PAY-TO-PLAY” LAW CERTIFICATION BY A BUSINESS ENTITY OR INDIVIDUAL THAT HAS NOT MADE A CONTRIBUTION THAT BAR AWARD OF A CONTRACT FOR OVER $17,500 UNLESS AWARDED PURSUANT TO A AND OPEN” PROCESS “FAIR (TO BE ATTACHED TO BID SPECIFICATIONS AND PROPOSALS FOR CONTRACTS HAVING ESTIMATED VALUE IN EXCESS OF $17,500 UNLESS AND OPEN” PROCESS IS FOLLOWED) “FAIR (Name of Business Entity or Individual) seeks to be awarded a contract by Pine Hill Borough and hereby certifies under penalty of perjury that such entity or individual has not made and will not make any contribution(s) that would bar the award of a contract pursuant to an act concerning campaign contributions by certain business entities seeking or holding a municipal contract (the New Jersey Law”). This certification is made and submitted in fulfillment of the “Pay-to-Play requirement of 19:44A-20.8 of the Pay-to-Play Law which reads as follows: N.J.S.A. to awarding any contract, except a contract that is awarded pursuant to a fair and open process, a State agency in the Legislative Branch, a county or a municipality shall require the business entity to which the contract is to be awarded to provide a written certification that it has not made a contribution that would bar the award of a contract pursuant to this act. Said business entity or individual has not made (and will not make) prior to January 1, 2013, and will not make during the term of the contract, reportable contributions (currently those in excess of $300 per 19:44A-8.d. and 19:25-10.2, N.J.S.A. N.J.A.C. et to any municipal committee of a political party in Pine Hill Borough if a member of seq.) that political party is serving in an elective public office in Pine Hill Borough when the contract is awarded, or to any candidate committee of any person serving in an elective public office of Pine Hill Borough when the contract is awarded. I hereby certify that all of the foregoing statements made by me are true; I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Dated: Name: Company:
PAY-TO-PLAY” LAW CERTIFICATION BY A BUSINESS ENTITY OR INDIVIDUAL THAT HAS NOT MADE A CONTRIBUTION THAT BAR AWARD OF A CONTRACT FOR OVER $17,500 UNLESS AWARDED PURSUANT TO A “FAIR AND OPEN” PROCESS (TO BE ATTACHED TO BID SPECIFICATIONS AND PROPOSALS FOR CONTRACTS HAVING ESTIMATED VALUE IN EXCESS OF $17,500 UNLESS “FAIR AND OPEN” PROCESS IS FOLLOWED) (Name of Business Entity or Individual) seeks to be awarded a contract by Pine Hill Borough and hereby certifies under penalty of perjury that such entity or individual has not made and will not make any contribution(s) that would bar the award of a contract pursuant to an act concerning campaign contributions by certain business entities seeking or holding a municipal contract (the New Jersey “Pay-to-Play Law”). This certification is made and submitted in fulfillment of the requirement of N.J.S.A. 19:44A-20.8 of the Pay-to-Play Law which reads as follows: to awarding any contract, except a contract that is awarded pursuant to a fair and open process, a State agency in the Legislative Branch, a county or a municipality shall require the business entity to which the contract is to be awarded to provide a written certification that it has not made a contribution that would bar the award of a contract pursuant to this act. Said business entity or individual has not made (and will not make) prior to January 1, 2013, and will not make during the term of the contract, reportable contributions (currently those in excess of $300 per N.J.S.A. 19:44A-8.d. and N.J.A.C. 19:25-10.2, et seq.) to any municipal committee of a political party in Pine Hill Borough if a member of that political party is serving in an elective public office in Pine Hill Borough when the contract is awarded, or to any candidate committee of any person serving in an elective public office of Pine Hill Borough when the contract is awarded. I hereby certify that all of the foregoing statements made by me are true; I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Dated: Name: Company:
RFP-Professional-Services-Computer-and-Computer-Network-Consultant-for-2019-1.docx