Year 2010 temporary budget to make available the ... - Jersey City

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These documents may be obtained from the department responsible for the administration of this contract. All of the terms and conditions are made part of this contract. ' Attest: Robert Byrne City Clerk WITNESS: City of Jersey City Brian O'Reily Business Administrator Miler & Galdieri Spencer N. Miler, Esq.
12(lS!20B9 11:52. 281-547-5230 lA DEPT PAGE 82/24 ¡f1¿ C£1TIFlCA nON OF COMPLJNCE W1 TH CI OF JERSEY crr Co:NCTORPA Y-To-I'LAVREFORM ORDINANCE 08~ 128 ADOPTD . . ON SEPMBER i. :!OI PARTI- Vendor Affrmtion jglC:bein d.knO\i.~leofthe circumtaus, doe hcby cerfy tb . ¿;H-i ~ J tnaí7 at buiness entity) bas "01 made lUy reorWle con ibutiOf in th,e "ono-yel' peod preding (date City Counil a.ward cootract) that would be demed to be violations of Section On of Contrctor Pay~tO",pillY Rc:for. Ornance 08~128 (lIache hereto) and that w Ihar t a ~¡;r;,J ofthiscontret. i fu certfy 1lat 4i.ng the term of (n3lc of 128. th City of Jereir City'5 - ,. the cont.' VI 'j I vll buinss entity) win not ma any fqblc cobutio in violation of Orinance PART IJ -Signature and Attstation: The undeigned is tuly aware tha in bave misrepæd in wbole or pan this affrmation and cettilicaòon~ I and/(lf th business entity, wil be liable for any pealty pcmrted uiider law. Nam.... . orB.li:=:: 4:t:~~ -t67 / ~J . . . si~ £';t _ == Tide: 42ep tVEJ ß PrintNsÌ~. /l/lDatc:¿ló.u= lcffi. Subs9med and . om bem:me 6 l6r1 CJ f?iì / y&f(- :t:~:.o . Pi_'_:~.re;A2~~,. .flf~t~Q(/~~_ r:.IßI1'1~ ~ (prillUlØme 8i ùtle ofafllt) JOHANNA FERMAINT OTARY PUBLIC OF NEW JERSÐ !D#2308764 My Commission Exre Deç 20, 20" ".Puuaat to Secton 2 o(Ordinance 08.128. 00 contribution or soticitalìon of conbu1iom ma pror eo the effeitive date Ordinanre 08- t 28 (Septeber 23, 2008) "WI be deed to be aviolø.tion oftheo.ir. "' CO' .. Qf7l7i:L2 : 01. . ønø LS Ul2 N~I~' d S3~~J !WOJ~9t :2T6Ø2-8t-J3C ~
Page 1 and 2:
City Clerk File No. Agenda No. Appr
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Continuation of Resolution City Cle
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()- 00;1 EXHIBIT A JAN i 3 2010 BLO
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Block: 00763 Principal: 3,167.01 Ta
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N N N ~ -c N m 0 0 0 0 ;i 0 0 0 0 ;
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Memo to Brian O'Reiley, Business Ad
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Resolution of the City of Jersey Ci
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LEGISLATIVE FACT SHEET This summary
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of the Licensee or anyone employed
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14. Failure to adhere to the terms
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HOST CITY AGREEMENT THIS HOST CITY
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provided in writing by the Red Bull
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on the first business day following
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(1) Severabilty. If any provision o
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SCHEDULE A SERVICES The City shall
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.. November 16, 2009 Paragraph D -
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Aricle 26 November 16, 2009 Paragra
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Aricle 30 Insert New Paragraph H as
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Aricle 36 November 16,2009 Add new
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wil be $50 per 30-day supply, meani
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CERTIFICATION OF BRIAN O'REILLY IN
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. AFTI ACTION COMPLIACE NOTICE N.J.
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EXITA N.J.s.A. 10:5-31 aDd N.J.AC.
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APPENIX A AMRICANS WI DISABIL ACT O
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" Taxpayer Identifcation# 221~896.1
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0148637 CITY OF JERSEY CITY Requisi
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A summary of Aetna's proposal rates
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City of Jersey City Dental Program
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UL-\, .L C- C-UiiO .L-i- Jc: veL I
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CERTIFICATION OF BRIAN O'REILLY IN
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-,-~._'~_.,----_._.~.._--_.- -'-~--
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EXIT A N.J.s.A. 10:5-31 and N.J.AC.
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APPENDIX A AMRICANS WI DISABIL ACT
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-~_.._- ._----~_._-~.._----_._----~
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Reqúisition # 0148636 Vendor DELTA
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. A sumary of Aetna's proposal rate
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Total Annual: Total Monthly: $158,0
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VcL-l¿-¿~~~ IJ;J¿ DEL TA DENTAL
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EXTRAORDINARY UNSPECIFIABLE SERVICE
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Requisition # 0148639 Vendor RELIAS
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EXIT A N.J.s.A.IG:5-3la.d N.J.A.C.
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APPENIX A AMRICANS WI DISABIL ACT O
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./ Resolution of the City of Jersey
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FULL TITLE OF RESOLUTION: RESOLUTIO
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61/64/2636 12: 62 9735860221 JAALE.
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01/04/2030 12: 02 9736800221 JAALEX
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. ..... ~_.... .., CITY OF JERSEY C
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12/16/2009 18: ~1 9732435549 PAG 02
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: 12/1&/2009 17: 56 , ILl 19"'1111"
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: ::. _._'.- ::-: - - CERTiF1CA l"E
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12i'6/2E1E19 17: 56 9732435549 IL/1
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12/16/2009 18: 41 9732435549 PAGE 0
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12/1&/2009 18: 41 9732435549 PAGE 6
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i.~rl.~(~ElElê l!3: ~1. '" ~H~~4~S
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":.'~" (l-~.. DEPAATUE1' OF 1'REASY
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i",~"yy~ 1~.YI rftn ~UI~~UIUbl IdAV
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EXHIT A 'MAATORY.EQUAL EMPLOYM OPPO
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C6r~ôn CERTIFICATE OF EMPLOYEE INF
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MioritylWoman BuSÎJess Enterprise
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.: i ..; ..' . TAXPAYER NAME: CHUKS
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AGREEMENT AGREEMENT made this _ day
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ARTICLE iv Compensation and Payment
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loss of life or property or in any
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executed by their duly authorized o
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EXBmIT A (Cant.) The contractor or
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Questionnaire for Bidders Jersey Ci
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" Treasurer ~: State Certification
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,"" -' CERTIFICATION IN SUPPORT OF
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Consulting Services Agreement For t
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A. The selected consultant shall pu
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The parties hereto reserve the righ
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A business organization that fails
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~ ~ '~ 10 * D . It ~ . D ~ I, j .,'
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Page 191 and 192: , " .I~""IUI lt'~ IA I: (r¡1"~ 53t
Page 193 and 194: t '. " l ~. ~ON CO~LrlMON ~A~ STATE
Page 195 and 196: ! . ¡', '" I.: " l~ . CERnFCATION
Page 197 and 198: City Clerk File No. Agenda No. Appr
Page 199 and 200: Resolution of the City of Jersey Ci
Page 201 and 202: This Agreei:ent dated the AGREEMENT
Page 203 and 204: approved in advance for any specifi
Page 205 and 206: et seq. 2. An Affirmative Action Em
Page 207 and 208: iLliiIL~~~ lL:LL Lin -~4 1-~23Ø LA
Page 209 and 210: ...... oJ, r ...£~U LAW DEPT PAGE
Page 211 and 212: Page') of2 00491S4 II ,....... 8QVA
Page 213 and 214: 12/11/2009 12:22 201-547-5230 LAW D
Page 215 and 216: LL(iiIL~~~ l¿:¿¿ :¿1:1-54 7 -52
Page 217 and 218: 1¿/li/2ElEl9 12:22 201-547-52313 L
Page 219 and 220: City Clerk File No. Pg. #-- Agenda
Page 221 and 222: ~i/~ii~~i~ 'l~:~~ ~~1-541-523Ø . .
Page 223 and 224: . ; ii/12/20El9 10: ld 2131-547-523
Page 225 and 226: U~'ur(~u¿u ¿~~~~ L~i-~q(-~~~~ 11/
Page 227 and 228: JRN-07-211111 15:34 trDm:2016536979
Page 229 and 230: Continuation of Resolution City Cle
Page 231 and 232: month an affidavit of services spec
Page 233 and 234: The City does not agree to pay for
Page 235 and 236: administration of this contract. Al
Page 237 and 238: Continuation of Resolution City Cle
Page 239 and 240: such as court reporters, investigat
Page 241: The City does not agree to pay for
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Page 247 and 248: 12/1B/20e9 11: 52 OI/~.I;OOB t1'~1
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Page 251 and 252: 12/18/2e~9 11~52 291-547-5238 LAW D
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Page 259 and 260: 12/iS/2ee9 11: 52 281-547-5230 LAW
Page 261 and 262: City Clerk File No. Agenda No. Appr
Page 263 and 264: AGREEMENT . Ths Agreement dated the
Page 265 and 266: Should the services of one or more
Page 267 and 268: affixed the day, month and year abo
Page 269 and 270: Continuation of Resolution Pg. # 2
Page 271 and 272: cents ($1.50) per page; and (ii) ch
Page 273 and 274: pursuant to section 1 ofP.L.2001, c
Page 275 and 276: l:1/l:4/2E:l: 12: 10 201-547-5230 L
Page 277 and 278: ~i/04/2010 12: 10 12/3ß/zÐÐ9 iø
Page 279 and 280: 01/64/2610 J.:O ,jt;l :'I:ll:l': 12
Page 281 and 282: ." ~l/~q/~~lØ l2~10 1~/3e/2009 18:
Page 283 and 284: ~1/tlq/2~1~ 12: 113 12/36/2e~9 i~:
Page 285 and 286: ~i,~q,~~i~ l~:l~ 2~1-547-5230 12/30
Page 287 and 288: ~1/Ø4/2~1~ 12: 1~ 201-547-5230 i~i
Page 289 and 290: 4""'& "".. r - .j'~U LHW Ui=r-, PAG
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~~, u~, ¿u¿u ¿¿~iD iLI ~~I ~~~~
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the preceding month. All statements
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complete or substantially complete
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Robert Byrne City Clerk Brian O'Rei
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Continuation of Resolution Pg. # Ci
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Requisition # 0148621 Vendor SOLOMO
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City of Jersey City Department of H
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VII. RECORDS AND FILES' All patient
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EXHIBIT A (Cont.) The contractor or
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.. ". \ .~ . ..' '::' . . . .~ . ,~
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MINORITY/wOMAN BUSINESS ENTERPRISE
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-d!.~tlN~Ni~y "i"" State' Of New Je
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Princeton Insurance Company COMMON
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. BUSINESS ENTITY DISCLOSUR CERTIFI
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Requisition # 0148192 . Vendor EDUC
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EEO/ AFFIRMATIVE ACTION REQUIREMENT
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MINORITYIWOMAN BUSINESS ENTERPRISE
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P.L. 2004, c. 57 (N.J.S.A. 52:32-44
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, .' C. 271 POLITICAL CONTRIBUTION
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C. 271 POUTICAL CONTRIBUTION DISCLO
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List of Agencies with Elected Offic
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BUSINESS ENTITY DISCLOSURE CERTIFIC
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AGREEMENT THIS AGREEMENT entered in
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6. Purchases C) The City may send a
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12. Retention of Records Financial
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17. Labor Standards All laborers an
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Requisition # 0148794 Vendor HORIZO
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EEOIAFFIRMATIVE ACTION --REQUIREMEN
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State Treasurer HORIZON HEALTH CENT
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l'l.J. LlCIJWLllCHl VI llCè1:Sury
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C. 271 POLITICAL CONTRIBUTION DISCL
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Page_of Vendor Name: Continuation P
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CERTIFICATION OF COMPLIANCE WITH TH
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3. Compliance with Approved Program
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B) Subgrantees that receive at leas
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comply with such additional conditi
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20. Political Activity Prohibited N
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DETERMNATION OF VALUE CERTIFICATION
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EXHIBIT A MANDATORY EQUAL EMPLOYMEN
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APPENDIX A AMERICANS WITH DISABILIT
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Page L ot3 Public Contracts Equal E
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P.L. 2004, c. 57 (N.J.S.A. 52:32~44
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N.J. uepartent of Treasury - Uivisi
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Page_of Vendor Name: o Check here i
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DETERMINATION OF V ALUECERTIFICATIO
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EXHIBIT A MANDATORY EQUAL EMPLOYMEN
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APPENDIX A AMERICANS WITH DISABILIT
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P.L. 2004, c. 57 (N.J.S.A. 52:32-44
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C.271 POLITICAL CONTRIBUTION DISCLO
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. ~ , BUSINESS ENTITY DISCLOSURE CE
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AGREEMENT TIDS AGREEMENT entered in
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6. Purchses C) The City may send a
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ATTACHEMENT A PROGRAM DESCRIPTION:
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AGREEMENT . THIS AGREEMENT entered
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6. Purchses C) The City may send a
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ATTACHEMENT A PROGRAM DESCRIPTION:
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~. Requisition # 0148802 Vendor PHI
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EEO/ AFFIRMATIVE _.._----_._."---.
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Certification 778 CERTIFICATE OF EM
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MINORITYIWOMAN.BUSINESS ENTERPRISE
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l'l.J. UCPi:UIlCUl UL HCa:sury - Ui
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AGREEMENT THIS AGREEMENT entered in
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C) The City may send a representati
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Requisition # 0148804 Vendor . . PR
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EEO/ AFFIRMATIVE - --- - ----~- ---
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- --"- - - - -- - ----- - - - - - -
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n.J. Ui;paiulll;llt vi ill;~UlY - u
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Page ::of 2- Vendor Name: Continuat
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City Clerk File No. Pg.#~ Agenda No
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Date Submitted ORDINANCEIRSOLUTION
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'~""- " JON S. CORZINE Governor Dec
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WILLIAMR. GOBLE, P.E., CITY ENGINEE
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Grant Application for State Aid to
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Grant Application for State Aid to
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Scope of Work cant' d Grant Applica
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CITY OF JERSEY CITY o E PA R TM E N
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_/ ,....\ --' ./'~''' /./,/ '\ ':'.
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,..~J i. \. \.....,.. ...........-
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Engineer's Estimate (12.03-2009) IT
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Project Classification (J Pedestria
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Name of Grantee: Jersey City Organi
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;:t:dn udlldynt:.. - Un:in¡; "'t:~
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LEGISLATIVE FACT SHEET This summary
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10. Any equipment installed or used
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Cit Clerk File No. Agenda No. 10.Z.
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and fully cooperate with the Direct
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7. Plan for collection ofuutstandin
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Dated: ~ SHEET 1 Dated: Director of
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Sheet 2 RECORDED VOTE- Ayes: SO-rOL
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SHEET3A ,. SEE BUDGET APPROPRIATION
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SHEET3B_1 PRIORYEAR.'S LOCAL MUNICI
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SHEET3C Totals days 265,942 $73,979
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09-206 34,736,189 ________-:_____._
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--,.-_...._-_...._......_...._...._
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SHEET 9 ----_....__...._------_.._-
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Click It or Ticket _.._.._-_.._---_
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01/12/10 SHEET 15A _________.._____
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01/12/10 SHEET 18A I I I 13,711 I T
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I 01/12/10 SHEET 240 I I I I , ----
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TÖTALCAPITAL IMPROVEMENTS FROM "CA
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(Tis appendix must be Included in a
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Sheet 40b C-3 TOT ALS- ALL PROJECTS
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TOTALS. ALL PROJECTS 33-399 210,155
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Sheet 44 JAN 1 3 2010 Date If you h
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Year 2010 temporary budget to make available the ... - Jersey City

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