Vendor Certification & Political Contribution Disclosure

Description

STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF PURCHASE AND PROPERTY 33 WEST STATE STREET, P.O. BOX 0230 TRENTON, NEW JERSEY 08625-0230 VENDOR/BIDDER CERTIFICATION AND POLITICAL CONTRIBUTION DISCLOSURE FORM PUBLIC LAW 2005, CHAPTER 271 CONTRACT #: VENDOR/BIDDER: At least ten (10) days prior to entering into the above-referenced Contract, the Vendor/Bidder must complete this Certification and Political Contribution Disclosure Form in accordance with the directions below and submit it to the State contact for the referenced Contract. NOTE that the disclosure requirements under Public Law 2005, Chapter 271, as amended by the Elections Transparency Act, P.L.2023, c.30, are separate and different from the disclosure requirements under Public Law 2005, Chapter 51. Although no Vendor/Bidder will be precluded from entering into a contract by any information submitted on this form, a Vendor’s/Bidder’s failure to fully, accurately and truthfully complete this form and submit it to the appropriate State agency may result in the imposition of fines by the New Jersey Election Law Enforcement Commission. DISCLOSURE The following is the required Vendor/Bidder Disclosure of all Reportable Contributions made within twelve (12) months prior to entering a county and local contract that is not fair and open or made within eighteen (18) months prior to entering a State contract that is not fair and open and including the date of signing of this Certification and Disclosure to: (i) any candidate committee of a candidate for, or holder of, a State elective office, or (ii) any entity that is also defined as a “continuing political committee” under N.J.S.A. 19:44A-3(n) and N.J.A.C. 19:25-1.7.