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

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20. Political Activity Prohibited None of the fuds, materials, property or services contributed by the City to the Subgrantee under this Agreement shall be used in the performance of any parisan political activity, or to fuer the election or defeat of any candidate for public offce. 21. Compliance with Affirmative Action The Subgrantee agrees that it shall be committed to and car out an affrmative action program in keeping with the principles as provided in Executive Order 11246, as amended. IN WITNESS WHEREOF, the paries have caused this agreement to be duly singed and sealed the day and year first above wrtten. Attest: City of Jersey City Robert Byrne City Clerk Witness: Subgrantee Brian 0' Reily Business Administrator Name Title
Requisition # 0148797 Vendor NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCY OF HUDSON 309-311 NEWARK AVENUE JERSEY CITY NJ 07302 '".. , vr ,.n=n.~t:' '".. , Requisition Dept. Bil To HEALTH & HUMAN SERVICES 201 CORNELISON AVE JERSEY CITY NJ 07304 NA389685 Contact Info HARRY MELENDEZ 2015476800 Quantity UOM Description Account 1.00 SVC CHILDHOOD TRAINING 0221340060312 ... .:-~... l';:;-:. ~:-: ¿j'-,,:~:,:::.:. ;~~. .0"" (".'"¡ t-,~) ~.;:-, ,:::-'" r-"('1 ...... -'" L1..i ..~~ ;' Ci~' (") j~)' 'c ,. . ~..... G ("--. L ( j THIS PURCHASE ORDER IS ISSUED FOR ENCUMBRANCE PURPOSE ONLY TO ESTABLISH FUNDING FOR OPERATION OF PREVENTIVE SUBSTANCE ABUSE PRÒGRAM FOR THE .PERIOD OF 1/01/2010 - 12131/2010. AS PER ATTACHED RESOLUTION PAYMENTS WILL BE MADE FROM TIME TO TIME ON PARTIAL PAYMENT VOUCHERS. Req. Date: 12/21/2009 Requested By: ROSAJ Buyer Id: Approved By: This Is Not A Purchase Order Unit Price 40,000.00 . Assigned PO # l J Dept. Ship To Requisition Total Total 40,000.00 40;000.00
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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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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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12/16/2009 18: 41 9732435549 PAGE 0
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":.'~" (l-~.. DEPAATUE1' OF 1'REASY
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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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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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City Clerk File No. Pg. #-- Agenda
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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/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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~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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~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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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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Page 364 and 365: State Treasurer HORIZON HEALTH CENT
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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
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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
Page 396 and 397: P.L. 2004, c. 57 (N.J.S.A. 52:32~44
Page 398 and 399: N.J. uepartent of Treasury - Uivisi
Page 402 and 403: Page_of Vendor Name: o Check here i
Page 404 and 405: BUSINESS ENTITY DISCLOSURE CERTIFIC
Page 406 and 407: CERTIFICATION OF COMPLIANCE WITH TH
Page 408 and 409: 3. Compliance with Approved Program
Page 410 and 411: B) Subgrantees that receive at leas
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Page 416 and 417: DETERMINATION OF V ALUECERTIFICATIO
Page 418 and 419: EXHIBIT A MANDATORY EQUAL EMPLOYMEN
Page 420 and 421: APPENDIX A AMERICANS WITH DISABILIT
Page 424 and 425: P.L. 2004, c. 57 (N.J.S.A. 52:32-44
Page 426 and 427: C.271 POLITICAL CONTRIBUTION DISCLO
Page 430 and 431: List of Agencies with Elected Offic
Page 432 and 433: . ~ , BUSINESS ENTITY DISCLOSURE CE
Page 434 and 435: AGREEMENT TIDS AGREEMENT entered in
Page 436 and 437: 6. Purchses C) The City may send a
Page 438 and 439: 12. Retention of Records Financial
Page 440 and 441: 17. Labor Standards All laborers an
Page 442 and 443: ATTACHEMENT A PROGRAM DESCRIPTION:
Page 444 and 445: AGREEMENT . THIS AGREEMENT entered
Page 446 and 447: 6. Purchses C) The City may send a
Page 448 and 449: 12. Retention of Records Financial
Page 450 and 451: 17. Labor Standards All laborers an
Page 452 and 453: ATTACHEMENT A PROGRAM DESCRIPTION:
Page 454 and 455: ~. Requisition # 0148802 Vendor PHI
Page 456 and 457: EEO/ AFFIRMATIVE _.._----_._."---.
Page 458 and 459: EXHIBIT A (Cont.) The contractor or
Page 460 and 461: Certification 778 CERTIFICATE OF EM
Page 462 and 463: MINORITYIWOMAN.BUSINESS ENTERPRISE
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l'l.J. UCPi:UIlCUl UL HCa:sury - Ui
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C. 271 POLITICAL CONTRIBUTION DISCL
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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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12. Retention of Records Financial
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17. Labor Standards All laborers an
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Requisition # 0148804 Vendor . . PR
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EEO/ AFFIRMATIVE - --- - ----~- ---
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- --"- - - - -- - ----- - - - - - -
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MINORITYIWOMAN BUSINESS ENTERPRISE
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n.J. Ui;paiulll;llt vi ill;~UlY - u
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C. 271 POLITICAL CONTRIBUTION DISCL
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Page ::of 2- Vendor Name: Continuat
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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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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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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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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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