TheAuditor shall audit theBoard’s financialrecords for theyearending June30,2017,prepare theCAFR,andshallprovideother suchauditing servicesasmaybe requiredby theBoard for thedurationof thecontract term(e.g.,ASSA,DRTRS). Interested firmsshalldemonstrateknowledgeandexperienceinthelawsgoverningBoardsofEducationintheStateofNewJerseyandinprovidingadviceincompliancewithanyandallrulesandregulationsapplicabletoNewJerseySchoolDistricts.Proposalsarebeingsolicitedthroughafairandopenprocess.UnderTitle18A:18A-5(a)(1),professionalservicesarenotrequiredtobebidoradvertisedandtheBoardisnotrequiredtoawardonthebasisoflowestpriceandwillawardbasedoncriteriaasoutlinedinthisrequest.Therequestisbeingmadetoensurethedistrictreceivesthehighestqualityservicesatafairandcompetitiveprice.PeriodofContractJune2017throughMay2018ProposalSubmissionAllproposalsaretobeplacedinsealedenvelopesmarked“ProposalforAnnualAuditServices”.AllProposalsmustbereceivedbytheBoardofEducation,OfficeoftheBusinessAdministrator,nolaterthan1:00P.M.February8,2017. AllquestionsconcerningtheRFPshouldbeprovided inwritingandsubmittedtoCoreyLowell,BusinessAdministrator/BoardSecretary,132MonmouthParkHighway,WestLongBranch,NJ07764.AnybidderwhomailstheirRFPacceptsresponsibilityforanydelayindelivery.Adulyauthorizedofficialofthefirmmustsigntheproposal.

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ContractFormThe successful submitter shall be required to execute the board’s form contract, which includes theindemnification,insurance,terminationandlicensingprovisions.ItisalsoagreedandunderstoodthattheacceptanceofthefinalpaymentbytheContractorshallbeconsideredareleaseinfullofallclaimsagainsttheboardarisingoutof,orbyreasonof,theworkdoneandmaterialsfurnishedunderthisContract.AuditApproachDescribeyourfirm’sauditapproachincluding,butnotlimitedto:

• Generalauditscopeandphilosophy• Timingandplanning• Priorauditor’swork• Reviewofinternalcontrolstructure• Compliance/interimwork• Reviewofautomatedsystems• Substantive/year-endwork• Presentationsofdraft/finalreports• Workpapers• Managementletter/(LOR)letterofrecommendation(include3recent)• Transactiontestingcoverage(sampling)

TypeofAuditAn examination of the financial statements in accordance with generally accepted auditing standards aspromulgated by the American Institute of Certified Public Accountants; to include, determining whether theDistrict’s financial recordsandproceduresare inaccordancewithapplicableState LawsandRegulationsof theDepartmentofEducation,DivisionofFinanceandwiththeFinancialandCompliancerequirementsasrequiredbytheFederalGovernmentregardingtheSingleAuditAct.ShoreRegionalBoardofEducation2016-2017SchoolYearBudget1.TotalGeneralFundBudget $16,132,8032.RevenuesFromState&FederalSources $321,698

• TitleI,II,III• IDEA• TheDistrictalsoactivelypursuesvariousgrants.

4.DebtService $969,475 Additionally,theDistricthasanEnterpriseFundforSchoolFoodService.

Page 4: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

RequirementsfortheStatementofQualificationsAuditingfirmsprovidingtheservicesoflicensedpublicschoolaccountantsforNewJerseyshallsubmitstatementsofqualificationsincluding:

1. Thenameofthesubmitter,theprincipalplaceofbusinessintheStateofNewJerseyand,ifdifferent,theplacewheretheserviceswillbeprovided;

2. The name, title and resume of the person who will be primarily responsible for the services and a

description of the primary persons licensing information, education, qualifications, experience andtraining,aswellasadescriptionofthatindividualsexperiencewithauditingBoardsofEducationofsimilarsizeandcomplexityoftheShoreRegionalBoardofEducation;

3. Thenames,titlesandresumesoftheother individualswhowillperformtheservicesandtheir licensing

information,education,qualifications,experienceandtraining;

4. AsuggestedtimelineforcompletionofauditmaterialstoensuretimelyfilingoftheCAFR;

5. A listing of all Boards of Education in the State of New Jersey for whom your firm provides auditingservices. PleasespecifywhethertheserviceswereprovidedforBoardsofEducationdesignatedasSDA(formerAbbott)DistrictsbytheNewJerseyDepartmentofEducation.Pleaseprovidethree(3)referencesincludingthename,title,andcontactpersontobecontacted;

6. Provide an overview of your firm including, but not limited to, years experience in providing auditing

services to New Jersey Board of Education, number of partners, number of CPAs, location of firm,philosophyandauditapproach;

7. AdescriptionofanyspecialservicesavailabletotheBoardofEducation;

8. Fee quote must be all-inclusive (i.e. out of pocket expenses), additional fee can be broken down (if

determinable),Example:ASSAandTransportation,BondRefunding,ReferendumFunding.Providehourlyratesandaudithoursbyprofessionalstafflevel;

9. A statement that neither the firm nor any individuals assigned to the engagement are disbarred,

suspended,orotherwiseprohibitedfromprofessionalpracticebyanyfederal,state,orlocalentity;

10. AnAffirmativeActionStatement;

11. AcompletedNon-CollusionAffidavit;

12. Astatement that the firmwill complywith theGeneralTermsandConditions requiredby theBoardofEducationandenterintotheBoard’sProfessionalServicesAgreementforAuditingServices;

13. Acopyofthefirm’sBusinessRegistrationCertificate;

14. AcompletedBusinessEntityDisclosureCertificate.

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GeneralTermsandConditions

1. TheBoardofEducationreservestherighttorejectanyorallsubmissionsortowaiveanyinformality,ortoacceptthemasmaybedeterminedbytheBoardofEducationinitssolediscretion.

2. Upon execution of any Agreement, original or reproduced Reports, Logs, Samples, Data, Notes,

Calculations, Estimates, Summaries, Records, Statements, Test Methodology and all other documentsprepared by theAuditor or its Auditors for the Project, including those in electronicmedia form, hardcopy,orotherwise(collectively“Documents”),shallbeBoard’sproperty.BoardmayusetheDocumentswithoutAuditor’spermissionandAuditorshalldefend,indemnifyandholdharmlessBoardfromanyandall claimsarising fromBoard’suseof theDocuments. Auditor shallnotuse theAccountingDocumentswithoutBoard’spriorwrittenpermissionunlessAuditor’suseoftheAccountingDocumentsisrelatedtoAuditor’sservicesrenderedunderanyAgreementandtheProject.AtanytimeduringthecompletionoftheProject,Auditorshall furnishBoardwithsuchreproductionsof theAccountingDocumentsasBoardmayrequire.

3. Auditorshallmaintainorcausetobemaintained,infullforceandeffect,insuranceinsuchamountsand

againstsuchrisksasfollows:

A. Broad form, comprehensive, or commercial General Liability Insurance, including contractualliabilitycoverage,againstclaimsforpersonal injury,deathorpropertydamagewithcoverage intheamountofnot lessthanOneMillionDollarsandZeroCents($1,000,000.00)withrespecttopropertydamage,togetherwithexcess/umbrellacoverageequaltoOneMillionDollarsandZeroCents ($1,000,000.00). Shore Regional Board of Education is to be named as an additionalinsured.

B. WorkersCompensationInsuranceasrequiredbythestatute.Employer’sLiability–FiveHundred

ThousandDollarsandZeroCents($500,000.00)eachaccident.

C. AutomobileInsuranceonallvehicleusedinperformanceofthisAgreementinanamountnotlessthanOneMillionDollarsandZeroCents($1,000,000.00)forinjuries,includingaccidentaldeathtoanyonepersonandpropertydamage insurance inanamountnot less thanOneMillionDollarsand Zero Cents ($1,000,000.00) per occurrence. Shore Regional Board of Education is to benamedasanadditionalinsured.

D. ProfessionalLiabilityInsurancecoveragesintheamountofnotlessthanOneMillionDollarsand

ZeroCents($1,000,000.00)foreachclaim.Auditorshallmaintainthisinsurancefornolessthansix(6)yearsfollowingthedateoffinalpaymentbyBoardtoAuditor.

AuditorshallprovideBoard,priortotheexecutionofthisAgreementanduponitsrequestfromtimetotime,withcertificatesof insuranceevidencing theoverages set forthabove inA,B,C, andD froman insurance companyauthorized todobusiness inNew JerseyandhavinganA.M.BestRatingofat leastan“A-“. Auditor shall alsoprovide,uponreasonablerequestbyBoard,fullandcompletecopiesofinsurancepoliciesrequiredbyA,B,CandDaboveatAuditor’ssoleexpense.

4. AffirmativeActionRequirementsforProcurement,ProfessionalandServiceContracts

Eachcontractorshallsubmittothepublicagency,afternotificationofawardbutpriortoexecutionofagoodsandservicescontract,oneofthefollowingthreedocuments:

Page 6: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

i. Appropriateevidencethatthecontractorisoperatingunderanexistingfederallyapprovedorsanctionedaffirmativeactionprogram;or

ii. AcertificateofemployeeinformationreportapprovalissuedinaccordancewithN.J.A.C.17:27-4;or

iii. Anemployeeinformationreport(FormAA302)providedbytheDivisionanddistributedtothepublicagencytobecompletedbythecontractor,inaccordancewithN.J.A.C.17:27-4.

Please note: A completed and signed Affirmative Action Questionnaire is required with submission of bid.However,theBoardwillacceptinlieuoftheQuestionnaire,AffirmativeActionEvidencestapledtotheAffirmativeActionQuestionnaireform.“Ifawardedacontractyourcompany/firmwillberequiredtocomplywiththerequirementsofN.J.S.A.10:5-31et.seq.andN.J.A.C.17:27et.seq.

5. AmericanswithDisabilitiesActRequirementsThe contractor must comply with all provisions of the Americans with Disabilities Act (ADA), P.L 101-336, inaccordancewith42U.S.C.S12101etseq.

6. BusinessRegistrationCertificate(N.J.S.A.52:32-44)Pursuant to N.J.S.A. 52:32-44 as amended by P.L. 2004 – Chapter 57, all bidders shall submit with their bidpackageacopyoftheir“NewJerseyBusinessRegistrationCertificate”asissuedbytheDepartmentofTreasuryoftheStateofNewJersey.FailuretoprovidetheNewJerseyBusinessRegistrationCertificationwiththebidpackagemaybecausefortherejectionoftheentirebid.

GoodsandServicesContracts

N.J.S.A. 52:32-44 imposes the following requirements on contractors and all subcontractors that knowinglyprovidegoodsorperformservicesforacontractorfulfillingthiscontract:1)Thecontractorshallprovidewrittennoticetoitssubcontractorstosubmitproofofbusinessregistrationtothecontractor;2)priortoreceiptoffinalpayment froma contracting agency, a contractormust submit to the contracting agency an accurate list of allsubcontractorsorattestthatnonewasused;3)duringthetermofthiscontract,thecontractoranditsaffiliatesshall collect, remit, and notify all subcontractors and their affiliates that they must collect and remit to theDirectoroftheNewJerseyDivisionofTaxation,theusetaxduepursuanttotheSalesandUseTaxAct,(N.J.S.A.54:32B-1etseq.)onallsalesoftangiblepersonalpropertydeliveredintothisState.

A contractor, subcontractor or supplier who fails to provide proof of business registration or provides falsebusiness registration information shall be liable to a penalty of $25 for each day of violation, not to exceed$50,000foreachbusinessregistrationnotproperlyprovidedormaintainedunderacontractwithacontractingagency.Informationonthelawanditsrequirementsisavailablebycalling(609)292-9292.

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Tobecompletedandsignedbelow. ReturnWithResponse

AFFIRMATIVEACTIONQUESTIONNAIRE ResponseDate:February8,2017Thisformistobecompletedandreturnedwiththebid.However,theBoardwillacceptinlieuofthisQuestionnaire,AffirmativeActionEvidencestapledtothispage.1. OurcompanyhasafederalAffirmativeActionPlanapproval. ______YES ______NOIfyes,aPhotostatcopyofsaidapprovalshallbesubmittedtotheBoardofEducationwithinseven(7)workingdaysofthenoticeofintenttoawardthecontractorthesigningofthecontract.2. OurcompanyhasaNewJerseyStateCertificateofApproval. ______YES ______NOIfyes,acopyoftheNewJerseyStateCertificateshallbesubmittedtotheBoardofEducationwithinseven(7)workingdaysofthenoticeofintenttoawardthecontractorthesigningofthecontract.3. IfyouansweredNOtobothquestionsabove,anaffirmativeaction EmployeeInformationReport(AA-302)willbemailedtoyou.CompletetheformandforwardittotheAffirmativeActionOffice,DepartmentofTreasury,CN209,Trenton,NJ08625.AcopyshallbesubmittedtotheBoardofEducationwithinseven(7)days ofthenoticeoftheintenttoawardthecontractorthesigningofthecontract.Icertifythattheaboveinformationiscorrecttothebestofmyknowledge.NameofCompany/Firm NameofAuthorizedAgent Title SIGNATURE Date

Page 8: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

Tobecompletedandsignedbelow.ReturnWithResponse

NON-COLLUSIONAFFIDAVIT

RFPAuditingServices

STATEOFNEWJERSEY ResponseDate:February8,2017COUNTYOF()I,____________________________________oftheCityof____________________________intheCountyof__________________________andtheStateof_________________________offullage,beingdulyswornaccordingtolawonmyoathdeposeandsaythat:Iam___________________________________________________________________________of PositioninCompanythe firmof________________________________________________________________andthebiddermakingtheProposalfortheabovenamescontract,andthatIexecutedthesaidProposalwithfullauthoritysotodo;thatIhavenot,directlyor indirectly,entered intoanyagreement,participated inanycollusion,discussedanyorallpartsofthisproposalwithanypotentialbidders,orotherwisetakenanyaction inrestraintoffree,competitivebidding inconnectionwiththeabovenamedbid,andthatallstatementscontained insaidProposaland inthisaffidavitaretrueandcorrect,andmadewithfullknowledgethattheBoardofEducationoftheBoroughofWestLongBranchreliesuponthetruthofthestatementscontainedinsaidProposalandinthestatementscontainedinthisaffidavitinawardingthecontractforsaidbid.I furtherwarrant that nopersonor selling agencyhasbeenemployedor retained to solicit or secure suchcontractuponanagreementorunderstandingforacommission,percentage,brokerageorcontingentfee,exceptbonafideemployeesofbonafideestablishedcommercialorsellingagenciesmaintainedby

____________________________________________________________________________________(PrintNameofContractor/Vendor)

Subscribedandswornto:__________________________________________________________(SIGNATUREOFCONTRACTOR/VENDOR)beforemethis_______dayof_______________________, . Month Year _______________________________________PrintNameofNotaryPublic______________________________________________NOTARYPUBLICSIGNATUREMycommissionexpires_______________________________________,________.-Seal– Month Day Year

Page 9: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

Tobecompletedandsignedbelow.ReturnWithResponse

STOCKHOLDER/PARTNERSHIPDISCLOSUREANDSTATEMENTOFOWNERSHIP

RFPAuditingServices

ResponseDate:February8,2017PleasecheckonetypeofOwnership,completetheform,andexecutewhereprovided.

o Corporation-- o LimitedPartnership--o Partnership-- o LimitedLiabilityCorp.--o SoleProprietorship-- o LimitedLiabilityPartnership--o SubChapterSCorp.-- o Other-

__________________________

Nocorporation“orpartnership”shallbeawardedanycontractnorshallanyagreementbeenteredintofortheperformanceofanyworkorthefurnishingofanymaterialorsupplies,thecostofwhichistobepaidwithoroutofanypublicfunds,bytheStateor any county,municipality or school district, or any subsidiaryor agencyof the State, or by an authority, boardorcommissionwhichexercisesgovernmentalfunctions,unlesspriortothereceiptofthebidoraccompanyingthebidofsaidcorporationor saidpartnership, there is submitteda statement setting forth thenamesand all individualpartners in thepartnershipwhoowna10%orgreaterinteresttherein,asthecasemaybe.”Ifoneormoresuchstockholder“orpartner”isitselfacorporation“orpartnership”,thestockholderholding10%ormoreofthatcorporation“orpartnership”theindividualpartnersowning10%orgreaterinterestinthatpartnership,asthecasemaybe,shallalsobelisted.Thedisclosureshallbe,continued until names and addresses of every non-corporate stockholder, and individual partner, exceeding the 10%ownershipcriteriaestablishedinthisact,hasbeenlisted.

IT ISMANDATORYTHATTHISFORMBECOMPLETEDANDSUBMITTEDWITHBID. In theeventthat therearenopersonswhoowntenpercentormoreofthestockorownershipofthebidder,thensuchfactshouldbecertifiedbelowaspartofthisdisclosure. NameofCompany_______________________________________________

Address_________________________________________________________

City,State,Zip__________________________________________________

ListofOwnerswithTenPercent(10%)orMoreInterest

Owner’sName HomeAddress Title/OfficeHeld Percent(%)ofPartnershipSharesOwned

NOTE:Ifyouneedmorespacethanthatprovidedabove,pleaseuseanextrasheetforfurnishingtheaboverequiredinformationforanyremainingpersonsorentities.Signature________________________________________Date__________________________

(formcontinuedonnextpage)èèè

Page 10: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

Tobecompletedandsignedbelow. ReturnWithResponse

STOCKHOLDER/PARTNERSHIPDISCLOSUREANDSTATEMENTOFOWNERSHIP(continued)Ifyourfirmisnotacorporationand/orpartnership,pleaseexplainbelowhowyourfirmisorganizedandincludealistofthevariousprincipals.

Ourfirm,____________________________________________________________,isorganized______________________________________________________________________________________________________________________________________________________________________NamesofPrincipals Title________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Useadditionalpaperifneeded.Checkhere ifadditionalsheetsareattached.NameofCompany Address City,State,Zip AuthorizedAgent Title SIGNATUREOFAUTHORIZEDAGENT

Page 11: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

Contractor/VendorQuestionnaire/Certification

Responseduedate:February8,2017

RFPAuditingServicesNameofCompany_____________________________________________________________

StreetAddress________________________________________POBox________________

City,State,Zip________________________________________________________________

BusinessPhoneNumber(____)_________________________Ext.___________________

EmergencyPhoneNumber(_____)______________________________________________

FAXNo.(____)________________________E-Mail_________________________________

YearsinBusiness NumberofEmployees__________________

References–WorkpreviouslydoneforSchoolSystemsinNewJerseyNameofDistrict Address ContactPerson/TitlePhone 1.

2.

3.

VendorCertification

Direct/IndirectInterests I declare and certify that no member of the Shore Regional Board of Education, nor any officer oremployeeorpersonwhosesalary ispayable inwholeor inpartbysaidBoardofEducationor their immediatefamilymembersaredirectlyor indirectly interestedinthisbidor inthesupplies,materials,equipment,workorservicestowhich itrelates,or inanyportionofprofitsthereof. IfasituationsoexistswhereaBoardmember,employee,officeroftheboardhasan interest inthebid,etc., thenpleaseattacha letterofexplanationtothisdocument,dulysignedbythepresidentofthefirmorcompany.Gifts;Gratuities;Compensation I declare and certify that no person from my firm, business, corporation, association or partnershipofferedorpaidanyfee,commissionorcompensation,orofferedanygift,gratuityorotherthingofvaluetoanyschoolofficial,boardmemberoremployeeoftheShoreRegionalBoardofEducation.(formcontinuedonnextpage)èèè

20A

Page 12: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

Tobecompletedandsignedbelow.ReturnWithResponseContractor/VendorQuestionnaire/Certification–(Continued)VendorContributions: IcertifythatIamnotanofficialoremployeeoftheShoreRegionalBoardofEducation. I further certify that I understand that it is a crime in the second degree in New Jersey toknowinglymake amaterial representation that is false in connectionwith the negotiation, award orperformanceofagovernmentcontract.

PresidentorAuthorizedAgent

Signature

Page 13: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

ShoreRegionalBoardofEducationBusinessOffice

132MonmouthParkHighwayWestLongBranch,NJ07764

APPENDIXA

AMERICANSWITHDISABILITIESACTOF1990EqualOpportunityforIndividualswithDisability

ThecontractorandtheShoreRegionalBoardofEducation(hereafter"owner")doherebyagreethattheprovisionsofTitle11oftheAmericansWithDisabilitiesActof1990(the"Act")(42U.S.C.S12101etseq.),whichprohibitsdiscriminationonthebasisofdisabilitybypublicentitiesinallservices,programs,andactivitiesprovidedormadeavailablebypublicentities,andtherulesandregulationspromulgatedpursuant thereunto,aremadeapartof thiscontract. Inprovidinganyaid,benefit,orserviceonbehalfof theownerpursuanttothiscontract,thecontractoragreesthattheperformanceshallbeinstrictcompliancewiththeAct.Intheeventthatthecontractor,itsagents,servants,employees,orsubcontractorsviolateorareallegedtohaveviolatedtheActduringtheperformanceofthiscontract,thecontractorshalldefendtheownerinanyactionoradministrativeproceedingcommencedpursuanttothisAct.Thecontractorshallindemnify,protect,andsaveharmless the owner, its agents, servants, and employees from and against any and all suits, claims, losses,demands,ordamages,ofwhateverkindornaturearisingoutoforclaimedtoariseoutoftheallegedviolation.Thecontractorshall,at itsownexpense,appear,defend,andpayanyandallchargesfor legalservicesandanyandallcostsandotherexpensesarisingfromsuchactionoradministrativeproceedingorincurredinconnectiontherewith.Inanyandallcomplaintsbroughtpursuanttotheowner'sgrievanceprocedure,thecontractoragreestoabidebyanydecisionof theownerwhich is renderedpursuanttosaidgrievanceprocedure. Ifanyactionoradministrativeproceedingresultsinanawardofdamagesagainsttheowner,oriftheownerincursanyexpensetocureaviolationoftheADAwhichhasbeenbroughtpursuanttoitsgrievanceprocedure,thecontractorshallsatisfyanddischargethesameatitsownexpense.

Theownershall,assoonaspracticableafteraclaimhasbeenmadeagainstit,givewrittennoticethereoftothecontractoralongwithfullandcompleteparticularsoftheclaim,Ifanyactionoradministrativeproceedingisbroughtagainsttheowneroranyofitsagents,servants,andemployees,theownershallexpeditiouslyforwardor have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other processreceivedbytheowneroritsrepresentatives.

It is expressly agreed and understood that any approval by the owner of the services provided by the

contractorpursuanttothiscontractwillnotrelievethecontractoroftheobligationtocomplywiththeActandtodefend,indemnify,protect,andsaveharmlesstheownerpursuanttothisparagraph.

Itisfurtheragreedandunderstoodthattheownerassumesnoobligationtoindemnifyorsaveharmless

the contractor, its agents, servants, employees and subcontractors for any claimwhichmay arise out of theirperformance of this Agreement. Furthermore, the contractor expressly understands and agrees that theprovisions of this indemnification clause shall in no way limit the contractor's obligations assumed in thisAgreement,norshalltheybeconstruedtorelievethecontractorfromanyliability,norprecludetheownerfromtakinganyotheractionsavailabletoitunderanyotherprovisionsoftheAgreementorotherwiseatlaw.

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AppendixAEXHIBITA

MANDATORYEQUALEMPLOYMENTOPPORTUNITYLANGUAGEN.J.S.A.10:5-31etseq.,N.J.A.C.17:27

GOODS,PROFESSIONALSERVICESANDGENERALSERVICECONTRACTS

Duringtheperformanceofthiscontract,thecontractoragreesasfollows:

Thecontractororsubcontractor,whereapplicable,willnotdiscriminateagainstanyemployeeorapplicantforemploymentbecauseofage,race,creed,color,nationalorigin,ancestry,maritalstatus,affectionalorsexualorientation,genderidentityorexpression,disability,nationalityorsex.Exceptwithrespecttoaffectionalorsexualorientationandgenderidentityorexpression,thecontractorwilltakeaffirmativeactiontoensurethatsuchapplicantsarerecruitedandemployed,andthatemployeesaretreatedduringemployment,withoutregardtotheirage,race,creed,color,nationalorigin,ancestry,maritalstatus,affectionalorsexualorientation,genderidentityorexpression,disability,nationalityorsex.Suchactionshallinclude,butnotlimitedtothefollowing:employment,upgrading,demotion,ortransfer;recruitmentorrecruitmentadvertising;layoffortermination;ratesofpayorotherformsofcompensation;andselectionfortraining,includingapprenticeship.Thecontractoragreestopostinconspicuousplaces,availabletoemployeesandapplicantsforemployment,noticestobeprovidedbythePublicAgencyComplianceOfficersettingforthprovisionsofthisnondiscriminationclause.Thecontractororsubcontractor,whereapplicablewill,inallsolicitationsoradvertisementsforemployeesplacedbyoronbehalfofthecontractor,statethatallqualifiedapplicantswillreceiveconsiderationforemploymentwithoutregardtoage,race,creed,color,nationalorigin,ancestry,maritalstatus,affectionalorsexualorientation,genderidentityorexpression,disability,nationalityorsex.Thecontractororsubcontractor,whereapplicable,willsendtoeachlaborunionorrepresentativeorworkerswithwhichithasacollectivebargainingagreementorothercontractorunderstanding,anotice,tobeprovidedbytheagencycontractingofficeradvisingthelaborunionorworkers'representativeofthecontractor'scommitmentsunderthisactandshallpostcopiesofthenoticeinconspicuousplacesavailabletoemployeesandapplicantsforemployment.Thecontractororsubcontractorwhereapplicable,agreestocomplywithanyregulationspromulgatedbytheTreasurerpursuanttoN.J.S.A.10:5-31etseq.asamendedandsupplementedfromtimetotimeandtheAmericanswithDisabilitiesAct.ThecontractororsubcontractoragreestomakegoodfaitheffortstoemployminorityandwomenworkersconsistentwiththeapplicablecountyemploymentgoalsestablishedinaccordancewithN.J.A.C.17:27-5.2,orabindingdeterminationoftheapplicablecountyemploymentgoalsdeterminedbytheDivision,pursuanttoN.J.A.C.17:27-5.2.Thecontractororsubcontractoragreestoinforminwritingitsappropriaterecruitmentagenciesincluding,butnotlimitedto,employmentagencies,placementbureaus,colleges,universities,laborunions,thatitdoesnotdiscriminateonthebasisofage,creed,color,nationalorigin,ancestry,maritalstatus,affectionalorsexualorientation,genderidentityorexpression,disability,nationalityorsex,andthatitwilldiscontinuetheuseofanyrecruitmentagencywhichengagesindirectorindirectdiscriminatorypractices.Thecontractororsubcontractoragreestoreviseanyofitstestingprocedures,ifnecessary,toassurethatallpersonaltestingconformswiththeprinciplesofjob-relatedtesting,asestablishedbythestatutesandcourtdecisionsoftheStateofNewJerseyandasestablishedbyapplicableFederallawandapplicableFederalcourtdecisions.Inconformingwiththeapplicableemploymentgoals,thecontractororsubcontractoragreestoreviewallproceduresrelatingtotransfer,upgrading,downgradingandlayofftoensurethatallsuchactionsaretakenwithoutregardtoage,creed,color,nationalorigin,ancestry,maritalstatus,affectionalorsexualorientation,genderidentityorexpression,disability,nationalityorsex,consistentwiththestatutesandcourtdecisionsoftheStateofNewJersey,andapplicableFederallawandapplicableFederalcourtdecisions.Thecontractorshallsubmittothepublicagency,afternotificationofawardbutpriortoexecutionofagoodsandservicescontract,oneofthefollowingthreedocuments:

• LetterofFederalAffirmativeActionPlanApproval• CertificateofEmployeeInformationReport• EmployeeInformationReportFormAA302

ThecontractoranditssubcontractorshallfurnishsuchreportsorotherdocumentstotheDivisionofContractCompliance&EEGasmayberequestedbytheDivisionfromtimetotimeinordertocarryoutthepurposesoftheseregulations,andpublicagenciesshallfurnishsuchinformationasmayberequestedbytheDivisionofContractCompliance&EEGforconductingacomplianceinvestigationpursuanttoSubchapter10oftheAdministrativeCodeatN.J.A.C.17:27.AppendixB(03/08)

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BUSINESSENTITYDISCLOSURECERTIFICATION

FORNON-FAIRANDOPENCONTRACTSRequiredPursuantToN.J.S.A.19:44A-20.8SHOREREGIONALBOARDOFEDUCATION

PartI–VendorAffirmationThe undersigned, being authorized and knowledgeable of the circumstances, does hereby certify that thecontractor has notmade andwill notmake any reportable contributions pursuant toN.J.S.A. 19:44A-1 et seq.that,pursuanttoP.L.2004,c.19wouldbartheawardofthiscontractintheone(1)yearperiodpreceding(dateofawardscheduledforapprovalofthecontractbythegoverningbody)toanyofthefollowingnamedcandidatecommittee, joint candidates committee; or political party committee representing the elected officials of theentitiesidentifiedhereinasdefinedpursuanttoN.J.S.A.19:44A-3(p),(q)and(r).(Seelistofagenciesattachedhereto).PartII–OwnershipDisclosureCertificationoIcertifythatthelistbelowcontainsthenamesandhomeaddressesofallownersholding10%ormoreoftheissuedandoutstandingstockoftheundersigned.

Checktheboxthatrepresentsthetypeofbusinessentity:oPartnership oCorporation oSoleProprietorship oSubchapterSCorporationoLimitedPartnership oLimitedLiabilityCorporation oLimitedLiabilityPartnership

NameofStockorShareholder HomeAddress Part3–SignatureandAttestation:TheundersignedisfullyawarethatifIhavemisrepresentedinwholeorpartthisaffirmationandcertification,Iand/orthebusinessentity,willbeliableforanypenaltypermittedunderlaw.NameofBusinessEntity:___________________________________________Signed:________________________________ Title:__________________________________PrintName:____________________________ Date:__________________________________

Subscribedandswornbeforemethis___dayof___________,2__.MyCommissionexpires:

_________________________________

(Affiant)________________________________

(Printname&titleofaffiant)(CorporateSeal)

Page 16: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

BUSINESSENTITYDISCLOSURECERTIFICATIONFORNON-FAIRANDOPENCONTRACTS

RequiredPursuantToN.J.S.A.19:44A-20.8SHOREREGIONALBOARDOFEDUCATION

The following is statutory text related to the terms and citations used in theBusiness EntityDisclosureCertificationform.

“LocalUnitPay-To-PlayLaw”(P.L.2004,c.19,asamendedbyP.L.2005,c.51)

19:44A-20.6Certaincontributionsdeemedascontributionsbybusinessentity.5.Whenabusinessentityisanaturalperson,acontributionbythatperson'sspouseorchild,residingtherewith,shallbedeemedtobeacontributionbythebusinessentity.Whenabusinessentityisotherthananaturalperson,acontributionbyanypersonorotherbusinessentityhavinganinterestthereinshallbedeemedtobeacontributionbythebusinessentity.

19:44A-20.7Definitionsrelativetocertaincampaigncontributions.6.Asusedinsections2through12ofthisact:“businessentity"meansanynaturalorlegalperson,businesscorporation,professionalservicescorporation,limitedliabilitycompany,partnership,limitedpartnership,businesstrust,associationoranyotherlegalcommercialentityorganizedunderthelawsofthisStateorofanyotherstateorforeignjurisdiction;“interest"meanstheownershiporcontrolofmorethan10%oftheprofitsorassetsofabusinessentityor10%ofthestockinthecaseofabusinessentitythatisacorporationforprofit,asappropriate;

TemporaryandExecuting12.Nothingcontainedinthisactshallbeconstruedasaffectingtheeligibilityofanybusinessentitytoperformapublic contractbecause thatentitymadea contribution toany committeeduring theone-yearperiodimmediatelyprecedingtheeffectivedateofthisact.

~~~~~~~~~~~~~~~~~~~~~TheNewJerseyCampaignContributionsandExpendituresReportingAct(N.J.S.A.19:44A-1et

seq.)

19:44A-3Definitions.Inpertinentpart…

p.Theterm"politicalpartycommittee"meanstheStatecommitteeofapoliticalparty,asorganizedpursuanttoR.S.19:5-4,anycountycommitteeofapoliticalparty,asorganizedpursuanttoR.S.19:5-3,oranymunicipalcommitteeofapoliticalparty,asorganizedpursuanttoR.S.19:5-2.

q.Theterm"candidatecommittee"meansacommitteeestablishedpursuanttosubsectiona.ofsection9ofP.L.1973,c.83(C.19:44A-9)forthepurposeofreceivingcontributionsandmakingexpenditures.

r.theterm"jointcandidatescommittee"meansacommitteeestablishedpursuanttosubsectiona.ofsection9ofP.L.1973,c.83(C.19:44A-9)byatleasttwocandidatesforthesameelectivepublicofficesinthesameelectioninalegislativedistrict,county,municipalityorschool

Page 17: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

district,butnotmorecandidatesthanthetotalnumberofthesameelectivepublicofficestobefilledinthatelection,forthepurposeofreceivingcontributionsandmakingexpenditures.Forthepurposeofthissubsection:…;theofficesofmemberoftheboardofchosenfreeholdersandcountyexecutiveshallbedeemedtobethesameelectivepublicofficesinacounty;andtheofficesofmayorandmemberofthemunicipalgoverningbodyshallbedeemedtobethesameelectivepublicofficesinamunicipality.19:44A-8and16Contributions,expenditures,reports,requirements.Whiletheprovisionsofthissectionaretooextensivetoreprinthere,thefollowingisdeemedtobethepertinentpartaffectingamountsofcontributions:“The$300limitestablishedinthissubsectionshallremainasstatedinthissubsectionwithoutfurtheradjustmentbythecommissioninthemannerprescribedbysection22ofP.L.1993,c.65(C.19:44A-7.2)

C.271POLITICALCONTRIBUTIONDISCLOSUREFORMContractorInstructions

Businessentities(contractors)receivingcontractsfromapublicagencythatareNOTawardedpursuanttoa“fairandopen”process(definedatN.J.S.A.19:44A-20.7)aresubjecttotheprovisionsofP.L.2005,c.271,s.2(N.J.S.A.19:44A-20.26).Thislawprovidesthat10dayspriortotheawardofsuchacontract,thecontractorshalldisclosecontributionsto:

• anyState,county,ormunicipalcommitteeofapoliticalparty• anylegislativeleadershipcommittee*• anycontinuingpoliticalcommittee(a.k.a.,politicalactioncommittee)• anycandidatecommitteeofacandidatefor,orholderof,anelectiveoffice:• ofthepublicentityawardingthecontract• ofthatcountyinwhichthatpublicentityislocated• ofanotherpublicentitywithinthatcounty• orofa legislativedistrict inwhich thatpublicentity is locatedor,whenthepublic

entityisacounty,ofanylegislativedistrictwhichincludesallorpartofthecountyThedisclosuremustlistreportablecontributionstoanyofthecommitteesthatexceed$300perelectioncyclethatweremadeduringthe12monthspriortoawardofthecontract.SeeN.J.S.A.19:44A-8and19:44A-16formoredetailsonreportablecontributions.

N.J.S.A.19:44A-20.26itemizesthepartiesfromwhomcontributionsmustbedisclosedwhenabusinessentityisnotanaturalperson.Thisincludesthefollowing:

• individualswithan“interest”ownershiporcontrolofmorethan10%oftheprofitsorassetsofabusinessentityor10%ofthestockinthecaseofabusinessentitythatisacorporationforprofit

• allprincipals,partners,officers,ordirectorsofthebusinessentityortheirspouses• anysubsidiariesdirectlyorindirectlycontrolledbythebusinessentity• IRSCodeSection527NewJerseybasedorganizations,directlyorindirectly

controlledbythebusinessentityandfilingascontinuingpoliticalcommittees,(PACs).

Whenthebusinessentityisanaturalperson,“acontributionbythatperson’sspouseorchild,residingtherewith,shallbedeemedtobeacontributionbythebusinessentity.”[N.J.S.A.19:44A-20.26(b)]Thecontributormustbelistedonthedisclosure.

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AnybusinessentitythatfailstocomplywiththedisclosureprovisionsshallbesubjecttoafineimposedbyELECinanamounttobedeterminedbytheCommissionwhichmaybebasedupontheamountthatthebusinessentityfailedtoreport.

Theenclosedlistofagenciesisprovidedtoassistthecontractorinidentifyingthosepublicagencieswhoseelectedofficialand/orcandidatecampaigncommitteesareaffectedbythedisclosurerequirement.Itisthecontractor’sresponsibilitytoidentifythespecificcommitteestowhichcontributionsmayhavebeenmadeandneedtobedisclosed.Thedisclosedinformationmayexceedtheminimumrequirement.

Theenclosedform,acontent-consistentfacsimile,oranelectronicdatafilecontainingtherequireddetails(alongwithasignedcoversheet)maybeusedasthecontractor’ssubmissionandisdisclosabletothepublicundertheOpenPublicRecordsAct.

ThecontractormustalsocompletetheattachedStockholderDisclosureCertification.Thiswillassisttheagencyinmeetingitsobligationsunderthelaw.NOTE:ThissectiondoesnotapplytoBoardofEducationcontracts.*N.J.S.A.19:44A-3(s):“Theterm"legislativeleadershipcommittee"meansacommitteeestablished,authorizedtobeestablished,ordesignatedbythePresidentoftheSenate,theMinorityLeaderoftheSenate,theSpeakeroftheGeneralAssemblyortheMinorityLeaderoftheGeneralAssemblypursuanttosection16ofP.L.1993,c.65(C.19:44A-10.1)forthepurposeofreceivingcontributionsandmakingexpenditures.”

Page 19: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

C.271POLITICALCONTRIBUTIONDISCLOSUREFORMRequiredPursuantToN.J.S.A.19:44A-20.26

Thisformoritspermittedfacsimilemustbesubmittedtothelocalunit

nolaterthan10dayspriortotheawardofthecontract.PartI–VendorInformationVendorName: Address: City: State: Zip:Theundersignedbeingauthorizedtocertify,herebycertifiesthatthesubmissionprovidedhereinrepresentscompliancewiththeprovisionsofN.J.S.A.19:44A-20.26andasrepresentedbytheInstructionsaccompanyingthisform._________________________ _______________________ ___________________Signature PrintedName Title

PartII–ContributionDisclosureDisclosurerequirement:PursuanttoN.J.S.A.19:44A-20.26thisdisclosuremustincludeallreportablepoliticalcontributions(morethan$300perelectioncycle)overthe12monthspriortosubmissiontothecommitteesofthegovernmententitieslistedontheformprovidedbythelocalunit.(Seelistattachedhereto).

! Checkhereifdisclosureisprovidedinelectronicform.

ContributorName RecipientName Date DollarAmount

$

! Checkhereiftheinformationiscontinuedonsubsequentpage(s)

Page 20: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

ContinuationPage

C.271POLITICALCONTRIBUTIONDISCLOSUREFORMRequiredPursuantToN.J.S.A.19:44A-20.26

Page___of______VendorName:

ContributorName RecipientName Date DollarAmount $

! Checkhereiftheinformationiscontinuedonsubsequentpage(s)

Page 21: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

ListofAgencieswithElectedOfficialsRequiredforPoliticalContributionDisclosureN.J.S.A.19:44A-20.26

CountyName:MonmouthState:Governor,andLegislativeLeadershipCommitteesLegislativeDistrict#s:10,11,12,13,&30StateSenatorandtwomembersoftheGeneralAssemblyperdistrict.County: Freeholders CountyClerk Sheriff Surrogate Municipalities(Mayorandmembersofgoverningbody,regardlessoftitle):AberdeenTownshipAllenhurstBoroughAllentownBoroughAsburyParkCityAtlanticHighlandsBoroughAvon-by-the-SeaBoroughBelmarBoroughBradleyBeachBoroughBrielleBoroughColtsNeckTownshipDealBoroughEatontownBoroughEnglishtownBoroughFairHavenBoroughFarmingdaleBoroughFreeholdBoroughFreeholdTownshipHazletTownshipHighlandsBoroughHolmdelTownshipHowellTownshipInterlakenBoroughKeansburgBoroughKeyportBoroughLakeComoBoroughLittleSilverBoroughLochArbourVillageLongBranchCityManalapanTownshipManasquanBoroughMarlboroTownshipMatawanBorough

MiddletownTownshipMillstoneTownshipMonmouthBeachBoroughNeptuneCityBoroughNeptuneTownshipOceanTownshipOceanportBoroughRedBankBoroughRooseveltBoroughRumsonBoroughSeaBrightBoroughSeaGirtBoroughShrewsburyBoroughShrewsburyTownshipSpringLakeBoroughSpringLakeHeightsBoroughTintonFallsBoroughUnionBeachBoroughUpperFreeholdTownshipWallTownshipWestLongBranchBorough

Page 22: SHORE REGIONAL BOARD OF EDUCATION REQUEST FOR … · Ms. Corey J. Lowell, SFO Business Administrator/Board Secretary Shore Regional Board of Education 132 Monmouth Park Highway West

Macintosh HD:Users:clowell:Google Drive:Bids-RFPs:RFPs:RFP - Audit services - Shore.docx1/6/2017

BoardsofEducation(MembersoftheBoard):AllenhurstAsburyParkCityAtlanticHighlandsBoroughAvonBoroughBelmarBoroughBradleyBeachBoroughBrielleBoroughColtsNeckTownshipDealBoroughEatontownBoroughFairHavenBoroughFarmingdaleBoroughFreeholdBoroughFreeholdRegionalFreeholdTownshipHazletTownshipHenryHudsonRegionalHighlandsBoroughHolmdelTownshipHowellTownshipInterlakenKeansburgBoroughKeyportBoroughLittleSilverBoroughLongBranchCityManalapan-EnglishtownRegionalManasquanBorough

MarlboroTownshipMatawan-AberdeenRegionalMiddletownTownshipMillstoneTownshipMonmouthBeachBoroMonmouthRegionalNeptuneCityNeptuneTownshipOceanTownshipOceanportBoroughRedBankBoroughRedBankRegionalRooseveltBoroughRumsonBoroughRumson-FairHavenRegionalSeaBrightBoroughSeaGirtBoroughShoreRegionalShrewsburyBoroughSouthBelmarSpringLakeBoroughSpringLakeHeightsBoroughTintonFallsUnionBeachUpperFreeholdRegionalWallTownshipWestLongBranchBorough

FireDistricts(BoardofFireCommissioners):AberdeenTownshipFireDistrictNo.1AberdeenTownshipFireDistrictNo.2EnglishtownBoroughFireDistrictNo.1FreeholdTownshipFireDistrictNo.1FreeholdTownshipFireDistrictNo.2HazletTownshipFireDistrictNo.1HowellTownshipFireDistrictNo.1HowellTownshipFireDistrictNo.2HowellTownshipFireDistrictNo.3HowellTownshipFireDistrictNo.4HowellTownshipFireDistrictNo.5ManalapanTownshipFireDistrictNo.1ManalapanTownshipFireDistrictNo.2ManasquanBoroFireDistrictNo.1MarlboroTownshipFireDistrictNo.1MarlboroTownshipFireDistrictNo.2MarlboroTownshipFireDistrictNo.3MillstoneTownshipFireDistrictNo.1NeptuneTownshipFireDistrictNo.1NeptuneTownshipFireDistrictNo.2OceanTownshipFireDistrictNo.1OceanTownshipFireDistrictNo.2SpringLakeHeightsBoroFireDistrictNo.1

TintonFallsFireDistrictNo.1TintonFallsFireDistrictNo.2WallTownshipFireDistrictNo.1WallTownshipFireDistrictNo.2WallTownshipFireDistrictNo.3

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23

ShoreRegionalBoardofEducation132MonmouthParkHighwayWestLongBranch,NJ07764

RFPAuditingServices

ProposalFormAuditingServices

WhiletheBoardmayappointtheAuditorannually,itispossiblethatre-appointmentmaybemadeonthebasisofthemulti-yearproposalinyourresponsebelow.Weare seekinghourly rates for partner,manager, and staff, dependingonwho is required toperformadditionalwork(ifanyisrequested).

2017-2018 2018-2019 2019-2020

AnnualFee $ $ $

HourlyFeeListing(ifadditionalservicesrequested)

Partner $ $ $

Manager $ $ $

Staff $ $ $

TheundersignedagreestoprovideauditingservicesfortheShoreRegionalBoardofEducationinaccordancewiththeRequestforProposal-AuditingServices,andanyamendmentsorclarifications,andacceptsthetermsthereforeasbindingcontractualobligationifthefollowingproposalisaccepted.NameofFirm: ________________________________________________AddressofFirm: ________________________________________________Telephone: ________________________________________________ Signature: ________________________________________________PrintedNameandTitle: ________________________________________________


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