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

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- .;. ..,; ...: ..... ... .,.. - - ..- '- -- ......¡' _ _ _;. :'~,...; t ....',,_.~.."."7 ~~:: ~._ . r- L . . . .' . 'REAr ThiS' 'Is' to certify that. the contr toN.JAC~ 17:27;'1.1 etseq. a effec for lheperlOd. of nB¡;TAp~AL Opt 'HS ~ 1639 'ROUi,'10 :'. '-- PWi'pA!' . NJ Lle'-.,. VC.''l'HL ::(-. ¿Ö:J 41'(~ P.06/07 . ."..: .;,...... ',. .-1 .. ., it.: .".~ . .,. .':~ ;.::' . ~ . . ": '. ;1 "-""-'-. . ......... .. . ....:,1.. _1 ," "''''':.. Certification . ~:._. '-,' \ ,:,', ~ ',~ .r,'.". ~ - ;':':;',"'., : . -.. '. . ...'.. . ' :-. .", .' ,....L... . . " .. :~:..." ......-.~.. :: '.. . ~:.::! ;.:.-, ,~J!;j.:~.:o,~!.. Acting State Trasuref .. ". ,. "
VcL-l¿-¿~~~ IJ;J¿ DEL TA DENTAL 973 285 4170 P.07/07 ---~-~---------------~--. _.-..-----~--- Tçixpayer IdentHication# 221-696-118/000 Dear Business Representative: 06/16/05 Congratulations! You are now registered with the New Jersey Division of Revenue. Use the Taxpayer Identification Number listed above on (;J/ correspondence with Ihe Divisions of Revenue and Taxatton, as Well as wllh the Departmenl of Labor (if to unemployment with holdings). Your tax returns and payments will be the fred business under this is subjecl number; and you will be able to access information about your account by referencing it. Additionally, please note that State law requires all contractors and subcontractors wilh Public agencies to provide Proof of their registration with the Division orRevenue, The raw also amended Section 92 of the Casino Control Act. which deals with the casino service induslry. We have attached a Proof of Registration Certifcate for your use. To comply with (he law, if you are currtmlly Under contract Or entering into a contract with a Stale agency, YOll must provide a copy of the certifcate to the contracting agency, '''~g'/'~ft~"... ;"t.'''. . ~'!'ri :~I."'~'~"...J . ".. .,.. . .1...., ",. .1 .,' ... y" ~ ',' "" . " J . '"l ';i~ ., .'....'. TA..1 ' ,AME: DEL .~.. . L or: NEWdERSEY, INC. AQPRESS: 1839 RT10 PAR'S'PPAN¥, EFF~CTfVE 07108/69 FORl',lf-SRC(08-01J. STATE Ot= NEW JERSEY BUSINESs REGISTRATION C~RTIFICATE .,.'~~f~,;')r-e~DE NAME: ~! fÎ v(;;_,;.~.:\ .. .. :!'"'':" ''if 'iill1UENCE NUMBER: . .::~:~';~~!-J;.:~870 ._: ill~.:"; ~':..'_.~ .."'r.....,.~.~.'t., ISSUANCE DATE: ;":~~:~". :~::::"'\""l~~" ~'. "'ii- t . 0616/06l! f .;,~; .", 01 r Thi, Cert'liciilø Is NOT a$$ilin~b'8 or (Iin£(~rabl . /I mu£! be Çonsplçuoiis oaiAATMEN:r OF TRt.VR' DIV~~e~?f.~N.lJE ~~E~~~1~¡~~ii5i f..::~!~~t' . .,i: . :~;i~~~)L; . .. """_~:_,,"':;" .... . "_.- TOTAL P.07
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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
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 47 and 48: Continuation of Resolution City Cle
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 and 56: APPENIX A AMRICANS WI DISABIL ACT O
Page 57 and 58: " Taxpayer Identifcation# 221~896.1
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: Total Annual: Total Monthly: $158,0
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.
Page 107 and 108: 01/04/2030 12: 02 9736800221 JAALEX
Page 111 and 112: . ..... ~_.... .., CITY OF JERSEY C
Page 113 and 114: 12/16/2009 18: ~1 9732435549 PAG 02
Page 115 and 116: : 12/1&/2009 17: 56 , ILl 19"'1111"
Page 117 and 118: .. .. I\ .. ., . (7 .. I\ lS lS iD
Page 119 and 120: i.~l.s't~ee~ .!?:S~ .... ~Z~~~~ss~~
Page 121 and 122: Resolution of the City of Jersey Ci
Page 125 and 126: : ::. _._'.- ::-: - - CERTiF1CA l"E
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Page 129 and 130: 12i'6/2E1E19 17: 56 9732435549 IL/1
Page 131 and 132: 12/16/2009 18: 41 9732435549 PAGE 0
Page 133 and 134: 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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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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~ ~ '~ 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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U~'ur(~u¿u ¿~~~~ L~i-~q(-~~~~ 11/
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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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i~/l~/2BB~ 11: 52 08nll7t'''9 11:90
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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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~~, u~, ¿u¿u ¿¿~iD iLI ~~I ~~~~
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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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,..~J i. \. \.....,.. ...........-
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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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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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