Resolution of the City of Jersey City, N.J.

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BUSINESS ENTITY DISCLOSURE CERTIFICATIONFOR NON-FAiR AND OPEN CONTClRequied Pursuant To NJ.S.A. 19:44A-20.8CITY QF JERSEY CITYPart I - Vendor MfirmalIonThe undersigned, being authoried and knowledgeable of the circumstances, does hereby certify that the ~name ofbusineJs en/it)';: has not made and wil not make any reportable contributions pursuant to N.JS.A. 19:44A-1 et seq. that,pursuant to P.L. 2004, c. 19 would bar the award of ths contrct in the one year period precedig (date of aivard scheduledfor approi'al of the contract by the goi'erning botlJ -to any of the followig named candidate commttee, joint candidatescommttee; or political party commttee represenuug the elected oflicial of the ~name of entiry of elected o.cials~ asdetined pursuant to N.J.S.A- 19:44A-3(p) , C9 and (r).i.l\ariano Vega,Jr. Election Fund ~ Gaughan Election Fund.".--..~!cnds of Peter Brennan Election Fund ---.,.. . .. - Fulop 2009 I~~:.Committee to Elect Wille Flood Friends of Viola Richardson for Ward F --Friends ofI Friends ofIMichae1 SottolaiioPhil ~enny Healy for Mayor 2009.Part II - Ownership Disclosure Certficationo I certify that the list below contas the names and home addresses of al owners holdig 10% or more of theissued and outstanding stock of the undersigned.Check the box that represents the tye ofbusiiiess entity:o Partnership o Corporation IiSoie Proprietorship o Subchapter S CorporationDLited Partnersmp DLited Liabilty Corporation DLited liabilty Partnership-----_P. ..,F=-.~ _'~J;TNa~~.~f~~C,~ ~.~ti;eholder.,.'.--,----- 1-.--. -Homë Address -._--'tlJ'ht7 #, J)~,6y-/ CI pt¥/g_.,.._--....".- -. -..--Friends of Nidi a R. Lopez-_.- -. -----,_.-------. --._-.._-f----------. --_.-,-....-..._w.- _.. -ZAE NAlLBAINotary PuIcConnecticutMy Comml,sslon Expires Feb ai. 2012dZcl ff~ka-Jo~oS- -Or,I
PUBLIC DISCLOSURE INFORMTIONChapter 33 ofthe Public Laws of 1977 provides that ll() Corporation or Parnership shall beawarded any State, City, Municipal or SchoolsDistrict contracts for the pedormance of anywork or the furnishing of any materials or supplies, unless prior to the receipt of the bid oraccompanying the bid of said corporation or parership there is submitted a public disclosureinformation statement. The statement shall set forth the names and addresses of all stockholdersin the corporation or partership who own ten percent (10%) or more of its stock of any class, orof all individual parers in the partership who own a ten percent (10%) or greater interesttherein...STOCKHOLDERS:Name Address%owned;J!Í.frt d, lieúmah, /00SIGNATU:TITLE:'Gf/ 4/&¡¿SUBSCRIED AND SWORN TO A / /BEFORE ME THIS DAYt? oS-, i OF200?(TYPE OR PRIT NÄME OF AFFIAT UNDER SIGNATU)NOTARY PUBLIC OFMY COMMISSION EXPIRS: 20 .(NOTE: TilS FORM MUST BE COMPLETED, NOTARZED AN RETURDWITH TilS PROPOSAL).~ -l NoCH PußcZA NALlI ·4 Conneticuti ,My Ccimlulon bpi,.. Feb 21, 2012§qde-- ;ø~'/O~ 05 --0 ~
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Resolution of the City of Jersey Ci
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~.City Clerk File No. Res. 09-873Ag
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City Clerk File No. Res.Agenda No.
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..City Clerk File No.Res. 09-875Age
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. .City Clerk File No.Res. 09-876Ag
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.--City Clerk File No. Res. 09-877A
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City Clerk File No. Res. 09-878Agen
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~.'. ... . ~City Clerk File No. Res
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AGREEMENTThs Agreement dated theday
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services, etc., in order to carry o
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Before fial payment on the contract
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APPLICATION FOR RECREATIONAL EVENT
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The State shall have the right of i
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- .-- ,.'.. - '--.:. _......_'~.and
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. .,-; .~ .':-:::0."; : ,. :c:¡--
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City Clerk File No. Res. 09-888Åge
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--~4. The Licensee agrees to assume
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':.~'~~-;-'..:ï"-- -.-~assign this
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:-';=.':Form W..9(Rev. Oclober 2007
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)BUSINESS ENTITY DISCLOSURE CERTIFI
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,Part 3: Disclosure of Contribution
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Date Submitted to B.A.RESOLUTION FA
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Page 71 and 72: City Clerk File No. Res. 09-895Agen
Page 73 and 74: Resolution of the City of Jersey Ci
Page 77 and 78: ibte 2. Income before taxes: Averag
Page 79 and 80: Shelter $10,023 $4,808 $4,126 $4,87
Page 81 and 82: .urces of income and personal taxes
Page 83 and 84: Number of employees 1,600 100% livi
Page 85 and 86: JERSEY CITY RECOVERY ZONEJUNE 23, 2
Page 87 and 88: 'Resolution of the City of Jersey C
Page 89 and 90: CITY OF JERSEY CITY30 MONTGOMERY ST
Page 91 and 92: City Clerk File No. Res. 09-902Agen
Page 93 and 94: "- ,CONFIDENTIAL SETTLEMENT AGREEME
Page 95 and 96: capacity as such, agents, elected o
Page 97 and 98: limited to, ground water, surface w
Page 99 and 100: 3. Payment of Settlement Amount3.01
Page 101 and 102: esponsibilities and obligations of
Page 103 and 104: with the City and exercise good fai
Page 105 and 106: 9.05 Other than this Agreement as p
Page 107 and 108: 12. Other Provisions12.01 This Agre
Page 110 and 111: .. "";EXHIBIT AThe Travelers Indemn
Page 112 and 113: Continuation of Resolution Res ~ 09
Page 114 and 115: DETERMINATION OF VALUE CERTIFICATIO
Page 118 and 119: 423-483-3225' ¡Erwn FN I!;!==I :11
Page 121: ti." !lS;:~'ì .-: =---;; .. ~-;':
Page 126 and 127: MADATORY EQUAL EMPLOYMNT OPPORTUNTY
Page 128 and 129: AMERICANS WITH DISABILITIES ACT OF
Page 130 and 131: MINORITYIWOMA BUSINESS ENTERPRISE (
Page 132 and 133: ,"C.271 PlAl"'1 1m_ ~Requir Puuat T
Page 134 and 135: CITY OF JERSEY CITYRESOLUTION:VENDO
Page 138 and 139: AGREEMENTThis Agreement dated the d
Page 140 and 141: notify the City of their engagement
Page 142 and 143: For the term of the contract, the c
Page 144 and 145: lß!21/20Ø~12: 29 28134381340ll!13
Page 146 and 147: ie/21/2009 12: 28 201343sei4010/81/
Page 148 and 149: 1~/21/2eÐ9 12: 28 20134~B04Ø. .l
Page 150 and 151: 10/21/2009 12: 282013c:3SEl40NAKBrH
Page 152 and 153: Continuation of Resolution, City Cl
Page 154 and 155: Fonn AA302Rev, 10/08STATE OF NEW JE
Page 156 and 157: MINORITYfWOM.A.N BUSli\TESS ENTERPR
Page 158 and 159: AMERICANS WITH DISABILITIES ACT OF
Page 160 and 161: PUBLIC DISCLOSURE INFORMATIONChapte
Page 164 and 165: Continuation of ResolutionCity Cler
Page 166 and 167: Resolution of the City ofJersey Cit
Page 168 and 169: "'''''.~!;Q\l~/Q1Q,.1I1il. ~-lkn '"
Page 170 and 171: LEGISLATIVE FACT SHEETThis summary
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City Clerk File No.Agenda No.Approv
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Resolution of the City of Jersey City, N.J.

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