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

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C. 271 POUTICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.lS.A. 19:44A-20.26 This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract. o q..3 () The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions ofN.J.S.A. 19:44A-20.26 and as represented by the Instrctions accompanying this form. t14idM Signature Part II - Contribution Disclosure CAe.M(N~ (AßöNL Printed Name t'6 5Cuì1 \1£ () i R.Eênfì= Title Disclosure requirement: Pursuat to N.J.S.A. 19:44A-20.26 ths disclosure must include all reportble political contrbutions (more than $300 per election cycle) over the 12 months prior to submission to the commttees of the governent entities listed on the form provided by the local unt. o Check here if disclosure is provided in electronic form. o Check here if Contributor Name ReciDient Name Date Dollar Amount ( r-I/ ;i , the information is continued on subsequent page(s) . $ .
Page_of Vendor Name: Continuation Page C. 271 POUTICAL CONTRIUTION DISCLOSUR FORM Required Pursuant To N.l.S.A. 19:44A-2Ð.26 Contributor Name ReciDient Name Date Dollar Amount - ... ..... ... .. . ,.. .. .. . .. o Check here if . the information is continued on subsequent page(s) . $
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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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Page 177 and 178:
,"" -' 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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, " .I~""IUI lt'~ IA I: (r¡1"~ 53t
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t '. " l ~. ~ON CO~LrlMON ~A~ STATE
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! . ¡', '" I.: " l~ . CERnFCATION
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This Agreei:ent dated the AGREEMENT
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approved in advance for any specifi
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et seq. 2. An Affirmative Action Em
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iLliiIL~~~ lL:LL Lin -~4 1-~23Ø LA
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...... oJ, r ...£~U LAW DEPT PAGE
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Page') of2 00491S4 II ,....... 8QVA
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12/11/2009 12:22 201-547-5230 LAW D
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LL(iiIL~~~ l¿:¿¿ :¿1:1-54 7 -52
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1¿/li/2ElEl9 12:22 201-547-52313 L
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City Clerk File No. Pg. #-- Agenda
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~i/~ii~~i~ 'l~:~~ ~~1-541-523Ø . .
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. ; ii/12/20El9 10: ld 2131-547-523
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JRN-07-211111 15:34 trDm:2016536979
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month an affidavit of services spec
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The City does not agree to pay for
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administration of this contract. Al
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such as court reporters, investigat
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The City does not agree to pay for
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12(lS!20B9 11:52. 281-547-5230 lA D
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12/1B/20e9 11: 52 OI/~.I;OOB t1'~1
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12/18/2e09 11: 52 ~l/~4/~OØ9 '1;31
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12/18/2e~9 11~52 291-547-5238 LAW D
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12/19/2Ð09 11: 52 2ßl-547-5230 I.
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12/1ß/ze09 11 :52 201-547-5230 LA
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- ... '.'.. . . + 12/iB/28Ðti 11:5
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12/iS/2ee9 11: 52 281-547-5230 LAW
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AGREEMENT . Ths Agreement dated the
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Should the services of one or more
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affixed the day, month and year abo
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Continuation of Resolution Pg. # 2
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cents ($1.50) per page; and (ii) ch
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pursuant to section 1 ofP.L.2001, c
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l:1/l:4/2E:l: 12: 10 201-547-5230 L
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~i/04/2010 12: 10 12/3ß/zÐÐ9 iø
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01/64/2610 J.:O ,jt;l :'I:ll:l': 12
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." ~l/~q/~~lØ l2~10 1~/3e/2009 18:
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~1/tlq/2~1~ 12: 113 12/36/2e~9 i~:
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~i,~q,~~i~ l~:l~ 2~1-547-5230 12/30
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~1/Ø4/2~1~ 12: 1~ 201-547-5230 i~i
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4""'& "".. r - .j'~U LHW Ui=r-, PAG
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.&¿.. .LV Lui -J"l t -;"L.::U:I -~
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Page 295 and 296: Continuation of Resolution City Cle
Page 297 and 298: the preceding month. All statements
Page 299 and 300: complete or substantially complete
Page 301 and 302: Robert Byrne City Clerk Brian O'Rei
Page 303 and 304: Continuation of Resolution Pg. # Ci
Page 305 and 306: Requisition # 0148621 Vendor SOLOMO
Page 307 and 308: City of Jersey City Department of H
Page 309 and 310: VII. RECORDS AND FILES' All patient
Page 311 and 312: EXHIBIT A (Cont.) The contractor or
Page 313 and 314: .. ". \ .~ . ..' '::' . . . .~ . ,~
Page 315 and 316: MINORITY/wOMAN BUSINESS ENTERPRISE
Page 317 and 318: -d!.~tlN~Ni~y "i"" State' Of New Je
Page 319 and 320: Princeton Insurance Company COMMON
Page 321 and 322: . BUSINESS ENTITY DISCLOSUR CERTIFI
Page 323 and 324: City Clerk File No. Agenda No. Appr
Page 329 and 330: Continuation of Resolution City Cle
Page 331 and 332: Requisition # 0148192 . Vendor EDUC
Page 333 and 334: EEO/ AFFIRMATIVE ACTION REQUIREMENT
Page 338 and 339: MINORITYIWOMAN BUSINESS ENTERPRISE
Page 340 and 341: P.L. 2004, c. 57 (N.J.S.A. 52:32-44
Page 342 and 343: , .' C. 271 POLITICAL CONTRIBUTION
Page 346 and 347: List of Agencies with Elected Offic
Page 348 and 349: BUSINESS ENTITY DISCLOSURE CERTIFIC
Page 350 and 351: AGREEMENT THIS AGREEMENT entered in
Page 352 and 353: 6. Purchases C) The City may send a
Page 354 and 355: 12. Retention of Records Financial
Page 356 and 357: 17. Labor Standards All laborers an
Page 358 and 359: Requisition # 0148794 Vendor HORIZO
Page 360 and 361: EEOIAFFIRMATIVE ACTION --REQUIREMEN
Page 364 and 365: State Treasurer HORIZON HEALTH CENT
Page 366 and 367: MINORITYIWOMAN BUSINESS ENTERPRISE
Page 368 and 369: l'l.J. LlCIJWLllCHl VI llCè1:Sury
Page 370 and 371: C. 271 POLITICAL CONTRIBUTION DISCL
Page 372 and 373: Page_of Vendor Name: Continuation P
Page 374 and 375: BUSINESS ENTITY DISCLOSURE CERTIFIC
Page 376 and 377: CERTIFICATION OF COMPLIANCE WITH TH
Page 378 and 379: 3. Compliance with Approved Program
Page 380 and 381: B) Subgrantees that receive at leas
Page 382 and 383: comply with such additional conditi
Page 384 and 385: 20. Political Activity Prohibited N
Page 386 and 387: DETERMNATION OF VALUE CERTIFICATION
Page 388 and 389: EXHIBIT A MANDATORY EQUAL EMPLOYMEN
Page 390 and 391: APPENDIX A AMERICANS WITH DISABILIT
Page 392 and 393: Page L ot3 Public Contracts Equal E
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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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N.J. uepartent of Treasury - Uivisi
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C. 271 POLITICAL CONTRIBUTION DISCL
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Page_of Vendor Name: o Check here i
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BUSINESS ENTITY DISCLOSURE CERTIFIC
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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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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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List of Agencies with Elected Offic
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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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12. Retention of Records Financial
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17. Labor Standards All laborers an
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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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EXHIBIT A (Cont.) The contractor or
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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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Page 468 and 469:
List of Agencies with Elected Offic
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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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EXHIBIT A (Cont.) The contractor or
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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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Page 498 and 499:
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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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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Page 534 and 535:
,..~J i. \. \.....,.. ...........-
Page 536 and 537:
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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___________.....___.______._.__----
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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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_...._...._.._----------------_.._-
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. 1 ___....__......_..__.._...__~..
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-....--..---.-.--:.-.-------.~.....
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..____...._______..____.._______.._
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01/12/10 SHEET 15A _________.._____
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-------------------------_.._------
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01/12/10 SHEET 18A I I I 13,711 I T
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..------------------.--._--- 1 ..-.
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__.._._.____.______________________
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.___~___.__..~._..____.__________._
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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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I ___...____._-----....--..~---_---
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....__..--_.._--------_..-_..-.._-_
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____..____._...._.._.._.__.~__'____
Page 626 and 627:
(Tis appendix must be Included in a
Page 628 and 629:
Sheet 40b C-3 TOT ALS- ALL PROJECTS
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TOTALS. ALL PROJECTS 33-399 210,155
Page 632:
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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