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

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MinoritylWoman Business Enterprise (ME) Questionnaire for Bidders <strong>Jersey</strong> <strong>City</strong> Ordinance C-829 establishes a goal of awarding 20% of the dollar amount of tota city procurement to minority and woman owned business enterprises. To assist us in monitoringour achievement of ths goal, please indicate below whether your company is or is not a minority owned and/or woman owned business, aid retu this form with your bid proposal. Business Name: , L órnbiir- /)¡JiJrfd¿J' ~-en/eL CUp Address Telephone No. : Contact Name: Please check applicable category : !JJ,~ li.lI/eAÏd&&zJ&; Mlt(/II!-t. ;V,J tl71 ó! I 91:) -'JJa -ó IJ J Co mteJliieA LOkibliriy _ Minority Owned Business (ME) _ Miority& Woman Owned Business(MWBE) _ Woman Owned business (WBE) ~Neither Definitions Minority Business Ent~rprise Minority Business Enterprise means a business, which is asole proprietorship, parership or corporation at least 51 % of which is owned and controlled by persons who are African American, Hispanic, Asian American, American Indian or Alaskan native, defined as follows: African American: a person having origins in any of the black racial groups of Africa Hispanic: a person of Mexican, Puerto Rican, Central òr South American or other non-European Spanish cultue or origin regardless ofrace. Asian: a person having origins in any of the original peoples of the Far East, South East Asia, Indian ,subcontinent, Hawaii or the Pacific Islands. American Indian or Alaskan Native: a person having origins in any of the original peoples of North America and who maintains cultual identification though tribal affliation or community recognition. Woman Business Enterprise Woman Business Enterprise means a business which is a sole proprietorship, parership or corporation at least 5 i % of which is owned and controlled bya woman or women. DIVSION OF EQUAL ÒPPORTUNTY COPY
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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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Page 41 and 42: Central Avenue Special Improvement
Page 43 and 44: n.t:tJVli Vi ULL t:i;iUr ~ B.a Meet
Page 45 and 46: Keport ot Uirectors 8.f Meeting 07/
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Page 53 and 54: 8.q Meeting 07/14/10 CITY OF JERSEY
Page 55 and 56: ORDINANCEffSOLUTION FACT SHEET Date
Page 57 and 58: Resolution of the City of Jersey Ci
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 73 and 74: FULL TITLE OF RESOLUTION: RESOLUTIO
Page 75 and 76: ... -.'t EXHIT A MAATORY EQUAL E!IL
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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: MinoritylWoman Business Enterprise
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 and 110: INSTRUCTIONS FOR COMPLETING THE EMP
Page 111 and 112: ITEM 16 .. Print or tye the name of
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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
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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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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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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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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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07/08/2010 13: 57 FROM ; DRCOLi:N ~
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07/08/2010 FROM : ORCOLAN ~ /,1 i:i
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