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

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MiorilWo...ii Bulies EDlerrl (MWB Qaatuare for Bidden 1er Ci 0r C-829 eSlish a li of awa 20% of th dollar am of tota city pr to mity an woma own bu ente. . To asst us in moni our acevemeRt of ths go plea ine below wh your comp is or is no a minont own anor wo ow bu an retu Ihis fo wi you bid pr. . Bus Nam : DELTA DEN OF NE JEEY, lBC. Ad Telep No. : 1639 Route 10, Parsippany, NJ 01054 97;3285-4037 Cota Nam : Ellen H. Scbworn Pleas che aplicale cagory : BusH) _ Mity Ow Bune (MB) _ Mi& Woma Ow _ Wom Ow bu (WE) De~ Mirf.. Bate x Neith Mia Boi Pipr me & ba wb is a so propiJ_uibip, pa or c;ra at Sl%ofwl Is ow an CC1f by pe wh EO Amee Am Hi As Ar. Am In or ÀI DI de as fo . Afric. Aa .. Pf ba Ðr in tI oftb bJ øc gi of Ai ii:' a pcof Pa Rk Cc 01 So Am or øt noEu Spls cu or od ie otna AI a Jl.. oñ in an oftl or pe ofdi Far Ba So Ea As lo su.. Ha.ib P8 i. . AI .... Ai NId a pe haoi in an 011l or pele ofNor An aa wh in eu id th bl"b af or co rc. Woø. ..1a - WOI Bain ED..- ii wi it a so pr p8 or coon at le 51% ofwbic is 0W ID c: by. wG Clwo DIN OJ' PURCHG COpy la
" Taxpayer Identifcation# 221~896.118/000 Dear Business Representative: 06/16105 Congratulations! You are now registered with the New Jersey Division of Revenue. Use the Taxpayer Identification Number fisted above on all correspondence with the Divisions of Revenue and Taxation, as well as with the Department of labor (If the business is subject to unemployment with holdings). Your tax returns and payments wil be filed under this number, and you wil be able to access information about your account by referencing it. Additionally, please note that State law requires all confractors and subcontrac1ors with Public agencies to provide proof of their registration with the Division of Revenue. The law also am ended Section 92 of the Casino Conlroi Act, which deals with the casino service industry. We have attached a Proof of Registration Certificate for your use. To comply with the law, if you are currently under contract or entering into a' contract with a State agency, you must provide a copy of the certificate to the contracting agency, ~,:"". 'f . AOi;RESS: 1639 RT 10 ~AlSlflPAN, EFFE,CTIVE 07108/69 ~AME: ~-I. FORM-BRC(08~1) OF NEW JERSEY, INC. STATE OF NEW JERSEY BUSINESS REGtSlilON CERllFICATE .ß~.."",W!DE NAME: ~~;~~"~ :i: ~~:;tJ~~/'JrJ Æ 0 ~t~...~~_ l£ .' ~. UENCE NUMBER: ..~ ~ ,~~:':~1~:r ISSUANCE DATE: ~~r~;~,t(;¡:....\f . ¥,-- "'F 06116/ô5l r;: oJ! f /;~~~., . ~ r . This ceifOcafe Is HOT asignable or &aerabl . "mast be co$p~ disp/li~ al liiw address.
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City Clerk File No. Agenda No. Appr
Page 3 and 4:
Continuation of Resolution City Cle
Page 5 and 6: ()- 00;1 EXHIBIT A JAN i 3 2010 BLO
Page 7 and 8: Block: 00763 Principal: 3,167.01 Ta
Page 9 and 10: N N N ~ -c N m 0 0 0 0 ;i 0 0 0 0 ;
Page 11 and 12: Memo to Brian O'Reiley, Business Ad
Page 13 and 14: City Clerk File No. Agenda No. Appr
Page 15 and 16: Resolution of the City of Jersey Ci
Page 17 and 18: LEGISLATIVE FACT SHEET This summary
Page 19 and 20: Continuation of Resolution City Cle
Page 21 and 22: of the Licensee or anyone employed
Page 23 and 24: 14. Failure to adhere to the terms
Page 25 and 26: HOST CITY AGREEMENT THIS HOST CITY
Page 27 and 28: provided in writing by the Red Bull
Page 29 and 30: on the first business day following
Page 31 and 32: (1) Severabilty. If any provision o
Page 33 and 34: SCHEDULE A SERVICES The City shall
Page 35 and 36: City Clerk File No. Agenda No. Appr
Page 37 and 38: .. November 16, 2009 Paragraph D -
Page 39 and 40: Aricle 26 November 16, 2009 Paragra
Page 41 and 42: Aricle 30 Insert New Paragraph H as
Page 43 and 44: Aricle 36 November 16,2009 Add new
Page 45 and 46: wil be $50 per 30-day supply, meani
Page 49 and 50: CERTIFICATION OF BRIAN O'REILLY IN
Page 51 and 52: . AFTI ACTION COMPLIACE NOTICE N.J.
Page 53 and 54: EXITA N.J.s.A. 10:5-31 aDd N.J.AC.
Page 55: APPENIX A AMRICANS WI DISABIL ACT O
Page 59 and 60: 0148637 CITY OF JERSEY CITY Requisi
Page 61 and 62: A summary of Aetna's proposal rates
Page 63 and 64: City of Jersey City Dental Program
Page 65 and 66: UL-\, .L C- C-UiiO .L-i- Jc: veL I
Page 69 and 70: CERTIFICATION OF BRIAN O'REILLY IN
Page 71 and 72: -,-~._'~_.,----_._.~.._--_.- -'-~--
Page 73 and 74: EXIT A N.J.s.A. 10:5-31 and N.J.AC.
Page 75 and 76: APPENDIX A AMRICANS WI DISABIL ACT
Page 77 and 78: -~_.._- ._----~_._-~.._----_._----~
Page 79 and 80: Reqúisition # 0148636 Vendor DELTA
Page 81 and 82: . A sumary of Aetna's proposal rate
Page 83 and 84: Total Annual: Total Monthly: $158,0
Page 85 and 86: VcL-l¿-¿~~~ IJ;J¿ DEL TA DENTAL
Page 89 and 90: EXTRAORDINARY UNSPECIFIABLE SERVICE
Page 92: Requisition # 0148639 Vendor RELIAS
Page 95 and 96: EXIT A N.J.s.A.IG:5-3la.d N.J.A.C.
Page 97 and 98: APPENIX A AMRICANS WI DISABIL ACT O
Page 99 and 100: ./ Resolution of the City of Jersey
Page 101 and 102: Resolution of the City of Jersey Ci
Page 103 and 104: FULL TITLE OF RESOLUTION: RESOLUTIO
Page 105 and 106: 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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Resolution of the City of Jersey Ci
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12/1&/2009 18: 41 9732435549 PAGE 6
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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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iLliiIL~~~ lL:LL Lin -~4 1-~23Ø LA
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12/11/2009 12:22 201-547-5230 LAW D
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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(lS!20B9 11:52. 281-547-5230 lA D
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12/19/2Ð09 11: 52 2ßl-547-5230 I.
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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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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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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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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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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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.___~___.__..~._..____.__________._
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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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....__..--_.._--------_..-_..-.._-_
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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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