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

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Fonn AA302Rev, 10/08STATE OF NEW JERSEYDivision of Public Contracts Equal Employnent Opportunity ComplianceEMPLOYEE INFORMATION REPORT,IMPORTANT. READ INSTRUCTIONS ON BACK OF FORM CAREFULLY BEFORECOMPLEnNG FORM. TYPE OR PRINT IN SHARP BALLPOINT PEN.FAlLURETO PROPERLY COMPLETE THE ENTIRE FORM AND SUBMIT THE REQUIRED 5150.00 NON-REFUNDABLE FEE MAY DELAY ISSUANCE OF YOUR CERTIFICATE.DO NOT SUBMIT EED-i REPORT FOR SECTION B,ITEM 11. For Instructions on completin9 the Form, go to: www..tate.nJ.u.ltreasu~/contract_compliance/pdflaa302in..pdfSECTION A. COMPANY IDENTIFICATIONi. FlO, KO, OR SOCIAL SECURITY 2, TYPE OF BUSINESS), TOTAL NO~ EMPLOYEES N THE EKTIRE01. MFG i; 2, SERVICE 0 3_ WHOLESALECOMPANY52-2190781 o 4, RETAIL 05_ OniR1994, COMPANY NAMEOffCial Payments Corporation5, STREET CITY10780 Parkridge Blvd. #400 Reston6, NAME OF PARNT OR AFFILIATED COMPANY (IF NONE. SO INDICATE)TIer Technologies7, CHECK ONE: IS THE COMPANY:o SINGLE-EST ABLISHMEKT EMPLOYERCOUNTYFairfaxCITYsame8, IF MVLTI-E TABLlSHiIENT E~IPLOYER STATE THE NUMBER OF ESTAlll.SHMENTS IN J9, TOTAL NUMBER OF EMPLOYEES AT ESTABLISHMENT WHICH HAS BEEN AWARDED THE CONTRACT10 PHIlLlC AGENCY ,~WARJ)ING CONTRACTCITYCOUNTYSTATE ZIP CODEVA 20191STATE zip10 ICODEii MULTI-ESTABLlSI'¡IENT EMPLOYERSTATEZU'CODEOffcial Use Onl DATE RECEIVED NAUG,DATE AS I NED CERTIFICA no:' NU\fß.RSECTION B - EMPLOYMENT DATA11. Report all pcnnanenl, tempoliuy and pan-time employees ON YOUR OWN PAYROLL. Enter the appropriate figures on all lines and in all columns. Where there areno employees in a panic:ular category, enier a zero. Include ALL emplorees. not just those in iniiiority/non-minorit)' caiegories, in columns 1,2, & 3. DONOTSUBMfTAN EEO-' REPORT.LL EMPLOYEES -JOB COL_I COL 2 COL,) ."'''....... MALE..,................."'....... .................FEMA ................."."'''.......CATEGORIES TOTAL MALE FEMALE AMER, NON ,\MER- NON(Col.,2 &3) BLACK HISPANIC INDlA~ ASIAN MIN_ ßLACK HISPANIC INDIAN ASIA;- MINOffcialsl Managers 63 39 24 0 1 0 4 34 1 0 0 7 16Professionals 125 55 70 4 6 0 11 34 lß 11 0 7 34Technicians 1 1 0 0 0 0 0 1 0 0 0 0 0Sales Workers 7 3 0 0 0 0 4 1 0 0 0 2Orrce & Clerical 3 2 1 1 0 0 0 1 1 0 P 0 0Craftworkers(Skiled)Operatives(Semi-.kiled)0 0 0 0 0 0 0 0 0 0 p 0 00 0 0 0 0 0 0 0 0 0 p 0 0Laborers(Un. killed)0 0 0 0 0 p 0 0 0 0 0 0 0Service Workers 0 0 0 0 0 p 0 0 0 0 0 0 0TOTAL 199 101 98 5 7 ~ 15 74 21 11 0 14 52Total employmentFrom pre.viousReport (If any)Temporary &i Part-The dala below shall NOT be included in the figures ror the appropriate categories above,Time Employees ,I12, HOW WAS INFORMATION AS TO RACE OR ETHNIC GROUP IN SECTION BOBTAINED' 14, IS THIS THE FIRST I S_ IF NO. DATE LASTo 1. Visual SurvC)' Employee InformaiionREPORT SUBMITTED~J.. Employment Record 0), O,hcr (Spcciry)Rcpon Submiued?MO_1DAY1YEAR13, DATES OF PAYROLL PERJOD USEDFrom: 10/03/200916, NA~"iE OF PERSON COMPLETING FORM (Prin' or Type) IGitaGarman17 ADDRESS NO, &. STREET CITYTo:10/16/2009SECTON C- SIGNATUREAND IDENTIFICATIONSIGNATUREi. YES !X 2NOI:'10 DAY YEARI Human TITLE Resources I DATE 10 11512009STATE ZIP CODE PI-IOKE (AREA CODE, NO,.EXTENSION)10780 Parkridge Blvd. #400 Reston Fairrax VA- 20191 571 - 382 - 1000I certify that the information on this Form is true and correct.
AFFIRMATIVE 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 summary of the successful bidder's requirement to comply with the requirementsof N.J.S.A. 10:5-3 i and NJ.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 following three documents as forms of evidence:(a) A photocopy of a valid letteI' that the contractor is operating under aii existingFederally approved or sanctioned affirmative action program (good for one year from thedate of the letter);OR(b) A photocopy of a Certificate of Employee Information Report approval, issued inaccordance with N.J.A.C. i 7:27-4;OR(9) A photocopy of an Employee Information Report (Form AA302) provided by theDivision and distiibuted to the public agency to be completed by the contractor inaccordance with N.J.A.C. 17:27-4.The successful consultant may obtain the Affirmative Action Employee Information RepOlt(AA302) from the contracting unit during normal business hours.The successful consultant(s) must submit the copies of the AA302 Report to the Division ofContract Compliance and Equal Employment Opportunity in Public Contracts (Division). ThePublic Agency copy is submitted to the public agency, and the consultant copy is retained by theconsultan t.The undersigned consultant certifies that he/she is aware of the commitment to comply with therequirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27 and agrees to furnish the required forms ofevidence.The undersigned consultant further understands that his/her bid shall be rejected as nonresponsiveif said contractor fails to comply with the requirements of N.J.S.A. 10:5-31 andN.J.A.C. 17:27.COMPANY: Official Payments Corp.SIGNATURE: ---DATE: /t:~o 10 '!j/ 7 ;1TITLE: Executive Vice President
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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. 09-878Agen
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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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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
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Shelter $10,023 $4,808 $4,126 $4,87
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.urces of income and personal taxes
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Number of employees 1,600 100% livi
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JERSEY CITY RECOVERY ZONEJUNE 23, 2
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'Resolution of the City of Jersey C
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CITY OF JERSEY CITY30 MONTGOMERY ST
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"- ,CONFIDENTIAL SETTLEMENT AGREEME
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capacity as such, agents, elected o
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limited to, ground water, surface w
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3. Payment of Settlement Amount3.01
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esponsibilities and obligations of
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Page 114 and 115: DETERMINATION OF VALUE CERTIFICATIO
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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 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 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 146 and 147: ie/21/2009 12: 28 201343sei4010/81/
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Page 150 and 151: 10/21/2009 12: 282013c:3SEl40NAKBrH
Page 152 and 153: Continuation of Resolution, City Cl
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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