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

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MINORITYIWOMA BUSINESS ENTERPRISE (ME)Questionnaire for BiddersJersey City Ordinance C-829 establishes a goal of awarding 20% of thecity procurement to minority and woman owned business enterprises.dollar amount of totalTo assist us in monitoring our achievement ofthis goal, please indicate below whether yourcompany is or is not a minority owned and/or woman owned business, and return this form withyour bid proposaL.Business Name:Address:Telephone No.:Contact Name:Please check applicable category :ø;,lrl¿b /V.emahrl' lIt-a ""0- /Z. Z)lbj/ 0 06 ~/d".~ oÛ3 -2s./- :i~6'7"Z, ¿ Ii /,,4 N.. U ¡Nab'_ Minority OwnedWonian Owned_ Minority & Woman Owned/' NeitherDefinition of Minority Business EnterpriseMinority Business Enterprise means a business which is a söle proprietorship, parership orcorporation at least 51 % of which is owned and controlled by persons who are AfcaAmerican, Hispanic, Asian American, American Indian or Alaskan native, defined as follows:African American: a person havig origins in any ofthe black racial groups of AfcaHispanic: a person of Mexican, Puert Rican, Central or South American or other non-EuropeanSpansh cultue or origin regardless of race.Asian:a persn havig origin in any of the origil peoples of the Far East, South East Asia,Indian subcontinent, Hawaii or the Pacific Islands.American Indian or Alaskan Native: a person having origin in any of the originl peoples ofNort America and who maintas cultul identification through tribal affiation or communtyrecognition.Woman Business EnterpriseWoman Business Enterprise means a business which is a sole proprietorship, partnership orcorporation at least 51 % of which is owned and controlled bya woman or women.OFFCE OF EQUAL OPPORTUNITY COpy
AFFIRMTIV ACTION COMPLIANCE NOTICEN.J.S.A. 10:5-31 and N.J.A.C. 17:27GOODS AND SERVICES CONTRACTS(INCLUDING PROFESSIONAL SERVICES)This form is a sumary of the successful bidder's requirement to complywith the requirementsofN.J.S.A. 10:5-31 and N.J.A.C. 17:27.The successful bidder shall submit to the public agency, after notification of award but prior toexecution of this contract, one of the followig three documents as form of evidence:(a) A photocopy of a valid letter that the contractor is operating under an existingFederally approved or sanctioned affirmative action program (good for one year from thedate of the letter);OR(b) A photocopy of a Certificate ofaccordance with N.J.A.C. 17:27-4;Employee Inormation Report approval, issued inOR(c) A photocopy of an Employee Information Report (Form AA302) provided by theDivision and distributed to the public agency to be completed by the contractor inaccordance with N.J.A.C. 17:27-4.The successful vendor may obtain the Affrmative Action Employee Information Report(AA302) from the contracting unit during normal businèss hours.vendor.' ,The successful vendor(s) must submit the copies ofthe AA02 Report to the Division ofContract Compliance and Equal Employment Opporttyin Public Contracts (Division). ThePublic Agency copy is submitted to the public agency, and the vendor copy is retained by theThe undersigned vendor certifies thathe/she is aware ofthe commtment to comply with therequirements ofN.J.S.A. 10:5-31 and N.1.A.C. 17:27 and agrees to fush the required forms ofevidence.Theundersigned vendor fuher understands that his/her bid shall be rejected as non-responsive~COMPAN: ~4. tV.eun-al"SIGNATU:DATE:PRINTNAME: 72é /rjc¿ !fevIt6,. TITLE:if said contractor fails to comply with the requirements ofN.JoS.A. 10:5-31 and N.J.A.C. 17:27./()-2 -l) PtJWner
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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
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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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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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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
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Page 85 and 86: JERSEY CITY RECOVERY ZONEJUNE 23, 2
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Page 89 and 90: CITY OF JERSEY CITY30 MONTGOMERY ST
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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
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Page 114 and 115: DETERMINATION OF VALUE CERTIFICATIO
Page 118 and 119: 423-483-3225' ¡Erwn FN I!;!==I :11
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Page 123 and 124: PUBLIC DISCLOSURE INFORMTIONChapter
Page 126 and 127: MADATORY EQUAL EMPLOYMNT OPPORTUNTY
Page 128 and 129: AMERICANS WITH DISABILITIES ACT OF
Page 132 and 133: ,"C.271 PlAl"'1 1m_ ~Requir Puuat T
Page 134 and 135: CITY OF JERSEY CITYRESOLUTION:VENDO
Page 136 and 137: Resolution of the City of Jersey Ci
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
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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 162 and 163: Resolution of the City of Jersey Ci
Page 164 and 165: Continuation of ResolutionCity Cler
Page 166 and 167: Resolution of the City ofJersey Cit
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Page 170 and 171: LEGISLATIVE FACT SHEETThis summary
Page 172 and 173: City Clerk File No.Agenda No.Approv
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Resolution of the City of Jersey City, N.J.

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