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HomeMy Public PortalAboutr 21-217Ieoolutiou of #4e jgorou�4 of Tar #ere#, N. 5. No. #21-217 Date of Adoption November 4 2021 RESOLUTION OF THE' BOROUGH OF CARTERET, IN THE COUNTY OF MIDDLESEX, DESIGNATING A CONDITIONAL REDEVELOPER FOR PORTION OF PROPERTY IN THE WEST CARTERET MINUE STREET RETAIL R1DEVELOPMENT AREA PHASE 11 AND AUTHORIZING AN INTERIM COSTS AGREEMENT IN CONNECTION THEREWITH WHEREAS, pursuant to the New Jersey Local Redevelopment and Housing Law, N.J.S.A, 40A:12A -1 et seq. (the "Redevelopment Law ") the Borough designated the properties formerly known as Block 49.03, Lot 1, Block 50.01, Lots 10, 11, 12, 13, 14, 15, 16, 17, 27, 28, 29, 30, 32.04, Block 50.02, Lots 1.01, 1.02, 2, 3, and 4 on the Borough's tax maps, and commonly known as the West Carteret Minue Street Retail Redevelopment Area, Phase II (collectively, the "Redevelopment Area ") as an "area in need of redevelopment "; and WHEREAS, the Borough previously adopted an ordinance approving and adopting a redevelopment plan for the Redevelopment Area; and WHEREAS, NJ Nectar Ventures, LLC ("Nectar ") submitted to the Borough a proposal to purchase and redevelop a portion of the Redevelopment Area consisting of Block 2706, Lot I on the Borough's current tax maps, and commonly known as 110 Minue Street (the "Project Area "); and WHEREAS, the Borough has determined that Nectar is capable of undertaking the redevelopment of the Project Area; and WHEREAS, the Borough wishes to engage in preliminary negotiations with Nectar, or with any corporate entity that Nectar shall create and control, in furtherance of entering into a formal redevelopment agreement for the Project Area. NOW, THEREFORE, BE AND IT IS HEREBY RESOLVED by the Mayor and Council of Borough of Carteret, in the County of Middlesex and the State of New Jersey, as follows: Section 1. The aforementioned recitals are incorporated herein as though fully set forth at length herein, Section 2. Nectar is hereby conditionally designated as the redeveloper of the Project Area and has, at the sole and exclusive discretion of the Borough, the option to enter into preliminary negotiations for a redevelopment agreement with the Borough for the Project Area. This designation shall apply to Nectar and/or to any special purpose entity the principals of Nectar may elect to form, so long as the principals in and of Nectar hold a controlling interest in such special purpose entity. Section 3. The within designation is hereby made for a limited period of ninety (90) days from the date of adoption hereof (or such additional period of time as the Borough may determine in its sole and absolute discretion), and is contingent upon Nectar providing any additional project related information as may be requested by the Borough. NO. #21 -217 PAGE 2 Section 4. The within designation is further contingent upon Nectar agreeing to reimburse the Borough for any and all costs associated with the Borough's review of said additional material and any efforts involved in designating Nectar as the conditional redeveloper and negotiating a formal redevelopment agreement between the Borough and Nectar (or such wholly owned corporate entity as it may create). Said costs shall include, but not be limited to, the cost of any and all professional consultants retained by the Borough to review said materials and/or assist the Borough in negotiations of a formal redevelopment agreement. Section 5. The Mayor is hereby authorized and directed to execute an Interim Costs Agreement in a form to be approved by the Mayor, after consultation with counsel. Section 6. This resolution shall take effect immediately. Adopted this 4th day of November, 2021 and certified as a true copy of the original on November 5, 2021. CARMELA POGORZELSKI Municipal Clerk RECORD OR COUNCIL VOTE COUNCILMAN YES NO NV A.B. COUNCILMAN YES NO NV A.B. BELLINO X JOWL DIAZ X KRUM DIMASaO X NAPIEi X - Indicate Vole AB - Absent NV - Not Voting XOR- Indicates Vote to Oveoulci Veto i I Adapted at a meeting of the Municipal Council November 4 2 21 !! �suThJTrrnnrnn .V t BEACON PLANNING AND CONSULTING SERVICES, LLC COLTS TOWNE PLAZA TEL. (732) 845 -8103 315 ROUTE 34 — SUITE 129 FAX (732) 845 -8104 COLTS NECK, NJ 07722_ MEMORANDUM TO: MAYOR DANIEL REIMAN FROM: ANDREW W. JANIW, PP, AICP' SUBJECT: RESPONSE TO RFQ — NJ NECTAR BEACON FILE: A21353 DATE: NOVEMBER 4, 2021 CC: MICHAEL SICA, ESQ, KEVIN MCMANIMON, ESQ., JOHN DUPONT, PE Beacon Planning and Consulting Services, LLC forwarded a General RFQ to Andrew Siceloff on October 28, 2021. A response was received on November 1, 2021. The purpose of this memorandum is to provide a commentary on the response package. The respondent is identified as NJ Nectar Ventures, LLC having an address at 157 Hillman Avenue, Glenn Rock, New Jersey 07452. The response was signed by Andrew Siceloff as CEO of NJ Nectar. In general terms, the contents of the response package are complete and provide sufficient information to consider an Interim Designation to facilitate further discussions and review. The respondent intends to complete an adaptive reuse of the former Florence Paper building for the purpose of establishing a medical cannabis cultivation facility. The proposal entails a 68,000 square foot facility and cites an October 15, 2021 Permit Endorsement Award from the Cannabis Regulatory Commission. The development and management team are identified as Andrew Siceloff, Michael Chang, and Puneet Singh. An organizational chart identifying leadership and the medical advisory board has been provided as have project references and financial references. The respondent indicates they are not involved in any pending litigation or defaults. The response package includes a non - binding Letter of Intent from a lender to provide financing in an amount up to $6,700,000.00. Sources for the balance of the funds necessary to acquire, renovate and establish operations were not provided. The respondent has provided copies of NJ Nectar's Certificate of Formation, Federal Employer Identification Number, and Certification of the Enterprise as a Minority Business (including recognition as such by the SBA). Renderings of the proposed facility have been provided, however, floor plans have not. Supplemental documents include completed Ownership Disclosure Statements, Non - Collusion Affidavits, a Consent to Investigation dated November 1, 2021 and detailed contact information. Beacon Planning is awaiting responses from references and recommends receipt of a Zoning Opinion from the Borough Zoning Officer regarding the utilization of the site for the intended purpose. Our cursory review of local ordinances pertaining to this specific use indicate the site is suited for redevelopment as a cannabis cultivation facility. in the interim, BPCS has no objection to the Borough's consideration of the Respondent for an Interim Designation as Redeveloper of the property located at 110 Minue Street in the Borough of Carteret, New Jersey. BPCS will continue to supplement our findings as we conclude our review. 2 ff"Huxe"i � Carteret RFQ Respondent NJ NECTAR VENTURES LLC 157 Hillman Ave. Glenn Rock, NJ 07452 October 28, 2021 I VV NJ NECTAR Mayor Daniel J. Reiman Borough of Carteret 61 Cooke Avenue Carteret, New Jersey 07008 October 28, 2021 RE: Response to RFQ, dated October 20, 2021, related to the prequalification of Redeveloper candidates. The undersigned, as Respondent, has (have) submitted the attached Response to the Request for Proposal (RFQ) issued by the Borough of Carteret dated October 28, 2021. Andrew Siceloff HEREBY STATES: 1. The Response contains accurate, factual and complete information and all representations made regarding Respondent's willingness to provide the required services are true and correct. 2. It is the intent of Andrew Siceloff if selected, to complete and submit a Proposal for development of a yet to be determined Project. 3. Andrew Siceloff agrees to participate in good faith in the selection process as described in the RFQ and to adhere to the Borough's selection schedule. 4. Andrew Siceloff acknowledges (acknowledge) that all costs incurred by it (them) in connection with the preparation and submission of the Response prepared and submitted in response to the RFQ, or any negotiations which result therefrom, shall be home exclusively by the Respondent. Andrew Siceloff hereby declares (declare) that the only persons participating in this Response as Principals are named herein and that no person other than those herein mentioned has any participation in this Response or in any contract to be entered into with respect thereto. Additional persons may subsequently be included as participating Principals, but only if acceptable to the Borough. I, Andrew Siceloff declares that this Response is made without connection with any other person, firm or parties who have submitted a Response, except as expressly set forth below and that it has been prepared and has been submitted in good faith and without collusion or fraud. NJ Nectar Ventura LLC 157 Hillman Avc Olcnn Rock N1074S2 +1(646)708.3016 N NJ NECTAR 5. Andrew Siceloff acknowledges and agrees that the Borough may modify, amend, suspend and/or terminate the selection process (in its sole judgment) and that, notwithstanding efforts of the Borough and the project described in the RFQ. In either case, neither the Borough nor its officers, agents or representatives shall have any liability to the Respondent for any costs incurred by Respondent with respect to the activities described in this RFQ. 6. Andrew Siceloff acknowledges that by submitting a Response to the RFQ, it is agreeing and consenting to all conditions, restrictions, releases and other provisions contained therein. Time Proposal is submitted pursuant to due authorization by, and is in all respects binding upon, the Respondent. 8. No corporation, partnership, individual or association, officer, director, employee, manager, parent, subsidiary, affiliate or principal shareholder of Andrew Siceloff has been adjudicated to be in violation of any sate or federal environmental law, or charged with or convicted of bribery, fraud, collusion, or any violation of any state or federal anti-trust or similar statute within the preceding five (5) years, or previously adjudged in contempt of anycourt order enforcing such laws. 9. Andrew Siceloff agrees to participate in good faith in the procurement process as described in the RFQ to adhere to the Borough's project schedule and, if requested, to negotiate a Redevelopment Agreement. 10. Andrew Siceloff is not currently in breach of or in default of any agreements, Permits or any other applicable federal, state and local laws and regulations that are necessary for or relate to the Respondent's ability to provide the Services as contemplated in Respondent's Proposal. 11. Andrew Siceloff hereby acknowledges receipt of Addendum numbers I through 4. By: Andrew Siceloff Andrew Siceloff, CEO NJ Nectar Ventures LLC NJ Nectar Ventures LLC 157 I liman Ave Glenn Rock NJ 07452 +1(646)708-3016 Table of Contents Cover Letter (Form A -1) Section 1: Executive Summary Section 2: Proposed Development and Management Team Section 3: Summary of Related Projects Section 4: Pending Litigation /Defaults Section 5: References Section 6: Evidence of Financial Capability Section 7: Supplemental Information Section 8: Proposal Forms NJ NECTAR VENTURES 4 Section 1: Executive Summary NJ Nectar Ventures LLC is looking to develop, remodel, and outfit 110 Minue Block 2706 to become a state -of- the -art Medical Cannabis cultivation building of 68,000 sqft. Based upon NJ Nectar's October 15, 2021 permit endorsement award from the Cannabis Regulatory Commission, N1 Nectar will be pursuing all applicable approvals from the Township's Planning, Zoning, and Construction Offices for appropriate siting, construction, and operation of their cultivation facility. Upon NJ Nectar's receipt of all approvals, N1 Nectar plans to redevelop the 110 Minue Block 2706 to help produce medical cannabis for the state of New Jersey in accordance with all local and state laws. Address 110 Minue Block 2706 Description Medical Cannabis cultivation building Lot Size 3.5700 Acres GFA 68,000 SF Total Investment Requirement $6,500,000 Structure Joint Venture Special Features Adaptive Reuse of Existing Building NJ NECTAR VENTURES Section 2: Development and Management Team ANDREW SICELOFF 82 JACKSON STREET -APT Al HOBOKEN, NEW JERSEY 07030 MICHAEL CHANG 10 VALEMONT WAY SUMMIT, NEW JERSEY 07907 PUNEET SINGH 44 HARDSCRABBLE HILL ROAD CHAPPAQUA, NEW YORK 10514 NJ NECTAR VENTURES 6 Section 2: Development and Management Team ORGANIZATIONAL CHART Organizational Structure — Key Leaders Medical Advisory Board • Dr. Shai Shoshani • Matthew May • Dr. Rajiv Patel • Arlene Perez • Ethan Bonnet NJ NECTAR VENTURES Section 4: Pending Litigation /Defaults NA NJ NECTAR VENTURES Section 5: References PROJECT REFERENCES Reference 1 Monica Walsh Vantage RES 48 Bank Street Medford NJ 08055 Reference 2 Richard Wells Archer Greiner Law 120 Roberts Avenue, Haddonfield, NJ 08033 FINANCIAL REFERENCES Reference 1 Marc Ng Private Client Advisor Chase Bank 850 3rd Ave, Floor 1 New York, NY 10022 Office Phone: 212 - 590 -1590 Reference 2 Felix Camacho CFP MBA Financial Advisor Ameriprise Financial Services, LLC 825 Juniper St NE Atlanta, GA 30308 -1311 Office: 404.591.2451 NJ NECTAR VENTURES Section 6: Evidence of Financial Capability LP,TTPR OF INTENT THIS LETTER OF INTENT ((he "I>a.umcnt") made as of this ISIh day of Augusl, 2019 (the "Execution Date"), BETWEEN: NJ Nectar Ventures, LLC with oil address of 82 Jackson Street — Apt. A 1, Hoboken NJ 07030 (thr, "Oorrmver') .., ,. .. v AND — Asteroid Property Maoagem;,q, In s.~` with an address of 2807 Curio Rd BACKGROUND: A. The Lender has a sun = m 'v jg f , oar. Lender's concert assets exceed the amount required under this Let late "LO 'j, and Lender understands that Borrower Is relying upon this rcpresentalipn to uc a plication for licensure to operate a medical marijuana business in New B The Bortrrw sTfE.„1,Q borrow money from the lender in order to operate a licensed medical madJ�busm m ew Jersey. This"�� Docume t'_I_(`j abiish the basic terms to be used in a future loan agreement between the and tite l ' ver. The terms conmined in this Document are not comprehensive and it Is expected oral Ic , ray be added, and existing terms may be changed or deleted. The basic terms are as Non-Binding 1. 'Phis Document does not create a binding agreement between the Borrower and the Lender and will not be enforceable. Only the future loan agreement, duly executed by the Lender and the Borrowor, will be enforceable, The terms and conditions of any future loan agreement will supersede ally Page 1 of 2 NJ NECTAR VENTURES 10 Section 6: Evidence of Financial Capability LETTER OF INTENT terms and conditions contained In this Document. The Lender and the Borrower are not prevented from entering into negotiations with third parties with regard to the subject matter of this Document. Loan Details 2, The Lender will loan the sum of up to $6,700,000.00 USD to the Borrower on \Vcmbcr,,,1,,20l9nt a rate of 10% interest per annum compounded yearly ( "the Loan "), with or mvert to equity In lieu of repayment. 3, The Loan will be repaid In consecutive monthly installments of pi al n'- k'ominencing on March 1st, 2020 and continuing on the First of each follo 10 un , or under such other terms as may be fully defined In the forthcoming loan Additional Terms 4. This LOI Is contingent upon the Borrower obtal - I en operate an Alternative Treatment Center from the New Jersey Deparlme f He I. ey applicable permit endorsement, 5. Loan commencement and repayment 9= '` ned based upon when the Nei. Jersey Department of Health issues .sion - liven applications. By signing below, the pant c th ment accurately reflects the understanding between the Lender and the Borro r. , of it th day of August, 2019. NJ NECTAR VENTURES Borrower NJ ectnr a mrc LLC BY: Pnge 2 of 2 11 Section 7: Supplemental Information NEW JERSEY DEPAW MIENT OF THE TREASURY DIVISION OF REVENUE, AND ENTERPRISE SERVICES CERTIFICATES OIL FORMATION NJ NECTAR VENTURES LLC 0450399467 The above -named DOMESTIC LIMITED LIABILITY COMPANY was duly filed in accordance with New Jersey State Law on 07/16/2019 and was assigned identification number 0450399467. Following are the articles that constitute its original certificate. 1. Name: NJ NECTAR VENTURES LLC 2. Registered Agent: RICHARD T. WELLS, ESQ. .. 3. Registered 0££icee 712 E MAIN ST - SUITE 2A MOORESTOWN, NEW JERSEY 08057 4. Business Purpose: OPERATE IN ACCORDANCE WITH NJ DOH AND /OR NJ CRC PERMIT /LICENSE PERMISSIONS IP 4 WHEN OBTAINED, TO THE EXTENT PERMITTED BY NJ LAW. S. Effective Date of this Filing is: 07/16/2019 6. Members /Managers: ANDREW SICELOFF 82 JACKSON STREET - APT Al HOBOKEN, NEW JERSEY 07030 MICHAEL CHANG 10 VALEMONT WAY SUMMIT, NEW JERSEY 07907 PUNEET SINGH 44 HARDSCRABBLE HILL ROAD CHAPPAQUA, NEW YORK 10514 7. Main Business Address: 82 JACKSON STREET - APT Al HOBOKEN, NEW JERSEY 07030 Signatures: RICHARD T. WELLS, ESQ. AUTHORIZED REPRESENTATIVE NJ NECTAR VENTURES Continued on next page ... 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NJ NECTAR VENTURES 13 Section 7: Supplemental Information NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF REVENUE AND ENTERPRISE SERVICES CERTIFICATE OF FORMATION NJ NECTAR VENTURES LLC 0450399467 Cort/Jlarte Abmluv r ,113UM % I'av�• IN, "'ea, .1, anlinr m M1rrra /bn+rctxml:.n /N4)17fl SmnilOrgCrr/p5P /reiQ�_CnrJ.p, IN TESTIMONY WHEREOF, I have hereunto set )it), hand and affixed /Nr Ojjicial Seal 16th daygfJali, 2019 Elizabeth Matter Muolo State Treasurer STATE OF NEW JERSEY Y' .1 NIVIEION OF TAXATION f �CCCifi��ltE pf hT4i r!lal tr '.0 TRENTON. tiJ 09691 TII� Vsmuur }w;hru�nhly ur cNl pctell4n 9Nnred UNloty 4's hereby a!ghcazetl In Mlerl NEW JERSEY SALES AND USE TAX potevani to NAS.A. 54:32B -I ET SEQ. Thr, AVlhlvrtakn x good ONLY N( She 6e9 »d Ferzm el the IccnUCn a1e011la0 te'e'n John J. Mar Iris vAtinrbalm omBgid 90d It tnsra Is 9nychnnOs in o5vue ship � dWres .. A00t; Olmctor, bhlstan of Iaxaliun NJ NECTAR VF.4TLW.S LLC Tax Raolh4anan ha: XXX- X'XX479'(00 82 JACKSON S71dni -APT AI Tax EifectlNe Date: r,+h20z0 110130KFN. N1 07030 nVoumant Locate, Ne: N000031.'820 Data lssuod: d +1 &2019 Thh CnNimle Is HCT asgpst4: cr Iranat�udo. 0. ie.RlCn [an1V(is0i1J tlP {+l +yS'vJ NI NU;irN NA;TN +N NJ NECTAR VENTURES 14 Section 7: Supplemental Information fitntc atc1urestl �t t>rrn Rlrvr ..r rw tet+s ,av V u s ai w All, 1 ,'" 0 ,atr 11- ria•:.. • =-w YI* azv oP5lS b' -5; VII °I1A `�` f1U41iR lA kA L IP19- 09 t1u3 ^4'4rtifie+`ai� tAphCaOX, Vwx twpan y has bamy <Wfled as a hfh;odly 13usMusc Entcrpri>c linAn 14' wn M Incas Cintan 11W (11IiUWI1 P.j lr!'1 hr Slntrr of hcw ,kr5ay Ynua eoTii!';4.91e L nu.1rleed 1b,trrtcl +.0 intLvNun Jrae) � "leW.iticris lat fl4L "l` =ni,tiniutr9�.;, m(,tiJ5:4' +'!)de t �- r'i3nsaurCd..li }ou r"We wq 1nfiMMTM m yota c,ln 1 e t' Po nle to be up dated in du" JAW, Pluaau to us wMw in ttrltit» of the nrovc adw rne, io th u w4 e 3ai Use then ovmly chango, "xr, ^. i1HP71;4i1 "ecmts,r3, "i�rntaLd t�tr ,.r ,aera 14..i,+: we a,toldAamw =r'd:,0.',"rrsri l u,ryi }' on a 31"t Pancd, rnrhvngll nr chc;.k ar raamey o:dcr In the nnuiun(of SIGf1 S He NMAWHE gjw,vv,x Cw by ! +� l;,A' 4 ;,c n, he Wo h . ISAX't 1144 +! 'ywSY.li. S"vt "�6!" "rte t lltit,t�!? AntalQ A hiamot wax 1UST, toot r .r;'c 141,11 -'il MY I PrAr W 14d Icanlver !n Of W COAHcadnn _y �:w +, 4"'11 u. i. r „t Clans t w, u,.r. Jr. inn ultnelalrlP, Itl rnus, ch &IGtilt),rc,mtndr Iir ^�,usrr., a irkn,aaucc tt lli� ', AC_17:ab A 11,c Amwal Ycrlllcatidn iu� =can he dart nl7,d�l tso.11 the 11nk 6eluv:. hqp+ t t _.faalr tJ 4 11�Ii olltE , c u. f+ -S�ua . = =�cG3„ A1ksl,.?IlN ktl ,:U_rU:! all '+11`rj3tu 1 adS3� Fg1Stlplf v tiWUH ynu 101C r,r}' WCS I 1 W nr;;r! a1 MI ).rn D ly sa'I th, 0117,:'0 At 1001 ?7? -21 6eti�e. -n 9Cnl yldafditxi l')"1, ".f' -t C3}liva?a�S�iri,3ay. Slrs eloly' Smell 14whem 11er;irtnrtio& Md WTF UIt ('trih.auuu SulS'iccn Unit Ncte kir cy UeparlimA of the freitsury pivfal?n of kwcPtnw 5: ErAerprire Setiket 'I.". Grrc 1Mn fgrra( Pdv".eom Pr'-yhd Purr >J!;Yag44M NJ NECTAR VENTURES 15 Section 7: Supplemental Information ELIZABETH MAHER NIUOIO Sore Tream'er JAMES J. FRUSCIONE D1r.eror CER'T'IFIED ender the Small Business Set -Aside Act and Minority and Women Certification Program This certificate acknowledges NJ NECTAR VENTURES LLC is a IMBE owned and controlled company, which has met the criteria established by N.J.A.C. 17:46. This certification will remain in effect for three years. Annually the business must submit, not more than 20 days prior to the anniversary of the certification approval, an annual verification statement in which it shall attest that there is no change in the ownership, control or any other factor of the business affecting eligibility for certification as a minority or women -owned business. If the business fails to submit the annual verification statement by the anniversary date, the certification will lapse and the business will be removed from the SAVI that lists certified minority and women -owned business. If the business seeks b be certified again, it will have to reapply and pay the $100 application fee. ht this case, a new application oast be submitted prior the expiration date of this certification. Issued: August 7 2019 Certificate Number: 74716 -13 NJ NECTAR VENTURES 7-A--'-A- - Peter Lowicki Deputy Director Expiration: August 6, 2022 18 a, 1 4:s!'� { p�i'q�C D7 �TCGt $CtfSCg PI I ILIP D. MURPHY DEPARTMENT OF THE TREASURY Gotmum DIVISIONOF REVENUE AND ENTERPRISE SERVICES 33 WEST STATE STREET, 51'14 FLOOR SIIEILA Y. OLIVER P.O. BOX 026 Lt. Go emor TRENTON, NEW JERSEY 08625 -026 PHONE: 609492 -2146 17AX: 609- 984.6679 ELIZABETH MAHER NIUOIO Sore Tream'er JAMES J. FRUSCIONE D1r.eror CER'T'IFIED ender the Small Business Set -Aside Act and Minority and Women Certification Program This certificate acknowledges NJ NECTAR VENTURES LLC is a IMBE owned and controlled company, which has met the criteria established by N.J.A.C. 17:46. This certification will remain in effect for three years. Annually the business must submit, not more than 20 days prior to the anniversary of the certification approval, an annual verification statement in which it shall attest that there is no change in the ownership, control or any other factor of the business affecting eligibility for certification as a minority or women -owned business. If the business fails to submit the annual verification statement by the anniversary date, the certification will lapse and the business will be removed from the SAVI that lists certified minority and women -owned business. If the business seeks b be certified again, it will have to reapply and pay the $100 application fee. ht this case, a new application oast be submitted prior the expiration date of this certification. Issued: August 7 2019 Certificate Number: 74716 -13 NJ NECTAR VENTURES 7-A--'-A- - Peter Lowicki Deputy Director Expiration: August 6, 2022 18 Section 7: Supplemental Information Project Location & Site Area 110 Minue St, Carteret, NJ 07008 NJ NECTAR VENTURES 17 Section 7: Supplemental Information Project Rendering NJ NECTAR VENTURES 18 Section 8: Proposal Forms Form A -1 (refer to cover letter) Form A -2 Form A -3 Form A -4 19 1 _(__u VP In accordance with State Law, corporate and partnership Respondents to the RPQ must submit a statement of names and addresses of all stockholders in the corporation or partnership owing 10% or more of its stock of any class, or of all individual partners in the partnership who own a 10% or greater interest, as the case may be. If one or more such stockholder or partner is itself a corporation or partnership, the names and addresses of stockholders holding 100/6 or mom of that corporation's stock or of individual partners owning 10% or greater interest in that partnership, as the case may be, shall also be listed. The Disclosure shall continue until names and addresses of every known corporate stockholder and individual partner, exceeding the 10% ownership criteria is listed. If the Respondent is neither a corporation nor a partnership, he shall so attest in the space provided below. NAMEAWWwo liy -4 ADDRESS ISM tl lk"In hvz Ci(C" T!"V_ 0-1 0 Q -1 22A (Sign of P ident or duly authorized Officer) N� Iyr 'tAk. vm4'It (Name of Partnership or Corporation) � S 7 4I;IIy,,.,, POL Cllz ,? °,L N7 074cr_ (Address) NJ NECTAR VENTURES IJ I t 64 2 (Date) U! S ` " FQ (Print Name and Tit e) (Seat) 19 20 FORM A -2 OWNERSHIP DISCLOSURE STATEMENT In accordance with State Law, corporate and partnership Respondents to the RFQ must submit. a statement of names and addresses of all stockholders in the corporation or partnership owing 10% or more of its stock of any class, or of all individual partners in the partnership who own a 10% or greater interest, as the case may be. If one or more such stockholder or partner is itself a corporation or partnership, the names and addresses of stockholders holding 10% or more of that corporation's stock or of individual partners owning 10% or greater interest in that partnership, as the case may be, shall also be listed. The Disclosure shall continue until names and addresses of every known corporate stockholder and individual partner, exceeding the 10% ownership criteria is listed. If the Respondent is neither a corporation nor a partnership, he shall so attest in the space provided below: NAME ADDRESS 10 UCAlPY GI(\A WQ\t SLAm' 1 , N3 07�'IO 1 (Signature of President or du authorized Officer) (Date) ( Name of Partnership or Corporation) � . (Print Name and tle) m (Address) 23 (Seat) 21 FORM A -2 OWNERSHIP DISCLOSURE STATEMENT In accordance with State Low, corporate and partnership Responderus to the RFQ must submit a statement of names and addresses of all stockholders in the corporation or partnership owing 10% or more of its stock of any class, or of all individual partners in the partnership who own a 10% or greater interest, as the case may be. If one or more such stockholder or partner is itself a corporation or partnership, the names and addresses of stockholders holding 10% or more of that corporation's stock or of individual partners owning 10% or greater interest in that partnership, as the case may be, shall also be listed. The Disclosure shall continue until names and addresses of every known corporate stockholder and individual partner, exceeding the 10% ownership criteria is listed. If the Respondent is neither a corporation nor a partnership, he shall so attest in the space provided below: NAME FLOC • . ADDRESS (Signature of President or duly authorized Officer) Qf i (JQ C'f l VAfuru (Name of Partnership or Corporation) (Address) Fdt'. .. C C-0 (Print Name and Title) (Sell]) 22 FORMA-3 NON•COLLUSION AFFIDAVIT STATE OF NEW JERSEY :as COUNTYOF �U�� I, AIA1, A A) Sr"k( ,oftheCityof Aran 7 ,rAL ,in the County of e.ru rA.. . and the State of _� of futi age, being duly sworn according to law on my oath, depose and say that I am (—C -o LLC of the firm W )5;1(WJ'"sthe Respondent making the proposal for the redevelopment of the Project Area in accordance with the Proposat and that J executed the Proposal with full authority to do so; that the Respondent has not, directly or Indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with the Proposal; and that all statements contained in the Proposal and in this Affidavit are true and correct, and made with full knowledge that the Borough reties upon the trust of the statements contained in the Proposal and in the statements contained in this Affidavit. I further warrant that no person or selling agency has been employed or retained to solicit or secure Respondent's selection as Successful Respondent, upon an agreement or understanding, for a commission, percentage, brokerage or contingent fee, except bona fide employees of bona fide established commercial or selling agencies maintained by the Respondent for the purpose of seeming business (N.J.S.A. 52:34 -15). Awi,, 3(u.6& (Name of Res on ent) By: (Signahu ry Authority Representative) c (Print Name) (Rile) NJ NECTAR VENTURES 21 23 Subscribed and swom to Before me this s' Day of EL . 202 (No 'c 0 ew Jersey) CARI LSALCE00 My Commission expires, 202_ Notary Public • State of New Jersey My Commission Expires Nov IS, 2025 NJ NECTAR VENTURES 22 24 PROPOSAL FORM A-4 CONSENT TO MWSTICAnON The Respondent hereby gives it consent to the Redevelopment Entity, the Borough of Carteret, Middlesex County, New Jersey, or its authorized representatives to investigate and verify all information contained in the Proposal submitted herewith in response to the Request for proposals, dated 1111111101i including financial and law enforcement information with respect to the Respondent. The Respondent agrees that oil financial Institutions, law enforcement agencies, and regulatory agencies are authorized to release information verifying those representations and/or submissions made by the Respondent. The Respondent further agrees that Redevelopment Entity, the Borough of Carteret and/or its authorized representatives are authorized to inspect all premises and relevant records of said business entity in order to verify information contained herein. The Respondent agrees that aphotocopy of this Consent to Investigation may be accepted by any agency or institution in lieu of the original. r / Name of Respondent: tt I c& R,-..) S i u o t Respondent's Address is i i ;; I nnclAA Ay-Q. By: _ - Name: A l tAiu pit c Q Title: C L-0 Date: NJ NECTAR VENTURES 23 25 NJ NECTAR VENTURES LLC Contact Andrew Siceloff, CEO and rew.siceloff @gmaiI.com +1 (646) 708 -3016 26