FURNISHING AND DELIVERY OF FLUOROSILICIC ACID

City of Trenton
319 East State Street, Trenton, New Jersey
SOLICITATION TO BID
SPECIFICATIONS
FOR
FURNISHING AND DELIVERY OF FLUOROSILICIC ACID ((HYDROFLUOSILICIC ACID)
)FOR A PERIOD OF ONE (1) YEAR
WITH AN OPTION TO EXTEND ONE (1) ADDITIONAL YEAR
FOR THE
CITY OF TRENTON
DEPARTMENT OF WATER AND SEWER
TRENTON WATER WORKS
WATER FILTRATION PLANT
To be received on:
June 17, 2026, at 11:00AM
DIVISION OF PURCHASING
BID2026-63

BID DOCUMENT CHECKLIST
(REQUIRED WITH SUBMISSION OF PROPOSAL)
The following checklist is provided as assistance to the development of the proposal Response. It in no way supersedes
or replaces the requirements of the proposal. Please initial on the lines below for each document/section attesting to the
fact that you have read and/or included the documents with your proposal.
A. CITY OF TRENTON ACKNOWLEDGMENT OF RECEIPT OF ADDENDA (Mandatory) ________________
B. STATEMENT OF OWNERSHIP DISCLOSURE (Mandatory) ________________
C. NON-COLLUSION AFFIDAVIT (Mandatory) ________________
D. MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE EXHIBIT A (Mandatory) ________________
E. AFFIRMATIVE ACTION REGULATIONS QUESTIONNAIRE (Mandatory) ________________
F. AMERICANS WITH DISABILITIES ACT OF 1990 (Mandatory) ________________
G. CERTIFICATION OF NON-DEBARMENT FOR FEDERAL GOVERNMENT CONTRACTS ________________
H. DISCLOSURE INVESTED ACTIVITIES IN IRAN (Prior to award) ________________
I. PROHIBITED INVESTED ACTIVITIES IN RUSSIA AND BELARUS (Prior to award) ________________
J. CONTRACTOR'S BUSINESS REGISTRATION CERTIFICATE (Prior to award) ________________
K. CONTRACTOR'S LICENSES AND CERTIFICATIONS REQUIRED PER SPECIFICATIONS ________________
L. THREE (3) REFERENCES REQUIRED WITH BID SUBMITTAL ________________
M. ETHICS COMPLAINT DISCLOSURE ________________
N. CITY OF TRENTON RESIDENT EMPLOYMENT POLICY ________________
PAGES MUST BE ONE-SIDED - DO NOT BIND, BIDDERS DO NOT CHANGE
ANY FORMS
Proposers may visit the City of Trenton's Procurement Website bids
and prior to submitting sealed bid for any changes, addendums and
cancellations at www.trentonnj.org/bids
Legal advertisements are posted on the City's Procurement Website
at www.trentonnj.org/bids
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

TABLE OF CONTENT
* CHECK LIST
* TABLE OF CONTENT
* LEGAL ADVERTISEMENT
* PROCUREMENT FORMS
CITY OF TRENTON ACKNOWLEDGMENT OF RECEIPT OF ADDENDA
STATEMENT OF OWNERSHIP DISCLOSURE
NON-COLLUSION AFFIDAVIT
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY (EXHIBIT A)
REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS
AMERICANS WITH DISABILITIES ACT OF 1990
CERTIFICATION OF NON-DEBARMENT FOR FEDERAL GOVERNMENT CONTRACTS
DISCLOSURE INVESTED ACTIVITIES IN IRAN
DISCLOSURE OF INVESTMENT PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
NEW JERSEY BUSINESS REGISTRATION CERTIFICATE
LICENSES AND CERTIFICATIONS
PROVIDE THREE (3) REFERENCES
* INSTRUCTIONS TO BIDDERS
* CITY OF TRENTON RESIDENT EMPLOYMENT POLICY
* ETHICS COMPLAINT DISCLOSURE
* SPECIFICATIONS
* PROPOSAL FORM
Proposer Name: _____________________________________________________________
Date: _______________________________________________________________________
Authorized Representative: __________________________________________________
Signature: ___________________________________________________________________
Print Name & Title: ___________________________________________________________
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

CITY OF TRENTON
NOTICE TO BIDDERS
BID2026-63
Sealed bids shall be received by Isabel C. Garcia, QPA, Purchasing Agent, for the City of
Trenton, County of Mercer, State of New Jersey on JUNE 17, 2026, at 11:00 A.M. prevailing
time in the Division of Purchasing, 1st. Floor, City Hall Annex, 319 East State Street, Trenton,
New Jersey, for:
FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR
TRENTON WATER FILTRATION PLANT
BIDDER MAY LOG ON TO A VIRTUAL BID OPENING ON JUNE 17, 2026, AT 11:00AM TO:
https://www.zoomgov.com/j/1656051907?pwd=cpahBGhYV2zLazuGgho5PmAvaVbOa3.1
Specifications and other bid information, such as addendums, cancellations and
notices prior to the bid opening date and time may be obtained on the City's
Purchasing Website at www.trentonnj.org/bids,Failure to do so shall result in the rejection
of your bid submission. Questions must be submitted to igarcia@trentonnj.org
Legal advertisement will be posted on the City's Procurement Website at
www.trentonnj.org/bids
Proposers are required to comply with the requirements of P.L. 1975, c127(N.J.A.C.17:27
et seq).
City of Trenton - (609)-989-3139
Isabel C. Garcia, Purchasing Agent, QPA
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

CITY OF TRENTON
ACKNOWLEDGMENT OF RECEIPT
OF ADDENDA
(MANDATORY)
The undersigned Respondent hereby acknowledges receipt of the
following Addenda:
Addendum Number Dated
(ICG)
Acknowledged for:
(Name of Respondent)
By:
(Signature of Authorized Representative)
Name:
Title:
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

(MANDATORY)
STATEMENT OF OWNERSHIP DISCLOSURE
N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43)
This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to
submit the required information is cause for automatic rejection of the bid or proposal.
Name of
Organization:
Organization
Address:
Part I Check the box that represents the type of business organization:

Sole Proprietorship (skip Parts II and III, execute certification in Part IV)

Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)

For-Profit Corporation (any type) Limited Liability Company (LLC)

Partnership Limited Partnership Limited Liability Partnership (LLP)

Other (be specific):
Part II

The list below contains the names and addresses of all stockholders in the corporation
who own 10 percent or more of its stock, of any class, or of all individual partners in the
partnership who own a 10 percent or greater interest therein, or of all members in the
limited liability company who own a 10 percent or greater interest therein, as the case
may be. (COMPLETE THE LIST BELOW IN THIS SECTION)
OR

No one stockholder in the corporation owns 10 percent or more of its stock, of any class,
or no individual partner in the partnership owns a 10 percent or greater interest therein, or
no member in the limited liability company owns a 10 percent or greater interest therein,
as the case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity Address
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE
STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II
If a bidder has a direct or indirect parent entity which is publicly traded, and any person holds
a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last
annual federal Security and Exchange Commission (SEC) or foreign equivalent filing,
ownership disclosure can be met by providing links to the website(s) containing the last annual
filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain
the name and address of each person holding a 10% or greater beneficial interest in the publicly
traded parent entity, along with the relevant page numbers of the filing(s) that contain the
information on each such person. Attach additional sheets if more space is needed.
Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #'s
Please list the names and addresses of each stockholder, partner or member owning a 10 percent or
greater interest in any corresponding corporation, partnership and/or limited liability company (LLC)
listed in Part II other than for any publicly traded parent entities referenced above. The
disclosure shall be continued until names and addresses of every noncorporate stockholder, and
individual partner, and member exceeding the 10 percent ownership criteria established pursuant to
N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed.
Stockholder/Partner/Member and Address
Corresponding Entity Listed in Part II
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any
attachments thereto to the best of my knowledge are true and complete. I acknowledge: that I am
authorized to execute this certification on behalf of the bidder/proposer; that the <name of
contracting unit> is relying on the information contained herein and that I am under a continuing
obligation from the date of this certification through the completion of any contracts with <type of
contracting unit> to notify the <type of contracting unit> in writing of any changes to the
information contained herein; 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 am subject to criminal
prosecution under the law and that it will constitute a material breach of my agreement(s) with
the, permitting the <type of contracting unit> to declare any contract(s) resulting from this
certification void and unenforceable.
Full Name (Print): Title:
Signature: Date:
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

NON-COLLUSION AFFIDAVIT - MANDATORY
STATE OF NEW JERSEY CITY OF TRENTON, COUNTY OF MERCER SS:
I, of the City of ,
in the County of , and the State of ,
of full age, being duly sworn according to law on my oath depose and say that:
I am of the firm
of bidder making the proposal for the
above-named Contract, and that I executed the said proposal with full authority so to do; that said bidder
has not, directly or indirectly, entered into any agreement, participate in any collusion, or otherwise taken
any action in restraint of free, competitive bidding in connection with the above named Contract; and that
all statements contained in said proposal and in this affidavit are true and correct, and made with full
knowledge that the City of Trenton, County of Mercer relied upon the truth of the statements contained in
said Proposal and in the statements contained in this affidavit in awarding the Contract for the said
proposal.
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 Bonafide employees or Bonafide established commercial or selling agencies maintained by
(Name of Vendor)
Subscribed and sworn to before me
This day of , 20 .
(Signature of Notary Public)
Notary Public of
My Commission expires , 20
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM

(REVISED 4/10)
EXHIBIT A
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 et seq.
GOODS, GENERAL SERVICES, AND PROFESSIONAL SERVICES 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, affection-al or sexual orientation, gender identity
or expression, disability, nationality or sex. Such equal employment opportunities 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 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 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.
BID2026-63 FURNISHING AND DELIVERY OF FLUOROSILICIC ACID FOR A PERIOD OF ONE (1) YEAR WITH AN OPTION TO EXTEND ONE (1)
ADDITIONAL YEAR FOR THE CITY OF TRENTON OF DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS VIRTUAL BID OPENING
DATE JUNE 17, 2026, AT 11:00AM