Roofing and Building Envelope Services AEPA IFB #017

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms STATE SPECIFIC REQUIRED FORMS (FROM PART A)

1. California, Monterey County Office of Education dba CalSave MARKETING AND ADVERTISING UNDER THIS AGREEMENT Please refer to Form D for WTI/Tremco’s comprehensive marketing plan. A sample marketing flyer is included within Form D to demonstrate the advertising and promotional material planned for this agreement. LICENSE

2. Colorado, Colorado BOCES Association (CBA) ADVERTISING Please refer to Form D for WTI/Tremco’s comprehensive marketing plan. A sample marketing flyer is included to demonstrate the advertising and promotional material planned for this agreement. LICENSE State license is not required per the screen shot, below.

3. Connecticut, Capitol Region Education Council (CREC) CONFLICT OF INTEREST WTI/Tremco does not have any relationships with CREC employees that would not be considered an “arms-length” or independent transaction.

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms MARKETING AND ADVERTISING Please refer to Form D for WTI/Tremco’s comprehensive marketing plan. A sample marketing flyer is included to demonstrate the advertising and promotional material planned for this agreement. We agree to provide CREC with a proof of all advertisements, customer communications or promotional material for prior approval.

SMALL AND MINORITY BUSINESSES WTI/Tremco has an established Small Business Program to encourage the participation of small and minority-owned businesses to the greatest extent possible. Our Small Business Program will support the requirement that a minimum of 25% of the state-funded portion of the contract be awarded to Connecticut Department of Administrative Services (DAS) certified Minority, Women and/or Disabled owned businesses. A summary of our Small Business Program is provided in Form D. LICENSE

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 4. Florida, Panhandle Area Education Consortium LICENSE

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms LICENSE (CONTINUED)

5. Indiana, Wilson Education Service Center (WESC) N/A. Not participating.

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 6. Iowa, Iowa Educators Consortium (IEC) LICENSE

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 7. Kansas, Southeast Kansas Educational Services Cooperative – Greenbush (SEKESC) LICENSE

8. Kentucky, Green River Regional Educational Cooperative (GRRREC) LOBBYING Required forms will be provided when the contract is awarded by the Kentucky AEPA member.

BUY AMERICAN WTI/Tremco confirms our willingness to assert its best and reasonable efforts to ensure compliance with the Buy American provision; however, see Form E – Exceptions. LICENSE State license not required per screen shot, below.

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 9. Massachusetts, The Education Cooperative N/A. Not participating.

10. Michigan, Oakland Schools (OS) CONFLICT OF INTEREST WTI/Tremco does not have any conflicts of interest with Board members, administrators and/or employees of any Participating Entity. LICENSE State license not required per screen shot, below.

11. Minnesota, Cooperative Purchasing Connection (CPC) CONFLICT OF INTEREST WTI/Tremco does not have any relationships with CREC employees that would not be considered an “arms-length” or independent transaction. LICENSE State license not required per the screen shot, below.

12. Missouri, Cooperating School Districts of the Greater St. Louis Area (CSD) LEASE AND RENTALS WTI/Tremco is not offering leasing arrangements under this bid and, therefore, has not included leasing terms in the proposal. LICENSE State license is not required per the screen shot, below.

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 13. Montana, Montana Cooperative Services (MCS) PRICE AND PACKAGING INFORMATION As required, WTI/Tremco will provide both the LIST PRICE and BID PRICE on each item for consideration. Complete Product Specification Sheets or brochures will be submitted when requested. Product Data Sheets for major components are provided in Part B – Specifications, 11. Submittal and Substantiating Documentation, paragraph 11.3.4 as required. LICENSE

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 14. Nebraska, Educational Service Unit Coordinating Council (ESUCC) LICENSE State license is not required per the screen shot, below. WTI is registered with the Nebraska Secretary of State and the Nebraska Department of Revenue, as depicted by the Active business information also provided below.

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms 15. New Jersey, Middlesex Regional Educational Services Commission (MRESC) The following documentation is provided on the following pages, as requested. 1. 2. 3. 4. 5. 6. 7.

New Jersey Business Registration Certificate New Jersey Contractors Registration Certificate (All time and material bids.) New Jersey Pay-to-Play Documentation New Jersey Affirmative Language Acknowledgement of the Contractor’s/Vendor’s responsibility to pay http://lwd.dol.state.nj.us/labor/wagehour/wagerate/prevailing_wage_determinations.html New Jersey Affirmative Action documentation Disclosure of Investment Activities in Iran

prevailing

wage.

MARKETING AND ADVERTISING Please refer to Form D for WTI/Tremco’s comprehensive marketing plan. A sample marketing flyer is included to demonstrate the advertising and promotional material planned for this agreement.

CONFLICT OF INTEREST WTI/Tremco does not have any relationships with MRESC employees that would not be considered an “arms-length” or independent transaction.

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Roofing and Building Envelope Services AEPA IFB #017-F State Specific Required Forms LICENSE

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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Return r¿lltir Btd

To be completed and slgned belout. AF nnmTrw

Acrro N oug,sTro ¡tM¿np

This form is to be completed and returned with the bid, However, the MRESC will accept in lieu of this Questionnai¡e, A-tErmative Action Evidence stapled to this page.

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Our company has a federa.l AfTirmative Action Plan approva.l.

yES

X

No

We have federal Affirmative Action Plans and one of our facílities was recently issued a compliance

letter (attached for reference). A. If yes, please attach a copy of the plan to this questionnaire-

2.

Our company has a New Jersey State Certilicate of Employee Information Report

X yps A. tf yes, please attach 3

No

a copy of the certif cate to ttris questionaaire.

If you answered ,lW to both questions above, an aff¡mative action Emplogee Infonnation Report (AA-s02)will be mailed to you. Complete the form and forwa¡d to:

Department of Treasu¡y Division of Public Contracts/EEO Compliance P.O. Box 209 Trenton, NJ 08625-0002

All fees for this application a¡e to be paid directly to the division. A copy shall be submitted to the MRESC within seven (7) days of the notice of the intent to awa¡d the contract or the signing of the contract. I certify

tlat

Name

of

Name

of

the above information is correct to the best of my knowledge

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Weatherproofi nq Technoloqies, lnc.

SIGNATU

AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

enboom

T¡rte President

Date October 3,2016

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AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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AEPA IFB #017-F - Roofing and Building Envelope Services Copyright © 2016 Weatherproofing Technologies, Inc.

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EXHIBIT A MÄNDATORY EQ UAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. l0:5-31 etseq. (P.L.1975, c.127) N.J.A.C. 1727 et seq. GOODS, GENERAL SERVICES, AND PROF'ESSIONAL SERVICES CONTR.ACTS During ttrc

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Tfic cont¡actor or subconlrucor, whurc appficahle, will not discriminaûi sgainst my employce or applicant for employtnent becåuçe of ûgc, rûùc. meod, color. nstiqnal origin, ûnccslfy, mûrilol sl$tus, affcctional or scxual oricntation, gcndcr identity or cxPrcsston, d¡sábility, rùtionalrty or rcx lìxcqrt with rcspcct lo affoctional or scxual oricntalion rrd gender idenlity or exprcssion, thc coNrFaclor will ensure that equaÍ enploym€nt oppomrnity is afforded to such applic0nts in recruiltncnt urd arrploymcnl, ùd thÂt cmployrcs arc trsatcd during employnrènt, wióout regârd to their age, rec, creed, color, nationnl origin, ancñtry, ntariløl status, affcction- al or sexual uientatim, gcndcr identity or exprcssion, disabilily, nutionality or scx. Such cqual cmploymcnt opportun¡ty shall include, bul not bc limitcd to thc f-ollowing: employmcnt, u¡grading dcmotion, or tlansfer: rccruiûncalt or rccruiÚnelt advertisìng; la1off or lcntl¡nârioni rdcs of pât or othcr fofms of compcnsetion: and sclcction for training including spprentic€- ship lìc cûntrâclor åBrc€s to post in conspicuous placcs, avaitable to employccs and applicants lbr cmployment" notic€s to be provided by the Public Agcncy Complinncc Offtcer sctting forlh provisions of this nondiscrimination cl¡usc' Ths contractor or subconLrætor, where applìcablc will, in all solic¡tations or sdvertisemenls for cmploycrs placed by or on bchalf of thc conlrsstor. stsfe thûl all qualifiut applioants will rcr¿ivc considerslion for employrncnt without rtgârd lo âge. race, crccd, color, Íational origin, mcc.stry, marital slatus, allcct¡onal or sexual oriêftation, gender identrty or expression, disabitity'. nalioflality or sex. The cont¡aclor or subcontraclor will send lo each labor union, wiú¡ which it hes a collective bargaining Esrecllìcnl. a noticc, to bc provided by lhe agcncy conlractiug oflicer, advrsing tlle labor union of Ûro confractor's cùmmitnlcnls undcr this çhsptor and shall ¡rsf urpies of thc notice in unspicu0us plucui uvailahlc to emplolecs ond npplicants for cmplo¡ment.

'lrcasurcr putsuont to

t'hc contrâctor or subc¡ntractôr, whcrc eppl¡cablc, agf€€s 1o comply ì.rith any regulâtions protnulgât€d by the .S .Â. l0:5-31 et seq,, as ùnended and supphmented from tirne to time fltd the Arnericans rvith D¡såbilities Acf'

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T'he contraclor or subconrractor agßes lo makc good taith efforts to me€t lorBeted county employmenl goals esteblishcd in accordonce with N.J ./\.C. I7:27-5.2 'l'he contrectoror subçontraclr âgrccs to inlorm in wriling its appropríate recruitmenl agertcies including. but not limited to, employment agtacies, placement bureaus. collegrs. universities, and tabo¡ un¡ons, tlltt ¡t dùes nùt diseriminate on the basis of uge, recc, or. ialional õrigin a¡cestry. marilal stan$, affectional or sexus¡ orientalior¡ genrjer idmtity or oxpressior\ disobility. "r".d, nutionality or sex, zutd lhat rt will rlisc¡ntinue ùc use of nny rccruitrncnt agclrcy which englgcs in rlirect or indircd d¡scriminstory pract¡ccs

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'l'hc contr8c()r or subcool|.sctùf ågfees to revisc sny of its tcsling procedurcs. if neccssåry, ¡o tssLre that ¿ll pcrsolìnel teling conforms with thc principles of job relûted tesling, es êstahlishcd by thc stûtutes md courl dccisions of rñe Sfátc of New Jersey and æ establi$hed by applicablc fiedcral law and applicable l-eder¡l court declstons

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