Resolutions - Jersey City

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ITEM 11 - Enter the appropriate figures on all lines and in all columns.THIS SHAL ONLY INCLUDE EMPLOYMENT DATA FROM THE FACILITY THAT isBEING A WARDED THE CONTRACT.DO NOT list the same employee in more than one job category.DO NOT attach an EEO-l Report.RacIaJ/EthnIc Groups win be defined:Black: Not of Hispanc origin. Persqns havig origin in any ofthe Black råcIat groups of Africa.Hispanic: Persons ofMexican, Puerto Rican, Cuban, orCentral or South American or other Span.sh cultue or origi,regardless of race.American Indlan or Alaskan Native: Persons having originsin any of the original peoples ofNort America, and whomainta cultual identification through tribal affliation orcommUnity recogntion.Asian or J:acific Islander:. Persons having origin in anythe origial peoples ofthe Far East, Southeast Asia, theIndian Sub-continent or the Pacifc Islands. Ths areaincludes for example; Chia, Japan Korea, the .PhillippineIslands and Samoa. .Non-Minority: Any Persons not identified in any oftheaforementioned Racia1Æthnë Groups., .ITEM 12 - Check the appropriate box. Ifthe race or ethc groupinformatiein was not obtainedby 1 or 2, specify by what other mean~ this was done in 3.ITEM 13 - Enter the dates offue paYroii period used to prepare the employment data presentedin Item12. .. ITEM 14 - Iftls is the first time an Employee Infoffiation Report has been submitted for thisccimpany,check blo~k "Yes;'., , 'ITEM 15 - If the answer to Item.IS is ''No'', enter the date when the last Employee InormationReport was submitted by this company. 'of
date. . .ITEM 16 - Print or type the name ofthe person compIeting the form. Include the signature, titleandITEM 17 - Enter the physical location where the fomi is being completed. Include <strong>City</strong>, State,Zip Code and Phone Number;, ..TYE OR PRIT IN SHAR BALL POINT PENThe vèndor is to complete the employee. inormation report fomi (AA 02) and retain copy forthe vendor's own fies. The vendor is to submit a copy to the public agency awarding thecontract imd forward a copy to:NJ Department of.he TreasuryDivision of Contract Compliance & Equal Employment OpportunityP.O. Box 209Trenton, New <strong>Jersey</strong> 08625-0209 Telephone No. (609) 292-ß475 .Form: http://nj.gov/treasur/contract_compliance/pdflaa302.pdfInstrctioIIs: http://nj.gov/treasurcontract compliance/pdfaa302ins.pdt.Note that the sample foI' shown on tle following page is for ilustrative puioses onlyshould not be submitted. Use the state website lins above to obtain the actul form.and
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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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14. RESTORATIONIf this License expi
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IN WITNESS WHEREOF, I have hereunto
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Certcation'" RENE.', , "!7This is t
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08/28/2009 i i : 58 FAX1d004/02078'
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08/28/2008 12:01 FAX... -- -.... .
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ORDINANCE/RESOLUTION FACT SHEET Dat
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¿.r. '."NON C0L.LUSION AFFDAVISTAT
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"'I ."MAATORYEQUAL EMPLOYMNT OPPORT
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AMERICANS WITH DISABILITIS ACT OF 1
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" .,AFFI'f ACTION COMPLIANCE NOTICE
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MIORITYIWOMAN BUSINESS ENTERPRISE (
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~fs-fl'."0 "0' .. ...... ,"': ¡: .
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(§ìiQ,~£;rér":TSrtX'p'~lmëaÎ.
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SEP-02-2009 WED 12: 22 PM EXTEL COM
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SEP- 02-2009 WED 12: 23 PM E~ TEL C
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SEP-02-2009 WED 12:24 PM EXTEL COMM
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CERTIFICATION OF COMPLIANCE WITH TH
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PUBLIC DISCLOSUR INORMATIONChapter
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MANDATORY EQUAL EMæLOYMENT OPPORTI
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AMRICANS WITH DISABILITIS ACT OF 19
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MINORITY/WOMAN BUSINESS ENTERPRISE
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I ~LCertfication 37795CERTIFICATE O
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CITY OF JERsEY CITYRESOLUTION:VENDO
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PUBLIC DISCLOSUR INFORMATIONChapter
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OßlllAug, 18, 2009F 1:25PMs47sSung
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AMRICANS WITH DISABILITIES ACT OF 1
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AFFIRATIV ACTION COMPLIANCE NOTICEN
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.'.Par I - Vendor AfanatiooBUSINSS
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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 140 and 141: Continuation of ResolutionCity Cler
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
Page 158 and 159: ITEM 16 - Print or type the name of
Page 160 and 161: E".J. lJ""fJU-UU,,UL UJ. ii",~wy -
Page 162 and 163: 1'1.J. uepamem or ireasur - uivislO
Page 164 and 165: \ Resolution of the City of Jersey
Page 166 and 167: NON COLLUSION AFFIDAVITSTATE OF NEW
Page 168 and 169: MANDATORYEQUAL EMPLOYMNT OPPORTUNIT
Page 170 and 171: , .AMERICANS WITH DISABILITIS ACT O
Page 172 and 173: AFFIRMATIV ACTION COMPLIA~CE NOTICE
Page 174 and 175: MINORITYIWOMAN BUSINESS ENTERPRISE
Page 178 and 179: . ....( ," ... '. ~ ;':., ~.:.;: .:
Page 180 and 181: ..c. 21-1 POimCAl'CONTBUTON DISLOSU
Page 182 and 183: I'Continuation Pagec. 21.1' PoiAl.C
Page 184 and 185: ,~'BUSINSS ENTITYDJSCLOSURE CERTIFC
Page 186 and 187: Resolution of the City of Jersey Ci
Page 188 and 189: NON COLLUSION AFFIDAVITSTATE OF NEW
Page 190 and 191: MANDATORY EQUAL EMPLOYMENT OPPORTUN
Page 192 and 193: AMERICANS WITH DISABILITIES ACT OF
Page 194 and 195: AFFIRMATIV ACTION COMPLIA~CE NOTICE
Page 196 and 197: MINORITYIWOMAN BUSINESS ENTERPRÌSE
Page 198 and 199: ITEM 11 - Enter the appropriate fig
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Page 202 and 203: ..c. 21-1 POLmCALCONIBUTON DISLOSUR
Page 204 and 205: I'Continuation Pagec. 27.1 POUAI.C8
Page 206 and 207: .Part I - Vendor AfationBUSINSS ENT
Page 210 and 211: LEGISLATIVE FACT SHEETThis summary
Page 212 and 213: CITY OF JERSEY Ci;r:yDEP ARTMnl'~l1
Page 214 and 215: Public Servce Elecric and Gas Compa
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Page 222 and 223: 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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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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AMERICANS WITH DISABILITIES ACT OF
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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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, .um_'~'~"'.==.'.. .~.=..__,..,...
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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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..'u/ ...:Uj Ll.:l,''; :......;L":#
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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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MANDATORY EQUAL EMPLOYMENT OPPORTUN
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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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u~, ~J' LUUJ ii. ,0 "'tJi -J"" (-J~
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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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MANDATORY EQUAL EMPLOYMENT OPPORTUN
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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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