Resolutions - Jersey City

INSTRUCTIONS FOR COMPLETING THE EMPLOYEE INFORMATION REPORT(FORM AA302)IMPORTANT:Read the following instructions carefully before completing the form. Print or typeyourallcertificate.infonnation. Failure to properly complete the entire form may delay issuance ofIf you have a current certificate of employee information report, do not complete this form.Send copy of current certificate to the public agency. Do not complete this form forconstruction contract awards.ITEM 1 _ Enter theFederalldenüfication Number assigned by the Internal Revenue Service, orif a Federal EmployerldentificatioiiNumber has been applied for, or ifyourbusjness is such thatyou have not or will not receive a Federal Employer Identification Number, enter the SocialSecurity Number ofthe owner or of one partner, in the case of a paiinership.you are engaged in moreITEM 2 _ Check the box appropriate to your TYPE OF BUSINESS. Ifthan one type ofthan 50% ofbusiness check the predominate one, Ifyoii are a manufacturer deriving moreyour receipts from your own retail outlets, check "Retail".ITEM 3 _ Enter the total "number" of employees in the entire company, including part-timenumber shaH include all facilities in the entire fum or corporation.employees. This. .the company is identified. If there isinorc than one companyITEM 4 _ Enter the name by whichname, enter the predominant one.ITEM 5 _ Enter the physical location of the company. Include City, County, State and Zip Code.ITEMand Zip Code. If6 _ Enter the name ofany parent or aft1lated cOmpaiiy including the City, County, Statethere is none, so indicate by entering "None" or N/A.ITEM? _ Check the box appropriate to your typc of company establishment. "SingleestablishmentEmployer" shall include an employer whose business is conducted at only onephysicalloc.tion. "Multi ,establisln'ient Employer" shall include an employr whose husuiess isconducted at more than one location.ITEM 8 _ Ifwithin the State of"Mulli-establishment" was entered in item 8, enter the munber of establishmentsNew Jersey.ITEM 9 _ Enter the total number of employees at the establishment being awarded the contract.the Public Agency awardirtg the contract. Include City, County,ITEM 10 _ Enter the. name ofState and Zip Code.