Resolutions - Jersey City

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ITEM 11 - Enter the appropriate figures on alllines 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 NOTattach an EEO-l Report.RaciallEthnic Groups will be defined:Black: Not of Hispanic origin. Persqns having origin in anythe Black nicial groups of Africa.ofHispanic: Persons of Mexican, Puerto Rican, Cuban, orCentral or South American or other Spansh cultue or origin,regardless of race. .American Indjan or Alaskan Native: Persons having originsin any of the original peoples of North America, and whomaintain cultual identification through tribal affliation orcommunity recogntion.Asian or Pacific Islander:. Persons having origin in anythe original peoples ofthe Far East, Southeast Asia, theIndian Sub-continent or the Pacific Islands. This areaincludes for example, Chira, Japan, Korea, thePhillppineIslands and Samoa. .Non-Minority: Any Persons not identified in any of theaforementioned Raciallthnië Groups.ofITEM 12 - Check the appropriate box. Ifthe race or ethnc group information was not obtaiedby 1 or 2, specify by what other means this was done in 3.ITEM 13 - Enter the dates ofin Item 12.the payroll period used to prepare the employment data presented. ITEM 14 - ifthis is the first time an Employee Inforniation Report has been submitted for thiscompany, check block "Yes".ITEM 15 - If the answer to ItemJ5 is ''No''; enter the date when the last Employee InormationReportwas submitted by thiscOmpany. '
dale. .ITEM 16 - Print or type the name ofandthe person completing the form. Include the signature, title'ITEM 17 - Enter the physicalZip Code and Phone Number;location where the fomi is being completed. Include <strong>City</strong>, State,TYE OR P~T IN SHAR BALL POINT PENThe vendor is to complete the employee inormation report fomi (AA302) and retain copy forthe vendor's own fies. The vendor is to submit a copy to the pUQIic agency awarding thecontract and 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-~475 .Form: http://nj .gov/treasury/contract_ compliance/pdfìa~02. pdfInstructiOIiS: http://nj.gov/treasurycontract còmpliance/pdflaa302ins.pdf .Note that the sampleform shown on tle following page is for ilustrative puroses only andshould not be submitted. Use the state website links above to obtain the actul form.
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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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(§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
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.' ..'BUSINSS ENITDISCLOSURE CERTn'
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INSTRUCTIONS FOR COMPLETIG THE EMPL
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ITEM 16 _ Print or tye the name ofa
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c. 271 pÒLmCAL CONTIBUTION DISCLOS
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,¡~)Itti~- ~CERTIFICATION OFCPMPLI
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CERTIFICATION IN SUPPORT OF A WARDI
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DETERMINATION OF VALUE CERTIFICATIO
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CITY OF JERSEY CITYRESOLUTION:VENDO
Page 148 and 149: PUBLIC DISCLOSURE I~FORMATIONChapte
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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 176 and 177: ITEM 11 - Enter the appropriate fig
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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
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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 218 and 219: i '-~L'- UL I..~O'~J~~~~J ¡~;~~IOA
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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
Page 228 and 229: 08/07/2008 14: 33 FAXim002/017JIiUS
Page 230 and 231: 08/07/2009 14:33 FAXlà 004/0 17NON
Page 232 and 233: 08/07/200914:33 FAX ~008/017MAl.TOR
Page 234 and 235: 08/07/200914:33 FAX Il 008/017AJ 'W
Page 236 and 237: 08/07/2009 14:34 FAX ldo10/017l\ORI
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Page 240 and 241: 08/07/2008 14: 34 FAX ~014/017c. 21
Page 242 and 243: 08/07/200814:34 FAXia016/0lfList of
Page 246 and 247: 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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''''~_'"~''''''_~'~'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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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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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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