Resolutions - Jersey City

INSTRUCTIONS FOR COMPLETING THE EMPLOYEE INFORMA nON REPORT(FORM AA302)IMPORTANT:your certificate.Read the following instructions carefully before completing the form. Print or type allnot complete this form.infonl1ation.Failure to property complete the entire form may delay issuance ofIfyou have a current certificate of employee information report, doSend copy of current certificate to the public agency. Do not complete this form for,construction contract awards.ITEM 1 ~ Enter the Federal IdentifLcation Number assigned by the Internal your Revenue business Service, is such that orifa Federal Employer Identification Number has been applied for, or ifyou have not or will not receive a Federal Employer Identification Number, enter the Socialor of one partner, in the case of a partnership.Security Number ofthe ownerITEM 2 _ Check the box appropriate tò your TYPE OF BUSINESS. Ifthaii one type ofthan 50% ofyou are engaged in morebusiness clieckthe predominate one, Tryou are a manufacturer deriving moreyour receipts from your own retail outlets, check "Retail".ITEM 3 _ Enler the tolal "number" or employees in the entire company, including part-limeemployees. This number shall include all facilities in the entire tiril1 or corporation.ITEM 4 _ Enter the name by which the company is identified. If there is morc than one companyname, enter the predominant one.ITEM 5 _ Enter the physical location of the company, Include City, County, State and Zip Code.ITEM 6 _ Enter the name ofand Zip Code. Ifany parent or affiiated company including the City, County, Statethere is none, so indicate by entering "None" or N/A.ITEM 7 _ Check the box appropriate to your tye of company establishment. "SingleestablishmenlEmployer"shall include an employer whose business is conducted at only onephysical location. "Multi-establislnnent Employer" shall inclnde an einployer whose busines isconducted al more than one location.entered in item 8, enler the number or establishmentsITEM 8 _ Ifwithin the State of"Mull-establishinent" was,New Jersey.ITEM 9 _ Enterthe total number ofeniployees at the establishment being awarded the contract.ITEM 10 _ Enier the name oflhe Public Agency awarding the contract. Include City, County,State and Zip Code.