12.07.2015 Views

Resolutions - Jersey City

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the person completing ihe form. i;'chide the signatm~, titleITEM 16 _ Print or iype ihe name ofand daie.ITEM 17 _ Enter the i' hysical location where the form is being completed. ¡ nelude <strong>City</strong>, Siate,Zip Code and Phone Number.TYPE OR PRINT IN SHARP BALL POINT PENThe vendor is to complete Ihe employee information report form (AA302) and i~tain copy forthe vendor's own fies. The vendor is to submit a copy to the puhlic agency awarding thecontract an.d forward a copy to:NJ Department of the TreasulYDivision of Contract Compliance & Equal Empioyment OpportunityP.O. Box209Trenton, New <strong>Jersey</strong> 08625-0209 Telephone No. (609) 292-5475andNo(e thatthe sample form shown au ßie following page is for ilustrative pUlJ)oses onlyshould not be submitted, Use the state website links above to obtain the actual (onn.

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