BID CHECKLIST
Owner’s CHECKMARKS
Items Submitted with Bid
Bidder’s INITIALS
Bidder’s INITIALS
A. FAILURE TO SUBMIT ANY OF THESE ITEMS WITH THE BID IS MANDATORY CAUSE FOR REJECTION
| ✓ | Letter of Qualification –Bid Form 1 | TS. |
| ✓ | Bid Bond or certified/cashier’s check - Proposal Form 2 | TS. |
| ✓ | Purchase Price –Bid Form 3 | TS. |
| ✓ | Letter of Intent –Bid Form 4 | TS. |
| ✓ | Disclosure Statement – Bid Form 5 | TS. |
| ✓ | Acknowledgment of Receipt of Addenda (if any) –Bid Form 6 | TS. |
| ✓ | Statement of Ownership –Bid Form 7 | TS. |
| ✓ | Non-Collusion Affidavit –Bid Form 8 | TS. |
| ✓ | C.271 Political Contribution Disclosure Form – Bid Form 9 | TS. |
B. ITEMS PREFERRED AT TIME OF BID, BUT MANDATORY AT THE TIME INDICATED
| ✓ | Disclosure of Investment Activities in Iran Form - Bid Form 10 | TS. |
| ✓ |
Certification of Non-Involvement in Prohibited Activities in Russia or Belarus
Pursuant to P.L. 2002, c.3
(Prior to Contract Award)
|
TS. |
| ✓ | New Jersey Business Registration Certificate (Prior to Contract Award) | TS. |
PRINT NAME OF BIDDER:
New Jersey-American Water Company, Inc.
SIGNED BY:
PRINT NAME AND TITLE:
Thomas Shroba, Vice President, Operations
DATE:
June 22, 2022