Consolidation Study Commission's Request for Proposals

***Please note...Appendix is not attached to this posting.  Such consists of the JPM study that was done in 2009.  It is available as a public record through a web search.

CONSOLIDATION STUDY COMMISSION OF

FANWOOD BOROUGH AND SCOTCH PLAINS TOWNSHIP

PUBLIC NOTICE: REQUEST FOR PROPOSALS FOR THE STUDY OF MUNICIPAL CONSOLIDATION

NOTICE IS HEREBY GIVEN, that proposals are requested for a qualified consultant to:

1) Study the full range of government services and the administration of the Borough of Fanwood and the Township of Scotch Plains (“Baseline Report”);

2) Prepare an analysis of options and impacts of a potential consolidation of the two municipalities (“Options Report”); 

4) Respond to inquiries from the consolidation study commission at each stage of the study.

Proposals must be received by the undersigned no later than November 13, 2013 at 7:00 p.m. prevailing time at the Commission’s Regular Meeting in the Board meeting room at the Scotch Plains Fanwood Board of Education at Evergreen Avenue and Cedar Street in Scotch Plains, New Jersey at which time they shall be publicly opened. Proposals must be marked 'Consolidation Study' on the outside envelope. The Consolidation Study Commission of Fanwood and Scotch Plains shall not be responsible for late mail deliveries, and no proposals shall be accepted after the time stipulated.

Copies of the Proposal Packet can be obtained by emailing fspcsc@gmail.com.

The Commission reserves the right to reject any and all proposals and to decide as to the responsibility of the vendors.

For the Commission,

Marc Pfeiffer, Procurement Advisor

FANWOOD/SCOTCH PLAINS CONSOLIDATION STUDY

I.  INTRODUCTION AND GENERAL INFORMATION

Under the authority provided by the New Jersey Local Option Municipal Consolidation Act (N.J.S.A. 40A:65-25 et seq.), citizen petitioners from Fanwood and Scotch Plains received approval from the New Jersey Department of Community Affairs, Local Finance Board to create a Consolidation Study Commission of Fanwood Borough and Scotch Plains Township. The Commission was subsequently created (hereafter "the Commission").

The Commission is charged with the duty to study and report on consolidating the two municipalities into a single municipality. It is expected that several subcommittees will be formed under the Commission to evaluate ideas and input in regard to municipal consolidation. The Commission is requesting proposals for professional assistance in conducting the necessary studies to prepare its reports.

The vendor selected under this Request For Proposals (RFP) will be expected to sign a contract with the Commission. The timeline for completion of the study is six months from the effective date of the contract, subject to early termination as provided in the contract.

General information about Fanwood and Scotch Plains is included in the Jersey Professional Management Report attached as Appendix 1.

II. CONTACT WITH VENDORS

Questions and Inquiries

A pre-proposal conference will be held for this procurement. Attendance at this pre-proposal conference is not mandatory but highly desirable.

Officials of the Commission will conduct a pre-proposal meeting to answer questions. This meeting will be held on October 9, 2013 at 2:00 p.m., at the Scotch Plains-Fanwood Board of Education Administrative Offices, Evergreen Avenue and Cedar Street, Scotch Plains.

Any vendors who are unable to attend the pre-proposal conference and who are interested in submitting a proposal should respond via email to fspcsc@gmail.com indicating their intent to bid and submitting any questions by 2:00 p.m. on October 9, 2013. Questions and answers will be documented and sent to all prospective bidders who attend the pre-proposal conference and to those who have communicated their intent to bid via email by this date.

III. SCOPE OF SERVICES

The Consultant shall provide the services and prepare the reports described below:

1) THE STUDY: The Consultant shall examine current government operations, financial structure, and identify and describe government operations, financial, and community issues related to consolidation.  The examination shall include but not be limited to an evaluation of the services, staffing, costs, contracts, facilities, assets, obligations, infrastructure, sewer, planning and zoning requirements, debt, and any other related matters comprising the municipal government responsibilities of Fanwood and Scotch Plains. The Consultant shall carefully consider the quality, effectiveness and efficiency of services to the residents, noting the differences between services provided by the two municipalities.

In addition to quantitative aspects as outlined herein, the Consultant's report shall also address qualitative advantages and disadvantages of municipal consolidation. It is important to the Commission that the character and identity of the communities and the neighborhoods within them be preserved regardless of the form of a consolidated government. Also, qualitative impacts related to residents in one municipality or the other feeling the loss of their voice or attention to their issues should be addressed as well as other issues that arise through the work of the Commission.

As part of its examination of government operations, the consultant is directed to review the 2009 Shared Services study performed for the municipalities by Jersey Professional Management, attached as Appendix 1.  The Commission expects proposals to leverage the information contained in that report in order to reduce the amount of data-gathering the consultant will need to perform for the Baseline Report, and thereby reduce the overall cost.

2) THE REPORTS: Two written reports shall be presented to the Commission. The first will be a “Baseline Report,” a factual report of the current governmental operations and other matters of the two municipalities resulting from the Study.

The second report shall be an “Options Report.” This report shall provide the Commission with a qualitative look to the future, exploring the various options the Commission can consider in deciding whether to recommend consolidation.  It shall be evaluative in nature and include the strengths and weaknesses, advantages and disadvantages, and costs and benefits of: 1) maintaining the current government structures; and 2) full consolidation of the two municipalities. The Commission is particularly interested in whether consolidation will result in property tax savings, while providing the same or better delivery of governmental services that the residents of the municipalities currently receive. The Commission notes that the study shall focus on the municipal portion of property taxes only. The schools are currently consolidated and the county portion is beyond the scope of the study.

The report shall include recommendations and options regarding the type and form of government, departmental structure, staffing needs, facility utilization, estimates of one-time and 5-year recurring implementation costs and savings, and other elements determined necessary to implement consolidation.  In addition the report shall include areas of projected cost savings that can be anticipated and recommendations for each. The report must also address all items listed in N.J.S.A. 40A:65-26. The Commission has specifically decided not to study shared services as a report option.

3) OTHER SERVICES: The study process is expected to take 10 months from execution of consultant contract.  During this time, the Consultant shall regularly brief the Commission on its progress. The Consultant shall provide to the Commission a one page summary report every two weeks summarizing progress it has made. The Consultant shall also provide detailed monthly status reports tied directly to its proposed schedule, including the progress to date, any problems or issues encountered, solutions proposed, and anticipated progress for the following month. This report shall be provided to the Commission at its monthly meetings that are held generally on the second Wednesday of every month at 7:00 in the evening (subject to change).

The Consultant shall be given access to meet with the staff and will be given access to financial information and operational records (as they exist) of both communities. Such access should be coordinated with the Chief Administrative Officers from the two communities. It is expected, but not assured, that the municipalities will cooperate fully in making staff and records available. Note: Municipal staff should not be relied upon to perform any analysis of work required for the Commission.

The Department of Community Affairs will prepare a report for the Commission concerning the financial aspects of consolidation of the two municipalities. The data underlying this report shall be available to the Consultant for review. Depending on when the DCA report is received, the Consultant is expected to revise the Options Report if necessary.

Following delivery of the reports to the Commission, the Consultant shall help the Commission review the reports, help the Commission consider options, and assist the Commission in making its final report and recommendations. The Consultant shall also act as a resource for Commission presentations of the final report to the communities.  

The Consultant shall establish a web presence for the posting of Commission related documents.  This may be part of the Consultant’s website and does not require the creation of a separate web domain.

The Consultant shall attend all monthly meetings held by the Commission as well as other meetings upon request of the Commission Chair.   If the Commission’s work continues after the initial 10-month period of activity (commencing with the start of the study), the consultant may be asked to attend additional meetings.  Proposers are to submit a per-meeting cost for attendance at any subsequent meetings and any supplemental public meetings that may be held during the 10-month study period.

Commencement of this study is dependent    upon the Commission obtaining funding and shall not commence until such funding is obtained.  The Commission is using this RFP to determine the required level of funding and the consultant is expected to hold the submitted price for up to 6 months until the matter is resolved.  Funding will be sought following proposal submissions, with the expectation that once proposals are received the Commission can request specific amounts from potential funders. Therefore the Consultant should anticipate and take into account that there will be a gap in time between award of the contract and actual beginning of the study.  Regardless, the study shall be completed no later than six months from execution of contract.

IV. RESPONSE TO REQUEST FOR PROPOSALS

All respondents to the RFP must:

·         Describe their organization and its capabilities. Highlight prior involvement with municipal consolidation and municipal shared service projects in the State of New Jersey and/or other qualifying similar consulting service projects. Identify the projects your firm has completed, providing reference names and contact information of clients.

·         Describe in a narrative format your overall project methodology and technical approach to the study including how you will organize the research effort and report the results and your plans to meet the requirements of the RFP.

·         Provide a proposed contract schedule and work plan including key dates for contract deliverables.  Use the 6 month total contract time as the benchmarks for due dates.

·         Provide a summary of problems that you anticipate you will encounter during the term of the contract. For each problem identified, please propose a solution.

·         Identify the individual who will be the project leader and point of contact and any team members who will work on this project. Describe in detail the background of all involved; including their education, professional experience, professional certifications, and knowledge of municipal government administration, operations and service delivery. Provide a staffing plan for the work and indicate the roles and responsibilities of each assigned individual. Note any staff that is a subcontractor.

Submission of Proposals

Each proposer shall submit one originally signed version and one printed copy of their proposal, no later than 7:00 pm prevailing time on November 13, 2013 at Board meeting room at the Scotch Plains Fanwood Board of Education office on Evergreen Avenue and Cedar Street, Scotch Plains, New Jersey.  Proposals may be submitted by mail or delivery service and proposers must arrange to have such proposals submitted to Marc Pfeiffer of the Bloustein Local Government Research Center, 33 Livingston Street, New Brunswick, NJ 08901 to be received no later than 5:00 pm on November 12, 2013.  Submission may be made in person at Board of Education office at the time and place described above.  Proposers are also asked to submit an electronic courtesy copy to the Commission’s email address as well.  The electronic copy SHALL NOT be considered an official submission – the official submission must be a paper-based original.

Important Reminders:

The proposer assumes sole responsibility for the complete effort required in this RFP. No special consideration shall be given after bids are opened because of a proposer’s failure to be knowledgeable of all of the requirements of this RFP. By submitting a Proposal in response to this RFP, the proposer represents that it has satisfied itself, from its own investigation, of all the requirements of this RFP.

The Commission assumes no responsibility and bears no liability for any costs incurred by proposers in responding to this RFP.   Further, the entire content of every proposal will be publicly opened and becomes a public record. This is the case notwithstanding any statement to the contrary made by a proposer in its proposal.

All received proposals will be made available to the public from the Commission’s Facebook page (www.facebook.com/FSPCSC ) within 24 hours of their opening.  

V. EVALUATION OF PROPOSALS

AND SELECTION PROCESS

The successful consultant must meet all RFP requirements. Respondents will be evaluated on their proposed project methodology, technical approach, the qualifications of the firm, the qualifications of the individual(s) who will perform the work, and the overall ability of the firm to complete the work. Emphasis will be placed on knowledge and experience in consolidation and shared services in the State of New Jersey. Further, the Commission will consider the cost of the service in relationship to other proposals submitted, taking into consideration the evaluation of each proposal and the qualifications presented. The contract shall be awarded to a single consultant.

Proposals shall be on a firm fixed price basis. Proposal price must include all consultant costs, including, but not limited to, travel, communications, office supplies, reports, equipment, software, workspace, and employee salaries and benefits.

The Commission shall award the contract to the Consultant whose proposal is determined to be the most advantageous; price and other factors included.  This RFP is being solicited as an extraordinary, unspecifiable service (EUS) pursuant to N.J.S.A. 40A:11-5(1)(a)(ii) and as a fair and open contract pursuant to N.J.S.A. 19:44A-20.4 et seq.  The Commission has concluded that the nature of this service, its reliance on the limited number of vendors that have performed this service, and the unique aspects of a citizen appointed commission working independent of the municipal governing bodies, warrants a flexible approach to selection of a vendor and has concluded that its nature is consistent with the EUS provisions of law and regulations at N.J.A.C. 5:34-2 et seq.

The Commission reserves the right to interview firms prior to selection and to request further information that might aid in the decision-making process.

VI.  MANDATORY STATUTORY COMPLIANCE MATTERS

The successful proposer will be required to comply with the following matters concerning Equal Opportunity and the following shall be included with the contract between the parties:

AMERICANS WITH DISABILITIES ACT OF 1990

Equal Opportunity for Individuals with Disability

(Form of Agreement at Execution of Contract)

The contractor and the Consolidation Commission of Fanwood and Scotch Plains (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.

EQUAL EMPLOYMENT OPPORTUNITY ACT

MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE

(REVISED 4/10)

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

N.J.A.C. 17:27

GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS

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

           The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.  Such equal employment opportunity shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship.  The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance 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 without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.

           The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

           The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act.

           The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. l7:27‑5.2.

           The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universities, and labor unions, that it does not discriminate on the basis of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.

           The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of 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.

           In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.

           The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents:

·      Letter of Federal Affirmative Action Plan Approval

·      Certificate of Employee Information Report

·      Employee Information Report Form AA302 (electronically provided by the Division and distributed to the public agency through the Division’s website at www.state.nj.us/treasury/contract_compliance)

           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 office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Public Contracts Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27.

b).      AFFIRMATIVE ACTION

              If, prior to or at the time the Agency submits a contract for signing, a Proposer does not submit to the Agency evidence of an existing federally approved or sanctioned Affirmative Action Program; then, no later than three (3) days after the Proposer signs the contract, the Proposer shall complete and submit the appropriate forms to the Agency and the Affirmative Action Office. The Proposer should retain the copy marked “Proposer,” submit the copy marked “Public Agency” to the Agency, and the remaining copies shall be immediately forwarded to:

Division of Public Contracts Equal Employment Opportunity Compliance

PO Box 209

Trenton, New Jersey 08625

Proposers shall be required to comply with the provisions of N.J.A.C. 17:27-1 et seq., regarding Affirmative Action.

VII. PROPOSAL SUBMISSION REQIUREMENTS

Proposers are required to submit several documents required by New Jersey public contracting requirements.  This proposal does not require a Bid Deposit or Consent of Surety.  The submissions include the following:

1.      Proposer Information and Fee Proposal

2.      Stockholder Disclosure Certification (notarization required)

3.      Affidavit Regarding List of Debarred, Suspended or Disqualified Contractors  (notarization required)

4.      Non-Collusion Affidavit  (notarization required)

5.      Business Registration Certificate: Either with this submission, but prior to award, the successful proposer shall submit a valid New Jersey Business Registration Certificate to the Commission.

6.      Affirmative Action affidavit (Submitted prior to award - see Equal Employment Opportunity Act Mandatory Equal Employment Opportunity Language form)

These documents shall be packaged together, covered with a completed “Proposal Cover Form” as attached.

Proposal Cover Form

PROPOSAL FOR

FOR THE STUDY OF MUNICIPAL CONSOLIDATION

by the

CONSOLIDATION COMMISSION OF FANWOOD AND SCOTCH PLAINS

SUBMITTED BY:

Name of Firm:

Address:

Name of Principal Contact:

E-mail:

Telephone:

Proposal Submission #1

PROPOSER INFORMATION AND FEE PROPOSAL

The Commission seeks a firm, fixed price for all costs and services associated with each proposal. In submitting the all-inclusive fee, take into account that there shall be no reimbursement for any costs incurred including, but not limited to, travel, communications, office supplies, reports and equipment, work space, and employee salaries and benefits; all such costs must be inclusive in the proposed fee. The fee shall be submitted on the form below and signed by the owner or Chief Operating Officer of your firm.

Name of Consultant Firm:

Address of Consultant firm:

Name of Principal Contact:

Phone # of Contact:

Fax

E-mail:

Website (if any):

1) For all services described in this proposal and costs incurred for the examination and documentation of current government operations, facilities, services, assets and plans as outlined within the RFP for the Consolidation Study Commission regarding the benefits and liabilities of consolidation of the two municipalities the undersigned being authorized to, submits the following firm fixed price:

IN WORDS:

IN NUMBERS: $

2) Per meeting cost for attendance at meetings after the initial 10 months:

IN WORDS:

IN NUMBERS: $

Name of Owner or Chief Operating Officer:

Signed:

Owner or Chief Operating Officer

Date:

Proposal Submission #2

STOCKHOLDER DISCLOSURE CERTIFICATION

Name of Business:

p 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 business organization.

                                                                                OR

p       I certify that the bidder is a corporation and the list below contains the names and addresses of all stockholders who own 10% or more of the stock of any class of the corporation.

                                                                                OR

p 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:

pPartnership                                          pCorporation               pSole Proprietorship    pLimited Partnership

pLimited Liability Corporation         pLimited Liability Partnership                pSubchapter S Corporation

Sign and notarize the form below, and, if necessary, complete the stockholder list below and copy form if additional space is needed).

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 ___________ , 2 __.

(Notary Public)

My Commission expires:

 __________________________________________                                                                                  

(Affiant)

________________________________

(Print name & title of affiant)

_______________________________

(Name of business)

(Corporate Seal)

THIS FORM SHALL BE COMPLETED, SIGNED, AND NOTARIZED

Proposal Submission #3

AFFIDAVIT REGARDING LIST OF DEBARRED,

SUSPENDED OR DISQUALIFIED CONTRACTORS

STATE OF NEW JERSEY/______________________________

COUNTY OF______________________________

I, ______________________________________, of the (City, Town, Borough) of ______________________________ State of ______________________________, of full age, being duly sworn according to law on my oath depose and say that:

I am ______________________________ of the firm of ______________________________, the Proposer making the Proposal for the above named Project, and that I executed the said Proposal with full authority to do so; that said Proposer is not at the time of the making this bid included on the State of New Jersey Consolidated Debarment Report as a result of action taken by any New Jersey state or local agency.

Subscribed and sworn before me this ___ day of ___________ , 2 __.

(Notary Public)

My Commission expires:

    __________________________________________                                                                                  

(Affiant)

________________________________

(Print name & title of affiant)

_______________________________

(Name of business)

(Corporate Seal)

THIS FORM SHALL BE COMPLETED, SIGNED, AND NOTARIZED

Proposal Submission #4

NON-COLLUSION AFFIDAVIT

STATE OF NEW JERSEY/______________________________

                                                                                                                        Specify, of Other

COUNTY OF______________________________

I, _________________________________________, of the (City, Town, Borough) of ______________________________ State of ______________________________, of full age, being duly sworn according to law on my oath depose and say that:

I am ______________________________ of the firm of ______________________________, the Proposer making the Proposal for the above Project, and that I executed the said Proposal with full authority to do so; that said Proposer 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, and the Consolidation Commission of Fanwood and Scotch Plains relies upon the truth of 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 this organization.

Subscribed and sworn before me this ___ day of ___________ , 2 __.

(Notary Public)

My Commission expires:

 __________________________________________                                                                                   

(Affiant)

________________________________

(Print name & title of affiant)

_______________________________

(Name of business)

(

Corporate Seal)

THIS FORM SHALL BE COMPLETED, SIGNED, AND NOTARIZED

APPENDIX 1

REPORT OF JERSEY PROFESSIONAL MANAGEMENT FOLLOWS