Resolutions - Jersey City

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MINORITY/WOMAN BUSINESS ENTERPRISE (ME)Questionnaire for Bidders<strong>Jersey</strong> <strong>City</strong> Ordinance C-829 establishes a goal of awarding 20% of the dollar amount of totalcity procurement to minority and woman owned business enterprises.To assist us in monitoring our achievement oftWs goal, please indicate below whether yourcompany is or is not a minority owned and/or woman owned business, and retum tWs form withyour bid proposal.. IBusiness Name: LeJI S T6,'0 lç Wi'(d t';5 . L L (Address: at) Cha¡,'ii Röod--())lldtd()9 (jJnL 1liwk. ¡.j D?ò5"~. Telephone No.: 97:1- cl oa ~ o/~tI )Q i~Contact Name: C'" ~J L etm at')Please check applicable category:_ Minority Owned_ Minority & Woman OwnedWoman Owned-X NeitherDefinition ofMinol'Ity Business Entei'priseMinority Business Enterprise means a business which is a sole proprietorship, parinership orcorporation at least 51 % of which is owned and controlled by persons who are AfricanAmerican, Hispanic, Asian American, American Indian or Alaskan native, defined as follows:Mricau American: a person having origins in any of the black racial groups of AfÌ'caHispanic: a person of Mexican, Puerto Rican, Central or South American or other non-EuropeanSpanish culture 01' origin regardless of race.Asian: a person having origins in any of the original peoples of the Far East, South East Asia,Indian subcontinent, Hawaii 01' the Pacifc Islands.American Indian 01' Alaskan Native: Ii person having origin in any of the original peoples ofNorth America and who maintains cultual identification through tribal affliation 01' communityrecognition.Woman Business EnterpriseWoman Business Enterprise means a business which is a sole proprietorship, partnership orcorporation at least 5 i % of wWch is owned and controlled by a woman or women.DIVSION OF PURCHASING COpy
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Continuation of ResolutionCity Cler
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City Clerk File No. Res. 09-705Agen
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Resolution of the City of Jersey Ci
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Senior Citizen Deduction 2009 # 1OW
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DISABLED DEDUCTION 2009 # 1OWNER BL
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VETERANS DEDUCTION 2009 # 1OWNER BL
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AUG, 28, 2009 9: 51 AMJC I ANO. 453
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Resolution of the Cityof Jersey Cit
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ì) Cr, I. L V V ') '): i I illYI~~
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LEGISLATIVE FACT SHEETThis summary
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Resolution ofthe City of Jersey Cit
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This letter should be sufficient to
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ORDINANCEIRSOLUTION FACT SHEET Date
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EXHIBIT ACAPITAL PROJECTS1) Underta
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LICENSE AGREEMENTTHIS AGREEMENT mad
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and regulations of the City of Jers
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The Grantee shall pay the cost for
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Page 60 and 61: IN WITNESS WHEREOF, I have hereunto
Page 62 and 63: Resolution of the City of Jersey Ci
Page 64 and 65: ORDINANCEIRSOLUTION FACT SHEET Date
Page 66 and 67: Certcation'" RENE.', , "!7This is t
Page 68 and 69: 08/28/2009 i i : 58 FAX1d004/02078'
Page 70 and 71: 08/28/2008 12:01 FAX... -- -.... .
Page 72 and 73: Resolution of the City of Jersey Ci
Page 74 and 75: ORDINANCE/RESOLUTION FACT SHEET Dat
Page 76 and 77: ¿.r. '."NON C0L.LUSION AFFDAVISTAT
Page 78 and 79: "'I ."MAATORYEQUAL EMPLOYMNT OPPORT
Page 80 and 81: AMERICANS WITH DISABILITIS ACT OF 1
Page 82 and 83: " .,AFFI'f ACTION COMPLIANCE NOTICE
Page 84 and 85: MIORITYIWOMAN BUSINESS ENTERPRISE (
Page 86 and 87: ~fs-fl'."0 "0' .. ...... ,"': ¡: .
Page 88 and 89: (§ìiQ,~£;rér":TSrtX'p'~lmëaÎ.
Page 90 and 91: SEP-02-2009 WED 12: 22 PM EXTEL COM
Page 92 and 93: SEP- 02-2009 WED 12: 23 PM E~ TEL C
Page 94 and 95: SEP-02-2009 WED 12:24 PM EXTEL COMM
Page 96 and 97: Continuation of ResolutionCity Cler
Page 98 and 99: ORDINANCEIRSOLUTION FACT SHEET Date
Page 100 and 101: CERTIFICATION OF COMPLIANCE WITH TH
Page 102 and 103: PUBLIC DISCLOSUR INORMATIONChapter
Page 104 and 105: MANDATORY EQUAL EMæLOYMENT OPPORTI
Page 106 and 107: AMRICANS WITH DISABILITIS ACT OF 19
Page 110 and 111: I ~LCertfication 37795CERTIFICATE O
Page 114 and 115: CITY OF JERsEY CITYRESOLUTION:VENDO
Page 116 and 117: PUBLIC DISCLOSUR INFORMATIONChapter
Page 118 and 119: OßlllAug, 18, 2009F 1:25PMs47sSung
Page 120 and 121: AMRICANS WITH DISABILITIES ACT OF 1
Page 122 and 123: AFFIRATIV ACTION COMPLIANCE NOTICEN
Page 124 and 125: .'.Par I - Vendor AfanatiooBUSINSS
Page 126 and 127: .i. Ç'GLiut&-c& /1---/1 CC. 271 PD
Page 128 and 129: '. '"c. 271POLmCAl COBIN DIOSURE -R
Page 130 and 131: .' ..'BUSINSS ENITDISCLOSURE CERTn'
Page 132 and 133: INSTRUCTIONS FOR COMPLETIG THE EMPL
Page 134 and 135: ITEM 16 _ Print or tye the name ofa
Page 136 and 137: c. 271 pÒLmCAL CONTIBUTION DISCLOS
Page 138 and 139: ,¡~)Itti~- ~CERTIFICATION OFCPMPLI
Page 142 and 143: CERTIFICATION IN SUPPORT OF A WARDI
Page 144 and 145: DETERMINATION OF VALUE CERTIFICATIO
Page 146 and 147: CITY OF JERSEY CITYRESOLUTION:VENDO
Page 148 and 149: PUBLIC DISCLOSURE I~FORMATIONChapte
Page 150 and 151: MANDATORY EQUAL EMPLOYMENT OPPORTUN
Page 152 and 153: AMERICANS WITH DISABILITIES ACT OF
Page 154 and 155: MINORITYIWOMAN BUSINESS ENTERPRISE
Page 156 and 157: INSTRUCTIONS FOR COMPLETING THE EMP
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ITEM 16 - Print or type the name of
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E".J. lJ""fJU-UU,,UL UJ. ii",~wy -
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1'1.J. uepamem or ireasur - uivislO
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\ Resolution of the City of Jersey
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NON COLLUSION AFFIDAVITSTATE OF NEW
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MANDATORYEQUAL EMPLOYMNT OPPORTUNIT
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, .AMERICANS WITH DISABILITIS ACT O
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AFFIRMATIV ACTION COMPLIA~CE NOTICE
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MINORITYIWOMAN BUSINESS ENTERPRISE
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ITEM 11 - Enter the appropriate fig
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. ....( ," ... '. ~ ;':., ~.:.;: .:
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..c. 21-1 POimCAl'CONTBUTON DISLOSU
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I'Continuation Pagec. 21.1' PoiAl.C
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,~'BUSINSS ENTITYDJSCLOSURE CERTIFC
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NON COLLUSION AFFIDAVITSTATE OF NEW
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MANDATORY EQUAL EMPLOYMENT OPPORTUN
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AMERICANS WITH DISABILITIES ACT OF
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AFFIRMATIV ACTION COMPLIA~CE NOTICE
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MINORITYIWOMAN BUSINESS ENTERPRÌSE
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ITEM 11 - Enter the appropriate fig
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\:.... .........". .~l;.~.:
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..c. 21-1 POLmCALCONIBUTON DISLOSUR
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I'Continuation Pagec. 27.1 POUAI.C8
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.Part I - Vendor AfationBUSINSS ENT
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CITY OF JERSEY Ci;r:yDEP ARTMnl'~l1
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Public Servce Elecric and Gas Compa
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i '-~L'- UL I..~O'~J~~~~J ¡~;~~IOA
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..'.........":-..1,J.~~,'; ¡,d ¡
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City Clerk File No. Res. 09-7351O.Z
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STATE OF NEW JERSEYBUSINESS REGISTR
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08/07/2008 14: 33 FAXim002/017JIiUS
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08/07/2009 14:33 FAXlà 004/0 17NON
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08/07/200914:33 FAX ~008/017MAl.TOR
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08/07/200914:33 FAX Il 008/017AJ 'W
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08/07/2009 14:34 FAX ldo10/017l\ORI
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08/07/2009 14:34 FAX lao12/017,., .
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08/07/2008 14: 34 FAX ~014/017c. 21
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08/07/200814:34 FAXia016/0lfList of
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BUSINESS ENTITYFORDISCLOSURE CERTIF
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C. 271 POLITICAL CONTRIBUTION DISCL
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STATE OF NEW JERSEYBUSINESS REGISTR
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L\a a IO.LU.LYU,I ...oJ, c.v",u i.'
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Resolution of theCity Clerk File No
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N.J. Deparent ot Treasur - DiVlsion
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oii/oi;nuoii Ull: iq ~I\I(iz VVD(VV
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.ic. 271 PDAl CI.1Ø fI.Public Agen
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"c. 271 PØAl C8 BI - 'Requi PuuatT
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.'.1BUSIN ENITDISCOSURE CERTFICATIO
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NON COLLUSION AFFIDA vlrSTATE OF NE
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MANDATORYEQUAL EMPLOYMENT OPPORTUNI
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Á1'-ERJCANS WITH DISABILITIES ACT
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AFFIRMATIVE ACTION COMPLIANCE NOTIC
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MINORITY/WOMAN BUSINESS ENTERPRISE
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CEl-l11FICATE OF EMPL.OYEE iNFOHMAT
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Certificate NUmber61736Registration
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1 (9/1/2009) Aida Sanchez - C.271,
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î (9/1/2009) Aida Sanchez - C.271,
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..Ca 21-1 POimeAL CONTRlIUI0N DISLO
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,IBUSINESS ENITYDISCLOSURE CERTIFIC
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C. 27al POLITICAL CONTRIBUTION DISC
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Part I - Vendor AffiiinationBUSINSS
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PUBLIC DISCLOSURE INFORMATIONChapte
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MA'lDATORY EQUAL EMPLOYMENT OPPORTU
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MINORITY/WOMAN BUSINESS ENTERPRISE
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INSTRUCTIONS FOR COMPLETING THE EMP
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the person completing ihe form. i;'
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BUSINESS REGISTRATION LANGUAGE AND
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CcllilicnUoii 20797CERìlFICATE OF
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Registration Date: 04/19/2008Expira
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Give form to the. Request for Taxpa
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Page 3Form W-9 (Rev. 10-2007)Genera
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CITY OF JERSEY CITYRESOLUTION:VENDO
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PUBLIC DISCLOSURE INFORMA nONChapte
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i\1A"lDATORY EQUAL EMPLOYMENT OPPOR
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MINORITY/WOMAN BUSINESS ENTERPIUSE
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INSTRUCTIONS FOR COMPLETING THE EMP
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ITEM 16 _ Print or type the name of
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BUSINESS REGISTRATION LANGUAGEAND S
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Ceililicülion 20797CElll1FIGA1T.:
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Certificate Number61736Registration
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t"è:Y~ i(9/1/2009) Aida Sanchez -
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J (9/1/2009) Aida Sanchez - C.271,
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.¡Cø .211 POinCAl cormeU1N DISCLO
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t'c. 211 POimCAl COmlBIfN DISCLOSUR
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Ufri:t1tL lèi1cQl1aw .'ry ~UJl~l)c
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Continuation Pagec.271 POLITICAL CO
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Streets.3. Concise description of p
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'(~ô~rivérr~lsE; cä'rtâg~ë§::
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''''~_'"~''''''_~'~'b ' =-.=' "'~'r
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This summary sheet is to be attched
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LEGISLATIVE FACT SHEETThis summar s
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ARTICLE IIScope of Servicesi. CONSU
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single limit for Bodily Injury and
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stood that all such personnel shall
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2. A demand for arbitration shall b
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ARTICLE XIIIIndemnityThe CONSULTANT
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For the term of the contract, the c
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IN WITNESS WHEREOF, the parties her
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City of Jersey CityJuly 6, 2009Page
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City of Jersey City ,July 6, 2009Pa
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Melick;. Tully and Associates, P~C.
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J... '"d. Conditions. ".. .", ,"__'
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Uö¡ UÒ; L~v~ U~: L408/Ø5/2ØØ~
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~...'....~-..v.._~ "i~.L.'..08/06/2
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Uö!U~¡¿UU~ U~:¿b #S'7:i1 F.Ol.:
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,UO!UO!£VU~ U~:LO~ö/~b/~~ LL;~# S
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Ub!Ub!¿UU~ U3:2708/06/2009 ¡ - "
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u~!Ub!¿UU~ u~;¿!08/Ø6/2eøS 11:
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08/'06/209 11:09::~.'~.;_ .L..L'L..
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CITY OF JERSEY CITYRequisitiön #As
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'11'11!~~:ij!.'.~ Ii':i;ò i'i. '.1
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5. I have reviewed the rules ofthe
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Requisition #CITY OF JERSEY CITYAss
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HUNTER RESEARCH, INC.APPLE TREEN AN
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MmontlWo.... Bafa.. EDterpnse (M ..
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EXHIBIT AMANDATORY'EQUAL EMPLOYMENT
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C.!71 PlAl ClRlIN _ FORequi PutTo N
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0,. n . D '".' ,i:,"l.&,.,. d er.'-
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STAlE OF ,.SW "ERSEYBU$lNESS REGISl
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Continuation of ResolutionRes. 09-7
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To: Ivelisse Cartagena Page 2 of 2
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~ (Minority/Woman Business Enterpri
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Continuâtion of ResolutionCity Cle
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",. ISo,. i C!r'0 973-942-5308 p.5.
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...." .._.,_.... ~ r c.n~UI'I1C'L .
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Ü...""..~""""'''"'._A'_'.''._".'''
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2021e"H.MÇ ADOO.,'AV.147 Io J4 J3
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RESOLUTION FACT SHEETThis summary s
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CITY OFJERSEY CITYWILLIE L. FLOODAt
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City Clerk File No.Agenda No.10.Z.2
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Continuation of Resolution Pg.# 3Ci
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J. Deparent of Treasur - Division o
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specifed in the applicable collecti
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- MinoritylWoman Business Enterpris
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.Form MWB-3 Con'tractor's compiianc
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1'l.J. UC;Pi:1111IC;lll UL llC;ciWy
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. i . .1:'., Certificatiôn .. 9:r
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The undersigned vendor certifies th
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AMERICANS WITH DISABILITIES ACT 01=
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AGREEMENTThis Agreement dated the d
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services, etc., in order to carry o
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submit an accurate list and the pro
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SSEC~7. Fax: Se~ 3 2009 11:07am P00
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LV. .J.. r ..L.JU L-HW ui:r i ,f-\;
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SSEC&Z Faii;U Chec here if.the inon
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i;.Jl U,J( L.UlJ~ ii. La LtJ.l-::4
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____~~L"I!L _.'AII '_ _ _ ~t~ j LUU
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upon the approval of the City. With
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, in the fulfilment of the contract
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f15tr, j,-¡ÚU-9fi' 4: 15PM 261'-!
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H~i: t:4/ tJ':.F.SEP, 3. 20091: 4:
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e S E P. 3. 20093: 4 :16 PM 28t -!E
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~tr. j, LUU~ 4: ¡7PMERIC BERNSTEIN
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services, etc., in order to carry o
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submit an accurate list and the pro
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~~, ~." ~"V'" L". va ,."" IlUtU UHl
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LUL .."1 ( ..£..:U LfWI Ut.i-i t-A
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..... \0.. .."'v.~ ,I. ~. v.. 1:i'A
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U~'/UJ/2UUll 1\1: U.: FA.X nfl(j70~
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".... .,-' r "'L."'U-_. ';-H-;U~-:-
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City Clerk File No. vPg.#~Agenda No
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~.':.,". JERSEY CITY ENGINEERIG, TR
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CITY OF..ERS'EV CITVDEPARTMENT OF A
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CITY OF.JERSEY CITYDEPARTMENT OF AD
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29~'16~'"/-l,~Q:i.~ '"vi.ti '"oi. :
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EXHIBIT A(Form ofBond)No GI-1$2,000
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ISSUANCE AND SALE OF QUALIFIED GENE
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ASSIGNMENTFOR VALUE RECEIVED, the u
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BOND PURCHASE AGREEMENTSeptember _'
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(d) At the time ofthe Governental U
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(0) The Governental Unit has review
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certified copies of the Local Proce
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13. This Bond Purchase Agreement sh
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EXHIBITB(Insert resolution from iss
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of the Program Bonds are repaid. In
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IN WITNESS WHEREOF, the City of Jer
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Resolution of the Cityof Jersey Cit
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This summary sheet is to be attache
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AFFIRMATIVE ACTION COMPLIANCE NOTIC
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MINORITYIWOMAN BUSINESS ENTERPRISE
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PUBLIC DISCLOSURE INFORMATIONChapte
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City Clerk File No.Agenda No.Res. 0
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This summary sheet is to be attache
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vi~I,~:,,,.1~I I!,L!,~~iI,STEVENSAV
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City Clerk File No.Agenda No. Res.
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Resolutions - Jersey City

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