~~It V~e' - . 0, , - Jersey City

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ITEM 11 - Enter the appropriate figues on all lines and in all columns. : THIS SHAL ONLY INCLUDE EMPLOYMENT DATA FROM THE FACILITY THAT IS BEING AWARED TH CONTRACT. DO NOT list the same employee in more than one job category. DO NOT attach an EEO-l Report. Racial!thnic Groups will be defined: , Black: Not of Hispanic origin. Persons havig origin in any of the Black racial groups of Africa. Hispanic: Persons of Mexican, Puerto Rican, Cuban, or Central or South American or other Spanish culture or origin, regardless of race. . American Indian or Alaskan Native: Persons having origins , in any of the original peoples of North America, and who maintain cultual identification through tribal affliation or community recogntion. Asian or Pacifc Islander: Persons having origin in any of the original peoples of the Far East, Southeast Asia, the Indian Sub-continent or the Pacific Islands. This area . includes for example, China, Japan, Korea, the Philippine . Islands and Samoa. Non-Minority: Any Persons not identified in any of the aforementioned RacialÆthic Groups. ITEM 12 - Check the appropriate box. If the race or ethic group information was not obtained Item 12. ' by 1 or 2, specify by what other means this was done in 3. ¡ ITEM ,13 - Enter the dates of the payroll period used to prepare the employment data presented in ITEM 14 - Ifthis is the first time an Employee Information Report has been submitted for this company, check block "Yes". ITEM 15 - Ifthe anwer to Item 15 is "No", enter the date when the last Employee Information Report was submitted by ths company.
ITEM 16 .. Print or tye the name of the person completing the form. Include the signatue, title i and date. ITEM 17 - Enter the physical location where the form is being completed. Include <strong>City</strong>, State, Zip Code and Phone Number. TYE OR PRIT IN SHA BALL POINT PEN The vendor is to complete the employee information report form (AA302) and retain copy for . the vendor's own fies. The vendor is to submit a copy to the public agency awarding the .~ contract and forward a copy to: NJ Departent of the Treasury Division of Contract Compliance & Equal Employment Opportnity P.O. Box 209 Trenton, New <strong>Jersey</strong> 08625-0209 Telephone No. (609) 292-5475 .¡ Form: http://nj.gov/treasur/contract_compliance/pdflaa02.pdf Instrctions: htt://nj.gov/treasuicontract compliance/pdfaa02ins.pdf Note that the sample form shown on the following page is for ilustrative puroses only and should not be submitted. Use the state website links above to obta the actul form.
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Resolution of the City of Jersey Ci
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Continuation of Resolution City Cle
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City Clerk File No. Res. 10-446 Age
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LICENSE AGREEMENT This AGREEMENT is
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City Clerk File No. Res. 10-448 Age
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This summary sheet is to be attache
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This summary sheet is to be attched
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City of, JERSEY CITY Office of Risk
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Central Avenue Special Improvement
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n.t:tJVli Vi ULL t:i;iUr ~ B.a Meet
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Keport ot Uirectors 8.f Meeting 07/
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n.l:fJUll UI ULL t;l.lUI:S 8.r Meet
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8.q Meeting 07/14/10 CITY OF JERSEY
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ORDINANCEffSOLUTION FACT SHEET Date
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Page 59 and 60: FULL TITLE OF RESOLUTION: RESOLUTIO
Page 61 and 62: EEO/AFFIRMATIVE ACTION REQUIREMENTS
Page 63 and 64: EXHfflT A (Cont) orientation, gende
Page 65 and 66: MinoritylWoman Business Enterprise
Page 67 and 68: P.L. 2004, c. 57 (N.J.S.A. 52:32-44
Page 69 and 70: .r~ER1~~1 Taxpaye. Identification#
Page 71 and 72: Resolution of the City of Jersey Ci
Page 73 and 74: FULL TITLE OF RESOLUTION: RESOLUTIO
Page 75 and 76: ... -.'t EXHIT A MAATORY EQUAL E!IL
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Page 81 and 82: :ilimii',W£¡¡l1¡;'-~~':~¡¡iwJ
Page 83 and 84: ' '- CHS CHRlSTll C-overnar KI GUAD
Page 85 and 86: Continuatfon of Resolution City Cle
Page 87 and 88: ~ .EEO/ AFFIRMATIVE ACTION REQUIREM
Page 89 and 90: EXHiBIT A (Cont) orientation, gende
Page 91 and 92: MinoritylWoman Business Enterprise
Page 93 and 94: ¡ ::~~ ¡ l L ::"= j ¡ ¡ ."~= I
Page 95 and 96: Department of Labor and Workforce D
Page 97 and 98: REQUEST FOR' ,i'~d~ OFJERS.EYCITY .
Page 99 and 100: CITY OF JERSEY CIT RESOLUTION: ¡ V
Page 101 and 102: PUBLIC DISCLOSURE INFORMTION Chapte
Page 103 and 104: MAATORY EQUAL EMPLOYMENT OPPORTUNIT
Page 105 and 106: AMRICANS WITH DISABILITIES ACT OF 1
Page 107 and 108: MINORITYIWOM. BUSINESS ENTERPRISE (
Page 109: INSTRUCTIONS FOR COMPLETING THE EMP
Page 113 and 114: , BUSINESS REGISTRATION LANGUAGE AN
Page 115 and 116: Page -' of -- Vendor Name: D Check
Page 117 and 118: Name of Business: STOCKHOLDER DISCL
Page 119 and 120: .,~jR Cl'Ty OF JERSEY'CITY DIVISION
Page 121 and 122: EXHIBIT A MANDATORY EQUAL EMPWYMENT
Page 123 and 124: APPENIX A AMCAN WI DISABIL ACf OF 1
Page 125 and 126: Resolution of the City òf Jersey C
Page 127 and 128: Continuation ofResolution City Cler
Page 131 and 132: INTERDEPARTMENTAL MEMORANDUM OFFICE
Page 133 and 134: INTERDEPARTMENTAL MEMORANDUM ~ OFFI
Page 135 and 136: Edward Toloza (/ To: Subject: Maure
Page 137 and 138: JUN, LS, L010 3:03PM JC j A NO. 811
Page 139 and 140: INTERDEPARTMENTAL MEMORANDUM OFFICE
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Page 147 and 148: LEGISLATIVE FACT SHEET This summary
Page 149 and 150: Continuation of Resolution City Cle
Page 153 and 154: y . (J 'l/l/'d:J 11 ,.- ri1J~ r2UUV
Page 155 and 156: NON COLLUSION AFFIDAVIT STATE OF NE
Page 157 and 158: MANDA TORY EQUAL EMPLOYMENT OPPORTU
Page 159 and 160: AMERICANS WITH DISABILITIES ACT OF
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MINORITY/WOMAN BUSINESS ENTERPRISE
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STATE OF NEW JERSEY Division of Pub
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THIS SHALL ONLY INCLUDE EMPLOYMENT
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Vendor must submit one of the follo
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CERTIFICATION OF COMPLIANCE WITHTHE
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Page_of Vendor Name: 'Continuation
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LEGISLATIVE FACT SHEET This summary
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TITLE: Resolution of the City of Je
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l" oo .. l"oo ~ Certification 32390
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EXHIBIT A (Cont). The contrctor or
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Jul 09 2010 5:26PM HP LASERJET FAX
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Continuation of Resolution , City C
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RESOLUTION FACT SHEET This summary
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:"'. ;. ,.ClOfNSiGRÐ:Ç'llUHS"C:ON
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Ex;æß'ET .~'.' (ContJ ,. ""'~~~::
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~~I~ll(ClJnt) i~ Îlplementín.g-,t
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.-..~ FOï&M-20i STAXJ¡OFN1E,Yf JE
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'. ,Form MtVs;.aContractor's;cômii
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Stimulus Re.,orting Weare pleased t
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PROJECT: MUNICIPALITY: COUNTY: --t\
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'"'-':',' COUNTY: BIDDER: ;-vduon .
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DATE: J. 7 Ie, !to , ..Ó~" 01. ~~U
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NO. DATE SCHEDULE OF EMERGING SMAL
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---- .- T íliÐyer Identificat/on#
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3. The service is of such a special
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137/08/20113 ¡, I ~ r ..... I' . .
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07/08/2010 13: 57 FROM ; DRCOLi:N ~
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07/08/2010 13:57 Ci~ File No. O"J.
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07/138/213113 " 13:57 ~otClloi M.la
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87/08/2818 13:57 NO.891 ~øn ole/\
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07/08/2010 FROM : ORCOLAN ~ /,1 i:i
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