LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES

City of Trenton
319 East State Street, Trenton, New Jersey
SOLICITATION FOR REQUEST FOR PROPOSALS
THROUGH A FAIR AND OPEN PROCESS IN ACCORDANCE WITH N.J.S.A.
19:44A-20.4 ET SEQ.
SCOPE OF SERVICES
FOR
LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES
FOR A PERIOD OF ONE (1) YEAR
FOR THE
CITY OF TRENTON
DEPARTMENT OF WATER AND SEWER
TRENTON WATER WORKS
To be received on:
APRIL 21, 202, at 11:00AM
DIVISION OF PURCHASING
RFP2026-16
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE
CITY OF TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21,
2026, AT 11:00AM

(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.
Must Read and Initial
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 (Mandatory) ________________
H. POLITICAL CONTRIBUTION DISCLOSURE FORM ______________
I. DISCLOSURE INVESTED ACTIVITIES IN IRAN (Prior to award) _______________
J. PROHIBITED INVESTED ACTIVITIES IN RUSSIA AND BELARUS (Prior to award) ________________
K. NEW JERSEY BUSINESS REGISTRATION CERTIFICATE (Prior to award) ________________
L. THREE (3) REFERENCES REQUIRED ________________
M. ETHICS COMPLAINT DISCLOSURE ________________
N. CITY OF TRENTON RESIDENT EMPLOYMENT POLICY ________________
O. PROPOSAL PAGE (Mandatory) ________________
PAGES MUST BE ONE-SIDED - DO NOT BIND, PROPOSERS DO NOT CHANGE ANY FORMS
Proposers may visit the City of Trenton's Procurement Website www.trentonnj.org/bids
and https://www.nj.gov/state/statewide-legal-notices-list.shtml prior to submitting
sealed proposal for any changes, addendums and cancellations to the City's Division
of Purchasing.
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE
CITY OF TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21,
2026, AT 11:00AM

TABLE OF CONTENT
* Check list
* Table of Content
* Legal advertisement
* Register to do business with the City of Trenton
* Procurement forms
CITY OF TRENTON ACKNOWLEDGMENT OF RECEIPT OF ADDENDA
STATEMENT OF OWNERSHIP DISCLOSURE
NON-COLLUSION AFFIDAVIT
REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS
EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE (EXHIBIT A)
AMERICANS WITH DISABILITIES ACT OF 1990
CERTIFICATION OF NON-DEBARMENT FOR FEDERAL GOVERNMENT CONTRACTS
POLITICAL CONTRIBUTION DISCLOSURE FORM
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS
NEW JERSEY BUSINESS REGISTRATION CERTIFICATE
* Instructions for Proposers
* City of Trenton Resident Employment Policy
* City of Trenton Ethics Complaint Disclosure
* Specifications
* Proposal
PAGES MUST BE ONE-SIDED - DO NOT BIND
Please submit one (1) original signed copy and two (2) additional copies
Purchasing website. Proposers may visit the City of Trenton's Procurement Website prior to
submitting their sealed proposal for any changes, addendums and cancellations.
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE
CITY OF TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21,
2026, AT 11:00AM

CITY OF TRENTON
INVITATION FOR REQUEST FOR PROPOSALS
RFP2026-16
The City of Trenton is soliciting proposals through a fair and open process in accordance with
N.J.S.A. 19:44A-20.4 et seq. for:
LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES
PROPOSERS MAY LOG ON TO A VIRTUAL PROPOSAL OPENING ON,APRIL 21, 2026,
PRIOR TO 11:00AM TO:
https://www.zoomgov.com/j/1601212629?pwd=JKw72X423WbINClbilZXwLoa7LjDHm.1
The City of Trenton requires submission of sealed proposals by,APRIL 21, 2026, PRIOR TO 11:00AM to
Isabel C. Garcia, QPA, Purchasing Agent, Division of Purchasing, 1st floor, 319 East State Street,
Trenton, NJ 08608.
Scope of Services, Requirements, Evaluation Criteria and other proposal information may
be obtained from the City of Trenton's Procurement Website from the following link;
www.trentonnj.org/bids . Questions must be submitted in writing seven (7) days prior to the
bid opening date to igarcia@trentonnj.org.
Addendums, cancellations, and any changes may also be found on City of Trenton's
Procurement Website fwww.trentonnj.org/bids. Acknowledgement of Addenda's is
mandatory, failure to submit with your sealed proposal shall result in the rejection of your
proposal submission.
Proposers shall comply with the requirements of P.L. 1975 C127. (N.J.S.A. 17:27et seq.)
City of Trenton 609-989-3139
Isabel C. Garcia, QPA
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE
CITY OF TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21,
2026, AT 11:00AM

REGISTER TO DO BUSINESS WITH THE CITY OF TRENTON
An e-notification and/or text message will be sent to all vendors currently
registered with the City of Trenton, directing them to bidding opportunities,
notices, cancellations, postponements, bid results, awarded contract information
and addendums on the City of Trenton Division of Purchasing website. It is highly
recommended that interested Respondents register on the City of Trenton's
Purchasing website. Proposers may visit the City of Trenton's Procurement Website
prior to submitting their sealed proposal for any changes, addendums and
cancellations.
REGISTER AT:
https://nj-trenton.civicplus.com/list.aspx
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RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE CITY OF
TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21, 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:
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE CITY OF
TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21, 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 Address
Business Entity
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE CITY OF
TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21, 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) Page #'s
filing
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/Memb Address
er and Corresponding
Entity Listed in Part II
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE CITY OF
TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21, 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
Title:
(Print):
Signature:
Date:
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE CITY OF
TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21, 2026, AT 11:00AM

NON-COLLUSION AFFIDAVIT
(MANDATORY)
The undersigned bidder or agent, being duly sworn on oath, says that he/she has not,
nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination,
collusion or agreement with any person relative to the price to be bid by anyone at
such letting nor to prevent any person from bidding nor to include anyone to refrain
from bidding, and that this bid is made without reference to any other bid and without
any agreement, understanding or combination with any other person in reference to
such bidding.
He/She further says that no person or persons, firms, or corporation has, have or will
receive directly or indirectly, any rebate, free gift, commission or thing of value on
account of such sale.
OATH AND AFFIRMATION
I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND
INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE
TRUE AND CORRECT.
Dated this day of ,
(Name of Organization)
(Title of Person Signing)
(Signature)
ACKNOWLEDGEMENT
STATE OF ) COUNTY OF )) ss
Before me, a Notary Public, personally appeared the above name and swore
that the statements contained in the foregoing document are true and
correct.
Subscribed and sworn to me this day of , .
Notary Public Signature
My Commission Expires:
RFP2026-16 LEAD SERVICE LINE (LSL) INVENTORY ANNUAL COMPLIANCE SERVICES FOR A PERIOD OF ONE (1) YEAR FOR THE CITY OF
TRENTON, DEPARTMENT OF WATER AND SEWER, TRENTON WATER WORKS - VIRTUAL RFP OPENING DATE APRIL 21, 2026, AT 11:00AM