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EXHIBIT 1 <br /> DOC #4 <br /> C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM <br /> Public Agency Instructions <br /> This page provides guidance to public agencies entering into contracts with business entities that are required to file <br /> Political Contribution Disclosure forms with the agency. It is not intended to be provided to contractors.What follows <br /> are instructions on the use of form local units can provide to contractors that are required to disclose political contributions <br /> pursuant to N..I.S.A. 19:44A-20.26(P.L.2005,c.271,0). Additional information on the process is available in Local <br /> Finance Notice 2006-I httR://www.ni.gov/dca/divisioaLd[Ls/resources!'Ifns 2006.htmi). Please refer back to these <br /> instructions for the appropriate Iinks,as the Local Finance Notices include links that are no longer operational. <br /> 1. The disclosure is required for all contracts in excess of$17,500 that are not awarded pursuant to a"fair and open" <br /> process(N.J.S.A. 19:44A-20.7). <br /> 2. Due to the potential length of some contractor submissions,the public agency should consider allowing data to be <br /> submitted in electronic farm(i.e.,spreadsheet,pdf file,etc.). Submissions must be kept with the contract documents <br /> or in an appropriate computer file and be available for public access. The form is worded to accept this alternate <br /> submission. The text should be amended if electronic submission will not be allowed. <br /> 3. The submission must be received from the contractor and on file at least 10 days prior to award of the contract. <br /> Resolutions of award should reflect that the disclosure has been received and is on file. <br /> 4. The contractor must disclose contributions made to candidate and party committees covering a wide range of public <br /> agencies,including all public agencies that have elected officials in the county of the public agency,state legislative <br /> positions,and various state entities. The Division of Local Government Services recommends that contractors be <br /> provided a list of the affected agencies. This will assist contractors in determining the campaign and political <br /> committees of the officials and candidates affected by the disclosure. <br /> a. The Division has prepared model disclosure farms for each county. They can be downloaded from the"County <br /> PCD Forms" link on the Pay-to-Play web site at hU://www.ni.gov/dea/divisions/dlgs/pmgrams`/lpci.htrnIg 12. <br /> They will be updated from time-to-time as necessary. <br /> b. A public agency using these forms should edit them to properly reflect the correct legislative district(s). As <br /> the forms are county-based,they list all legislative districts in each county, Districts that do not represent <br /> the public agency should be removed from the lists. <br /> c. Some contractors may find it easier to provide a single list that covers all contributions,regardless of the county, <br /> These submissions are appropriate and should be accepted. <br /> d. The form may be used"as-is",subject to edits as described herein, <br /> c. The "Contractor Instructions" sheet is intended to be provided with the form. It is recommended that the <br /> Instructions and the form be printed on the same piece of paper. The form notes that the Instructions are printed <br /> on the back of the form;where that is not the case,the text should be edited accordingly. <br /> f. The form is a Word document and can be edited to meet local needs,and posted for download on web sites,used <br /> as an e-mail attachment,or provided as a printed document. <br /> 5. It is recommended that the contractor also complete a"Stockholder Disclosure Certification." This will assist the <br /> local unit in its obligation to ensure that contractor did not make any prohibited contributions to the committees listed <br /> on the Business Entity Disclosure Certification in the 12 months prior to the contract (See Local Finance Notice <br /> 2006-7 for additional information on this obligation at <br /> ham://www.ni.gov/dca/divisions/dlp,s/resources/ifns 2006.html). A sample Certification form is part of this package <br /> and the instruction to complete it is included in the Contractor Instructions. NOTE: This section is not applicable to <br /> Boards of Education. <br /> Version August 19,2022 <br />