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Resolutions - Jersey City

Resolutions - Jersey City

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. .INSTRUCTIONS FOR COMPLETING THE EMPLOYEE INFORMATION REPORT(FORM AA302)lMPORTANT:. Read the following iIistructions carefully before completing the form. Print or tye allinfoffiation. Failure to properly complete the entire form may delay issuance ofyour certificate.!fyou have a- current certificateof einployee information report, do not complete this form.Send copy of current certificate to the public agency. Do not complete this. form for .cor:struction contract awards.ITEM 1 - Enter the Federal Identification Number assigned by the Int.ernal Revenue Service, orif a Federal Employer Identification Number has been applied for, or if your business is such thatyou have not or wil not receive a Federal Emp'loyer Identification, Number, enter the SocialSecurity Number ofthe owner or of one parter, in the case of a partnership..' .ITEM 2 - Check the box appropriate to your TYE OF BUSINSS, Ifyou are engaged in morethan one type. of business check the predominate one. If you are a manufadurer deriving morethan 50% of your receipts from.your own retail outlets, check ''Retail'',ITEM 3 - Enter thè toti:l "number" of employees in the entire company, including part-tieemployees. This number shall include all facilties in the entire .ïir or corporation.ITEM 4 - Enter the name by which the company is identied. If there is more than one companyname, enter the predominant one. 'ITEM 5 - Enter the physical location ofthe company. InClude <strong>City</strong>, County, State and Zip Code.. ITEM 6 - Enter the Ìiameofany parent or affiated company inCluding the <strong>City</strong>, County, Stateand Zip Code. Ifthere is none, so i~dicate by enterig "None" or N/A.ITEM 7 - Check the box appropriate to your tye of company establishment. "SingleestablishmentEmployer" shall include an employer whose business is conduêtedat only onephysicallocation~. "Multi-establishment EIl1ployer" shall incI!1de an employer whose business isconducted at more than one location.~TEM 8 - If "Multi-establíshment' was entered in item 8, enter the number of establishmentswithin the State of New<strong>Jersey</strong>. .ITEM 9 - Enter the total number of employees 'at the establishrl1eIit being awarded the contrct.ITEM 10 - EnterIhe nanie ofthe Public Agency awardig the contract. Include <strong>City</strong>, County,State and Zip Code. ','

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