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Alse statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with the NJSDA and that the NJSDA at its option, may declare any contract(s) resulting from this certification void and unenforceable. I, being duly authorized, certify that the information supplied above, including all attached pages, is complete and correct to the best of my knowledge.

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How to fill out the Njsda Form 1105 online

Filling out the Njsda Form 1105 is an essential step for subcontractors seeking approval for projects managed by the NJSDA. This guide provides clear, step-by-step instructions for completing the form online, ensuring all necessary information is accurately provided.

Follow the steps to complete the Njsda Form 1105 online.

  1. Press the ‘Get Form’ button to access the Njsda Form 1105 and open it in your preferred editor.
  2. Start by filling in the 'For NJSDA Use Only' section, including the NJSDA contract number and the contract amount. Make sure to fill out the district name.
  3. Provide the school name and county. After that, indicate who reviewed the form, entering detail in the 'Reviewed by PMF/CM' and 'Reviewed by NJSDA PM' sections along with their respective dates.
  4. Fill out your organization's details in the 'Subcontractor Name,' 'Street Address,' 'State,' 'City,' 'County,' and 'Zip' fields. Ensure clarity and accuracy in each entry.
  5. Enter the primary contact’s details by providing an email address and phone number, along with the federal tax ID number.
  6. Indicate any applicable business classifications, such as MBE, WBE, or SBE, by checking the corresponding boxes.
  7. Complete the 'Prime Contractor Name' and indicate if the subcontractor is affiliated with the prime contractor by filling in the email and answering yes or no.
  8. Provide specific details regarding the school and NJSDA contract number, subcontracted amount, subcontracted trade, and anticipated start and end dates.
  9. List any relevant trade licenses held, including the licensee's name, license number, and expiration date. Mention the specific trades like plumbing, electrical, etc.
  10. Respond to the legal history questions carefully. If you answer yes to any of the questions regarding indictments or license issues, provide additional details as needed on a separate attachment.
  11. Ensure all required signatures are provided along with a notarized section at the end of the form.
  12. Once the form is fully completed, save your changes, and utilize the options to download, print, or share the finalized document as necessary.

Complete your Njsda Form 1105 online today to ensure timely approval for your subcontracting needs.

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