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

CERTIFICATION OF COMPLIANCE WITH THE CITY OF JERSEY CITY
CONTRACTOR PAY- TO-PLAY REFORM ORDINANCE 08-128 ADOPTED
ON SEPTEMBER 3, 2008
PART I - Vendor Affirmation
The undersigned, being authorized and knowledgeable of the circumstaces, does hereby certify that
/?.s' (ótV..(.L/rJ J ltV c . (name of bdsiness entity) has not made any reportble
contributions in the **ofie-year period preceding (date City Council
awards
contract) that would be deemed to be violations of Section One of the City of Jersey City's Contractor
Pay-to-Play Reform Ordinance 08-128 (attached hereto) and that would bar the award of
ths contract. I
fuer certify that durng the term of the contract ~S Cd lJ5 (¡ Ci ~ I IV L. (name of business
entity) will not make any reportable contributions in violation of Ordinance 0S:128.
PART II - Signature and Attestation:
The undersigned is fully aware that if I have misrepresented in whole or par ths affirmation and
. cei1ifiçation~ Ian4lpr thebusinessentity,wilLbe liable for any_penalty peIDttedundedaw.
Name
S"
OfB&.SS
d
. d :
~
igne: ( 9
Æ$' C'YJ C/,-rff~S , IIl C.
¡
Prit Name: ~L. 5J t:J Date:
Subscribed ~d sworn before me
this day,;~ ofe-er;.!.
My Commission expires:
/;-/3//.: 01 &'
~ J
Title: Mes//:-e
/~hæ;7
* *Pursuant to Section 2 of Ordinance 08-128, no contrbutions or solicitation of
contributions made prior to the effective date Ordinance 08-128 (September 23, 2008)
shall be deemed to be a violation of the Ordinance
7t~~
!20St1' è Sí e'Fr.. S t' C I'm- V; _
(Print name & title of afant) (Corporate Seal) r