16.06.2013 Views

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

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

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

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

-,-~._'~_.,----_._.~.._--_.- -'-~----~-"-----'---_____~".__~__~____r._,___,_.._~_~._,_~ ,_____..,___.____.______._..,~,~__..______._.__.____.__~._..~,__,__..<br />

AFTI ACTION COMPLIACE NOTICE<br />

N.J.S.AI0:5-31 and N.J.AC.17:27<br />

GOODS AN SERVICES CONTCTS<br />

(ICLUDING PROFESSIONAL SERVICES)<br />

Th form is a sum of <strong>the</strong> succesfu bidde's requit <strong>to</strong> comply with <strong>the</strong> reqements<br />

ofN.l.S.A. 10:5-31 and NJ.A.C.17:27.<br />

The succssfu bidde shall submt <strong>to</strong> Ìf. public agency, af notificaon of award but prior <strong>to</strong><br />

exection of ths contr one of <strong>the</strong> followi th docents as form of evidence:<br />

(a) A pho<strong>to</strong>py of a vald lett th <strong>the</strong> contrr is opera un an existg .<br />

Federaly approved or sac<strong>to</strong>ned afve action program (goo for one yea from <strong>the</strong><br />

da of <strong>the</strong> lett);<br />

OR<br />

(b) A pho<strong>to</strong>copy ofa Cercate of<br />

Employee Inomition Reprt apprva, issued in<br />

acordace with N.l.A.C. 17:27-4;<br />

OR<br />

(c) A pho<strong>to</strong>py of an Employee InoInon Reprt (Form AA02) provided by <strong>the</strong><br />

Division and distrbute <strong>to</strong> <strong>the</strong> public agency <strong>to</strong> be colete by <strong>the</strong> contr<strong>to</strong>r in<br />

acrdace with NJ.A.C. 17:27-4.<br />

. The sucesfu vendor may obta th Afve Ac<strong>to</strong>n Employee Inormon Report<br />

(AA02) from <strong>the</strong> contrg unt durg nonn busiess hour.<br />

'The suft venor(s) must sumit <strong>the</strong> copies of <strong>the</strong> AA02 Reprt tò <strong>the</strong> Diviion of<br />

Cont Compli and Equa Employment Opportty in Pulic Cont (Division). The<br />

, Pulic Agency .coy is submitt <strong>to</strong> <strong>the</strong> public agency, and <strong>the</strong> vendr copy is retaed by <strong>the</strong><br />

vendor.<br />

The underigned vendor cees th helshe is awaI oftbe commtmt <strong>to</strong> comply with th<br />

~ents ofN.l.S.A. 10:5-31 and N.l.A.C. 17:27 and ag <strong>to</strong> fush <strong>the</strong> re form of<br />

evdence.<br />

The unerigned vendor fuer unde th bis/er bid sha be rejecte as non"respnsive<br />

it)aid contIc<strong>to</strong>r fails <strong>to</strong> comply with th reements ofN J.S.A. i 0:5-31 and NJ.A.C. 17:27.<br />

COMPAN: -Dt;TI- .i4JT~ øF' !Jev d h-'- e- l -- úc.<br />

SIGNA1U: . 9øm~.~<br />

t<br />

PRI<br />

DATE:<br />

¡r/r/61<br />

NAM: t/i~ $cJkfJleAJ. TIE: AOMINtJrL4I(lJC, J.IJl\jj ¡¿ou/t.e.k$<br />

AFTI ACTON COMPLICE (SAMLE DOCUMS)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!