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

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PUBLIC DISCLOSURE INFORMATIONChapter 33 of the Public Laws of 1977 provides that no Corporation or Partnership shall beawarded any State, City, Municipal or Schools District contracts for the peiformance of anywork or the furnishing of any materials or supplies, unless prior to the receipt of the bid oraccompanying the bid of said corporation òr partnership there is submitted a public disclosureinformation statement. The statement shall set foith the names and addresses of all stockholdersin the corporation or paitnership who own ten percent (i 0%) or more of its stock of any class, orof all individual partners in the partnership who own a ten percent (10%) or greater interesttherein.STOCKHOLDERS:Name Address % ownedDiscovery Group I; LLC 191 N, Wacker Drive, Suite 1685, Chicago, IL 60606 12.89Wells Capital Management, Inc. 525. Market S1., 10th Floor, San Francisco, CA 94105 11.25()~/~~,-SIGNATURE ;,I::~ 11cL¡c:/)TITLE.EXeCUti:: ice pres~nt ./ ,:(11(1:,' ((,SUBSCRIBED AND SWORN TO ,--,BEFORE ME THIS DAY L è-k'-lJt:'.,- ;~.OF 20 G'((1(TYPE OR PRINT NAME OF AFFIANT UNDER SIGNATURE)NOTARY PUBLIC OF C ~ i-)¿'"!.ç'ù,-MY COMMISSION EXPIRES;¿~O / :-~(NOTE: THIS FORM MUST BE CQMPLETED, NOTARIZ.E.p Al\TJ RETURNEDWITH THIS PROPOSAL). (,. " ',', (', \ /' . i ' ( ~~, ,( ¿ ¡. i c~' i ,))7£/ " ""'~-" J;, "9 rÎ"L-\, ~?- -' '--J /~\\,\\\\\n\\llmli",,,III/¡III~ ~.__/ ,._~..,..~-- .C. - , .-.",.. t1 p.E.TH Cd. 'i",,~ ~. ).l ~..~,'" .......~l/ttA) ~,f ~ ...~O~E~ËA(~....(S~ \È it:' $ xpires '5.. \- ~â N: 0 06.30.12 O:;t ;~ :J: ü ID" " : 'Õ §~ il": 7206230 ./ i: f\. ........t"IAGlt-\'i.... /% ~ ............. '0 ..::~."""II'/!7ARY pù€i~",,'"IIJlltllIJIIIIIU\l\\\\\\\\
NON COLLUSION AFFIDAVITSTATE OF NEW JERSEYCITY OF JERSEY CITY ss:I certify that I am NinaK. Vellayan. Executive Vice Presidentof the firm of Official Payments Corp.the Respondent making the proposal for the above named project, and that I executed the saidproposal withfull authority so to do; that said Respondent has not, directly or indirectly enteredinto any agreement, paiticipated in any collusion, or otherwise taken any action inrestraint offree, competitive bidding in connection with the above named project; and that all statementscontained in said proposal and in this affidavit are true and correct, and made with fullknowledge that the City of Jersey City relies upon the truth of the statements contained in saidproposal and in the statements contained in this affidavit in awarding the contract for the saidproject.I further warrant that no person or selling agency has been employed to solicit or ~cure suchcontract upon an agreement or understanding for a commission, percentage, brokerage orcontingent fee, except bona fide employees or bona fide'agencies maintained by (N.J.S.A.52: 34-25)'(Signature of Respondent)established commercial or sellingSUBSCRffED AND SWORN TOBEFORE ME THIS DAY , ",).-i_J... / ."_ ie.(L'Ii_~/'-, l ((TYPE OR PRINT NAME OF AFFIANT UNDER SIGNATURE)OF20 /"-'/NOTARY PUBLIC OF i-/, IS:'.'A-1 c?_-MY COMMISSION EXPIRES:"20 ;' eX(NOTE: THIS FORM MUST BECOMPLETED, NOTARIZED AND RETURNEDWITH THIS PROPOSAL)..:~ò J';~~ ! zj", j.j',~; .",ld.:. \~'r', "\\\\\\\\\1111~i1111111,,1//1/,:S\~\\' ETHc J',....,,"..$" s .,.........~..~...... wi=..... ~ ':$" 0 ..' o~ '-/ ". "'i ~" ;:.' , ')0'. "-¥ !f.. ~~ Exprres -s, -. ~§ ::: ü iou ." : 'Õ ::~ N f 0 06-30.12 0: ~ ê~ (f '. 7';06230 .: ìJ I\. ......- "'(~GIN\I'""'" /~/ va ~ ..,....% 11 ................. 0 ...;....';"" ì.AY pù'Õ ,\,\\'Illiiill¡I/II!/II!I\I\\\\\\\\\'-, /, /. _./-J ~..)
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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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. .,-; .~ .':-:::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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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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with the City and exercise good fai
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9.05 Other than this Agreement as p
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12. Other Provisions12.01 This Agre
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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 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 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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