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

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, BI;DER IDENTIFCATION NO. FORM B- AFFIDAVIT OF EMERGING SMALL BUSINESS ENTERPRISE (ESBE) STATUS ¡v-S , /) SS . :iC.ÖUN1'YOF' 10'Y · , OFW-Il,'tL .INmE'COUNTY'OF , BEING FULL AGE AND SWORN ACCORDING TO LAW ON . . Pwl ~. Selo OFTIl_~'''. /\T " ~ .' -.' : ' . '-." . ", " ' - . t:lt\ ..,., COO OFTHFIRMOF::LJLfJ. J't.ii.c.", .Ic '. :;;u.(~a ,'. .. AND THE STATE OF ':;MY;ÖA~ '.,.. 'DEPOSE AN SAY THAT: .HAvr~GANADDRESS OF 90 i.. ~1C/i" Sf. rf'ÜJi(c- /VJ D"7IøC/ FiRM niCH is A DEFID INSECllON V, PARGRAH B~ . . lFURTHER WARRNT THAT I AM AUTHORIZED BY THE SAID FIRM TO MA THIS AFFIDAVIT AND WILL PROVIDE INFORMTION REQUESTED BY THE NEW JERSEY DEPARTMENT OF TRANSPORTATION TO DOCUMENT THE FACT ..d. 'lT'l SAl .FJS AS lla IN SECTION V, l'ARGRAH B. æ~ (SIGNATUR) ...Sti~~::S~TO -:¡r ME TI .......'. .' NOTARY PUBLIC o~ iVCO:MSSION EXPIRES' L.. 2Ø/7'. ,.- OIANE MArM~O . 1.1) Commission # 2382124 d , Notary Public, State of New Jeruy My Ci:,mmiSei,'l!'.5it, ¡;lrt;U il. .F"rt)f.i.~'V I,.~ . 2Q1 Il ',', U ¿ L b£ £ :. I SIiRi';, ' ;; 8 ):iEPERA ATTACHMNT . '"l.'
---- .- T íliÐyer Identificat/on# 222-585-273/000 Otai Business Representative: C.n,ratulatlonsl You are now regIstered wIth the New <strong>Jersey</strong> 10/31/05 Division of Revenue. U.elfe Ta"PaYer IdenUnCalloe. Number lI.ted above 01 all COIT,poedence wllh the DIvisions arRlvenue and TaxUon, a. well .. wllh the Department of labor (if Ihe bu.ine.. I. ,ubJect touoemployment withholdIng.). Your tax return. and payment. will be med under this number, anj you will be able to'access information about your account by referencing it. A~dllona"y, please note that State law requires all agencies to prOVIde proof of their regIstration With the contractors Dlvslon of and Revenue. subcontractsrs The law with also Public amended ' Sedbn 92 of the Casino Co,rtrol Act, whIch deala with the casIno servIce industry. w. lave attched a P.- of Regl.tratlan Certncate for your u.e. To comply with th. law, If you ore c,"linUy under cotrct or entering Into a cotract wIth a st.t. agency, you mu.t Prode a copy ofthe certifcate to the contracting agency. !t~V -- -"';, 'íiii~i~t~. . ~~'i-" '- .. "-j..fl.;'1t01d:eáil oJt~iI"n tIUhi. at . IiJ: ~. ...,..'f."r,i..1.. ~.. . :t. " . ,.~". ....~ij.... "~." i! ~~.: ~., ,i:"., .c"ò -;~""'4 -¡., ..J" 'C' ."'....'........0' /" ;,. .' ;~/' ."'" : r .'.. '. _, ::. . f' _''''. '~'::'C:. . . I ,~' l..'k~.i;;,..~.:f ;". ~., · ,W - . ""_ - . -~."l..,,,:_ ", ,_ _ . __ _, . ___ _ . '.' ..'__ _". _. .' . ~lw '''~~m:yl~~ _. ., .. . ~~.;'. .' lQi;~~ .' '. ., , .' ..... . . . . -... ~ -.... TAXPAYER NAME: " JOSEPH M. SANZARI, INC. ADDRESS: 90 WEST FRANKLIN STrEET HACKENSAC': NJ 07601 EFFECTIVE DA TE: 02129185 ". 00" ....: . . . ... .: -., ."~... ,.: STATE OF NEW JERSEY SUSINESS REGISTRATION CERTIFICATE TRADE NAME: SEQUENCE NUMBER: 0100759 ISSUANCE'OATE: lO/J1/05/!,/ r . Tii" C.rtir¡cali ","'OT ''''on,bl, " Ok or Ininl(~ti ' . . r it muii " b. " :onlp,eUOUli . - ...: .---.-.. '._--.-._-- " DEPARTMENT OF TRrURYI DIVSION OF ~U( PO BO ZS2 TRENTON H J DN1-2 (J ai lb.ci", AOdr.¡ .~" ~.
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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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.E OF FET IIi 'JY ~ SA w is' . 71 N
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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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FULL TITLE OF RESOLUTION: RESOLUTIO
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EEO/AFFIRMATIVE ACTION REQUIREMENTS
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EXHfflT A (Cont) orientation, gende
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MinoritylWoman Business Enterprise
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P.L. 2004, c. 57 (N.J.S.A. 52:32-44
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.r~ER1~~1 Taxpaye. Identification#
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FULL TITLE OF RESOLUTION: RESOLUTIO
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... -.'t EXHIT A MAATORY EQUAL E!IL
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:ilimii',W£¡¡l1¡;'-~~':~¡¡iwJ
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' '- CHS CHRlSTll C-overnar KI GUAD
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Continuatfon of Resolution City Cle
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~ .EEO/ AFFIRMATIVE ACTION REQUIREM
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EXHiBIT A (Cont) orientation, gende
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MinoritylWoman Business Enterprise
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Department of Labor and Workforce D
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REQUEST FOR' ,i'~d~ OFJERS.EYCITY .
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CITY OF JERSEY CIT RESOLUTION: ¡ V
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PUBLIC DISCLOSURE INFORMTION Chapte
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MAATORY EQUAL EMPLOYMENT OPPORTUNIT
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AMRICANS WITH DISABILITIES ACT OF 1
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MINORITYIWOM. BUSINESS ENTERPRISE (
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INSTRUCTIONS FOR COMPLETING THE EMP
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ITEM 16 .. Print or tye the name of
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, BUSINESS REGISTRATION LANGUAGE AN
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Page -' of -- Vendor Name: D Check
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Name of Business: STOCKHOLDER DISCL
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.,~jR Cl'Ty OF JERSEY'CITY DIVISION
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EXHIBIT A MANDATORY EQUAL EMPWYMENT
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APPENIX A AMCAN WI DISABIL ACf OF 1
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Resolution of the City òf Jersey C
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Continuation ofResolution City Cler
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INTERDEPARTMENTAL MEMORANDUM OFFICE
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INTERDEPARTMENTAL MEMORANDUM ~ OFFI
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Edward Toloza (/ To: Subject: Maure
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JUN, LS, L010 3:03PM JC j A NO. 811
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INTERDEPARTMENTAL MEMORANDUM OFFICE
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LEGISLATIVE FACT SHEET This summary
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NON COLLUSION AFFIDAVIT STATE OF NE
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MANDA TORY EQUAL EMPLOYMENT OPPORTU
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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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Page 171 and 172: CERTIFICATION OF COMPLIANCE WITHTHE
Page 173 and 174: Page_of Vendor Name: 'Continuation
Page 175 and 176: LEGISLATIVE FACT SHEET This summary
Page 177 and 178: TITLE: Resolution of the City of Je
Page 179 and 180: Resolution of the City of Jersey Ci
Page 183 and 184: Continuation of Resolution City Cle
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Page 189 and 190: l" oo .. l"oo ~ Certification 32390
Page 191 and 192: EXHIBIT A (Cont). The contrctor or
Page 193 and 194: Jul 09 2010 5:26PM HP LASERJET FAX
Page 195 and 196: Continuation of Resolution , City C
Page 197 and 198: RESOLUTION FACT SHEET This summary
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Page 201 and 202: Ex;æß'ET .~'.' (ContJ ,. ""'~~~::
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Page 211 and 212: Stimulus Re.,orting Weare pleased t
Page 213 and 214: PROJECT: MUNICIPALITY: COUNTY: --t\
Page 215 and 216: '"'-':',' COUNTY: BIDDER: ;-vduon .
Page 217 and 218: DATE: J. 7 Ie, !to , ..Ó~" 01. ~~U
Page 219: NO. DATE SCHEDULE OF EMERGING SMAL
Page 227 and 228: 3. The service is of such a special
Page 229 and 230: 137/08/20113 ¡, I ~ r ..... I' . .
Page 231 and 232: 07/08/2010 13: 57 FROM ; DRCOLi:N ~
Page 233 and 234: 07/08/2010 13:57 Ci~ File No. O"J.
Page 235 and 236: 07/138/213113 " 13:57 ~otClloi M.la
Page 237 and 238: 87/08/2818 13:57 NO.891 ~øn ole/\
Page 239 and 240: 07/08/2010 FROM : ORCOLAN ~ /,1 i:i
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