N.J. oépartment <strong>of</strong> Treasury - Division <strong>of</strong> Revenue, On-Line Inquiry Page I <strong>of</strong> 1, STATE OF NEW JERSEYBÚSINESS REGISTRATIO'N CERTIFICA TEI,; .~Taxpayer Name:Trade Name:Address:'Certifcate Number:Effective Date:Date <strong>of</strong> Issuance:RMD INSTRUMENTS' CORP, 44 HUNTSTWATERTOWN, MA 02472A6991459533January 12,2009January 22, 2009For Offce Use Only:20Q90122145532135~.., https://ww'Ì'I'I.state.nj.us/TYTR, BRC/servlet/col1l1onlBRCLogin 1/22/2009
:-';=.':Form W..9(Rev. Oclober 2007). Departent 01 lhe Treasury1"lema! Revenue ServiceNQloilta.i:oQl IIa. g~:¡L- 0C? È£ L-_ ~.0. 0'I;'õQla.VlQlQlen,Name (as shown on your income tåx return)RMD Instruments Corp.Business name, If different from aboveRequest for TaxpayerIdentification Number andCertifìcationCheck ,appropriate box: ¡j IndivldualfSol~ proprietor IZ Corporation 0 P.annershipclassification (D=disregarded entity, C=corporatlon"P=partnershlp) .. '.. -'. .'.-D Umlted liabilty company. Enter <strong>the</strong> taxo O<strong>the</strong>r (see instructions) .. .."Give form to <strong>the</strong>requester. Do notsend to <strong>the</strong> IRS.O Exempt payeeAddress (number;,street, and apt. or suite no.) Reauesitits name and address (optionaQ44 Hunt Street,, ,.mn Taxpayer Identification Number (TIN)SocIalEnter your TiN in <strong>the</strong> appropriate box. The TIN provIded musbrnatch <strong>the</strong> name gIven on Une 1 to avoidbackup withholding. For Individuals, this Is your social security number (SSN). However, for a residentalien, sole proprietor, or disregarded entity, ,see <strong>the</strong> Part I Instructions on' page 3~ For o<strong>the</strong>r entitles, it Isyour employer identifcation number (EIN). If you do not have a number, see How to get a TIN on page 3.number to enter. 'CertificationNote~ If <strong>the</strong> account Is in more than one name, see <strong>the</strong> chart on page 4 for guidelines on whoseUnder penalties <strong>of</strong> perjury, I certify that:security number1. The number shown on thIs form Is my correct taxpayer identification number (or I am waiting for a number to.be issued to me), and<strong>the</strong> Internal2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified byRevenue Service (IRS) that I am subject to backup withhOlding as a result <strong>of</strong> a failure to report all interest or dividends, or (c) <strong>the</strong> IRS hasnotified me that I am no longer subject to backup withholding, and' , '"3. I am a U.S. citizen ór o<strong>the</strong>r U.S. person (defined below).Certifcation instrctions. You must cross out item 2 ,above If yoU have been notlfled by <strong>the</strong> IRS that you are currently subject to backupwithholding because you have failed to report all,interest and dividends ,on your taxretum. For real estate transactions, item 2 does not apply.For mortgage Interest paid, acqulsllon or abandonment <strong>of</strong> secured propert, cancellation <strong>of</strong> debt, contributions to an Individual retirementarrangement (IRA), and generally, payments o<strong>the</strong>r than interest and dividends, you are not required to sign <strong>the</strong> Certlfcåtlon, but you mustprovide your correct TIN. See <strong>the</strong> Instructions on page 4, ,SignHereGeneralInstructionsSection referenceso<strong>the</strong>rwisenotep. 'are to <strong>the</strong> lntemal Revenue Code unlessPurpose <strong>of</strong> FormA person-who is required to fie an Information return with <strong>the</strong>IRS must obtain your correct taxpayer Identlfcation number"TIN)to report, for example, income paid ,to you, real estatetransactions, mortgage Interest you paid, acquisition or ., abandonment <strong>of</strong> s~ured property,cancellation,<strong>of</strong>.debt, orcontributions you made to ,an IRA.Use Form W-'9 only if you are a U.S. person Qnch-iding aresident alien), to provide your correct TIN to <strong>the</strong> personrequesting it (<strong>the</strong> requester) and; when applicable, to:1. Certify that <strong>the</strong>,TIN YOLJ are giving is correct (or you arewaitingJor a number to be issued), ,2. Certify that you are npt subjeCt to backup witnholding"or -3. Claim exemption fromba~kup withholding if you area U.S.exempt payee. IfSlg~aturã 01-'0--u.s. person ..applicable, you are also certifing that as aU.S. person, "youral/ocable share <strong>of</strong> any partnership income from, a U.s. trade or business Is not subjeCt to <strong>the</strong> withholding tax on,foreign partners' share <strong>of</strong> effectively connected ,income. .Note. If a requester gives you a form o<strong>the</strong>r than Form W-g torequest your TIN, ,you must use <strong>the</strong> requester's form if it Issubstantially similar to this Form W-9: 'Cat. No. 10231X,:orEmployer Identifcation nùmber26 2897356efinition <strong>of</strong> a U.S. perso~. or federal tax purposes, you areconsidered a U.S. person If you are: '. An Individual who is a U.S. citizen or U;S. resident alien,. A partnership, corporation, company, or association created ororganized in <strong>the</strong> United States or under <strong>the</strong> laws oUhe United, States;. An estate (o<strong>the</strong>r than a foreign estate), or'. A domestic trust (as defined In Regulations section301.7701-7)., , , , , "Spedal rules for parterships. "Partnerships that coriduct atrade or business in <strong>the</strong> United States are generally required topay a withholding tax on any foreign partners' share <strong>of</strong> ,incomefrom such business. Fur<strong>the</strong>r, in certain cases where a Form W-9has not been received, a partnership is required to presume that, a partner is a foreign peirson, and pay <strong>the</strong> withholding tax.Therefore, If you are a, U.S, person that is.a partner in a 'partnership conducting a trade, or business in <strong>the</strong> United States,provideFòrm W-9 to <strong>the</strong> partnership to establish your U:S.status and avo,id withholding on your share <strong>of</strong> partnershipIncome.Th"e person who gives Form W~9 to <strong>the</strong> partnership for- purposes <strong>of</strong> establishing its U.S. status and avoiding withholding, on ItS allocable share <strong>of</strong> net income from <strong>the</strong> partnershipconducting a trade or business in <strong>the</strong> United States is in <strong>the</strong>following cases:_R":.", .:.~... The U.S. owner <strong>of</strong> a disreg~rded entity and not <strong>the</strong> entity,Form W-9 (Rev. '.0-2007)
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Resolution of the City of Jersey Ci
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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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.. "";EXHIBIT AThe Travelers Indemn
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Continuation of Resolution Res ~ 09
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DETERMINATION OF VALUE CERTIFICATIO
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423-483-3225' ¡Erwn FN I!;!==I :11
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PUBLIC DISCLOSURE INFORMTIONChapter
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MADATORY EQUAL EMPLOYMNT OPPORTUNTY
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AMERICANS WITH DISABILITIES ACT OF
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MINORITYIWOMA BUSINESS ENTERPRISE (
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,"C.271 PlAl"'1 1m_ ~Requir Puuat T
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CITY OF JERSEY CITYRESOLUTION:VENDO
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Resolution of the City of Jersey Ci
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AGREEMENTThis Agreement dated the d
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notify the City of their engagement
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For the term of the contract, the c
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ie/21/2009 12: 28 201343sei4010/81/
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10/21/2009 12: 282013c:3SEl40NAKBrH
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Continuation of Resolution, City Cl
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Fonn AA302Rev, 10/08STATE OF NEW JE
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MINORITYfWOM.A.N BUSli\TESS ENTERPR
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AMERICANS WITH DISABILITIES ACT OF
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PUBLIC DISCLOSURE INFORMATIONChapte
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Resolution of the City of Jersey Ci
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Continuation of ResolutionCity Cler
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Resolution of the City ofJersey Cit
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"'''''.~!;Q\l~/Q1Q,.1I1il. ~-lkn '"
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LEGISLATIVE FACT SHEETThis summary
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City Clerk File No.Agenda No.Approv