Resolutions - Jersey City

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..c. 21-1 POimCAl'CONTBUTON DISLOSURE fORMContractor InstructionsBusiness entities (contractors) receiving contracts from a public agency that ar NOT awarCled puruant toa "fair and open" process (defied at Nl.s.A. 19:44A-20.7) are subject to the provisions ofP.L. 2005, c.271, s;2 (N.J.s.A. 19:44A-20.26). This law provides that 10 days prior to the award of such a contract, thecontractor shaH disclose contrbutions to: , .. any State, county, or muncipal committee of a political par. any legislative leadership coriittee.. any contiuing political committee' (a.k.a., political action committee).. any candidate committee of a cadidate for. or holder of, an elective offce:o of the public entity awarding the contrcto oftIat county in which that public entity is locatedo of another public entity within that countyo . or of a legislative disbct in which that public entity is located or, when thepublic entity is a county, of any legislative distict which includes all or parmthe county .The disclosure must list reportble contrbutions to any of the committees that exceed $300 per electioncycle that were made during the 12 months prior to award of the contract. See N.J.SA. 19:44A-8 and19:44A-16for more detals on reportabJe contrbutions. . .NJ.SA. 52:34-25(b)foritmizes the pares.fromprofit.whom contrbutions must be disclosed.when a businessentitý is noia iiaairat person. This includes the following:'. .. ' individuals: with an "interest:" ownership or control more than i O~ ofth'e profits or assetof a business entity 10% of the stock I1 thé case a business entity that is acorpratoÌ1. all principals; parers, offcers, or dictors ofthe business entity or their spouss. 'any subsidiaries directly or indirectly controlled by the.busiress entity. IR Code Section 527 New <strong>Jersey</strong> based orgazations, dirctly or indirectly contrlled bythe buSiness entity. and filing ~ contiuig political committees, (P ACs)., Whén the business entity is a natul perso~ "a contribution by that person's spouse or child, residingtherwith, shall be deemed to be a contrbuton by thebusÎness entity." £NJ.S.A. 19:44A-20.26(b)) Thecontrbutor must be list'on the disclosue.Any business eaJit that fåils to comply with the disclosur provisions shall be subject to a fie imposed. by ELEC il an ilount to bedeterrined bYthe CÒmiission which may be . baed uPolithe:amount thatthe business enti failed to reprt.' ,. The enclose list of agencies is provided to assi th contrctor in identifyng those public agencies whoseelected offcial and/or cadidat~ capaign commis are afected by the disclosure reuirement ItIs the. contractor's responsibilty to idènHiY the specifc Commitees to whicb contnbutons may have ben madeand need to be disclosed. The disclosed infonnationmay.exceed the minuni reirement. 'The enclose fonn~a content-consistent facsimle. or anelectrnic data fie èontaining the r~quird detls(along with a signed cover sheet) maybe used as the contractor's submission and isdisclosable to thepublic under the Open PubIjc Record Act. ., The contrctor must also complete the attched Stoèkholder Disclosur Certifcation. Thiswill ast theagency in meetig it obligations 'under the law. .· N.J.sA. 19:44A-3(s): "Theten "Jcgilative leaderhip committ" means a committ~ esblished, BtJtlorizdtobe estblished or designate by the President oethe Senat, the Miority Leader of the Seite, the Speaker oftI~Gene. Assenbly or the MicintyLeader oftbe Genera Assembly purt to secton 16 ofP:L.I993, c.65.(C.l9:44A-I 0.1) for the puse ofreceivig conlrbutiolland roalg expenditues." .
"c. 271 POlmCAL COrrmlN DISOSURE fORMRequied Puruant To Nj.S.A. i9:44A-20.~6This form or its permitted facsimile must be submitted to the loèa unitno later than 10 days prior to the award of the contrct.~~ßt-:~'JPar I - Vendor lnformatlon~==i = Sta: =~: O?Q3Qfu~. .The undersigned being authorid to certify, hereby certifies that the submission provided herein representscompliance with the provisions ofN.J.S.A. 19:44A-20.26 and as represented by the Instrctons accmpanying this~¿¿i!Signatue /'.6fiÐ"~~',. Ponted Name' .hÆOPart 11- Contrbution Disclosure.PRESl REV/--Title.Disclosure requirement: Pusuant to N.J.S.A. 19:44A-20.26 ths disclosue mus include alI'reportble ,'political eontibutions (more than $joo per eiectión cycle) over the 12 month pror to subirssion to thecoiitteesofthe goveriententities listed on the form provided by the local unt. 'o Check here if disclosu is provided in electronic 'conn.. ',Contrbutor Name RéCIDlent Name Date Dolfar Amodnt$,. .", ...-,o Check. hei:e ift1e inormation is continued on subseuent pagers)
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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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.i. Ç'GLiut&-c& /1---/1 CC. 271 PD
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'. '"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
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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
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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 176 and 177: ITEM 11 - Enter the appropriate fig
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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
Page 226 and 227: STATE OF NEW JERSEYBUSINESS REGISTR
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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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