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

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State of New.JerseyDivision of Purchase and PropertCertifcation andContributionsTwo-Year Chapter51I Executive Order 117 VendorDisclosure of political, Gerierallnformation, Solicitation: RFP or Contract No., Description of ServicesFor AGENCY USE ONLY- Award Amount". 'õ'.~Agency Contact InformationAgencyPhone NumberContact PersonAgency EmailPart 1: Vendor InformationFull Legal Business Name RMD Instruments Corptrade name If aPBllcable)(Including, Bus!ness Type o Corporation 0 Limited Partnership 0 Professional Corporation 0 Gener~1 PartnershipAddress 1 44 Hunt StreetCityWatertownVendor Email ...saies~ridinc.como Limited liabilty Company 0 Sole Propnetorship .0 Limited Liabilty Pai:ershlpStale MassachusettsAddress 2VsndorFEINZip 02472Part 2: Public Law 2005, Chapter 511 Executive Order 117 (2008) CertifcationI hereby certify as follows:1. On or after October 15, 2004; neither the below-named entity nor any individualPLEASE262897356Phone (617) 668~900whose contibutions are attributable tothe entity pursuant to Executive Order 117 (2006) has solicited or made any contribution of money, pledge of contribution,including in-kind contribi.tions, company or organization contributions, 117 (2008). as set forth below that wouldbalthe award of a"-:;.~. . '. - . -. . .co,ntract to the vendor, pursuant to the terms of Executive Ordera) Within the preceding 18 months, the below-named person or organization has not made a contribution to:(i) Any candidate committeeand/ör election fund of any candidate for or 'holder of the public offce of Governor- or Lieutenant Governor, , , ,(ii) Any State, county, municipal political part committee; OR(ii) Any legislatie leadership commitee. 'b) During-the term of offce of the current Governor(s), the below-nanied person or organization has not niadea, contribution to(i) Any Candidate, committee 'and/or election fund of the Governor or Lieutenant Governor, ORState; county or municipal political part committee nominating such Govemor in the election preceding,(ii) Anythe commencement of said Governotsterr.'c) Within the 18 months immediately prior to the first day' of thelerm ofoffce of the Governor(s), theperson or organization has not made a contribution to. "below-named '(i) ,Any candidate, committee and/òr election fund of the Govemorpr the political Lieutenant part nominating Governor; the OR successful ' gubernatorialAny State, county,municipal politica(part committee ofcandidate(s)in the last gubernatorial eíection. - 'NOTE: Prior to Novembe"r 15,2008, the only disqualifyingcontributibns include those made by thevendoror a prtneipal owningentity ,,or controllng more tha,n10 percent of the profits or assets of abusinessentiiy (orio percent Df the stcickin the case of a businessterm ofany candidateOffcecommittee and/or electionoffundGovernor.of the or to any state or county poliical'part .that is a corporation for profi) towithin the 18 months immediately priorof thè current Governor orwithin the preceding1B months, during the term of offce,the, CHSLl Rl/21/2009 'Page 1 of 3to the first day of
,Part 3: Disclosure of Contributions Made, 'or individual. - . ,-' " ,, 0 Ch~C~ t~is box if no reportable contributionshave been madeName of RecipientDate of ContributionTypeof ContribUtion (Le. currency, check, loan, in-kind,,'Address of RecipientAmount of Contribution. .by the~bove-named business entity" ---,4 .~; .~Contributor NameRelationship of Contributor to the Vendor.-Contributor AddressCityStateZip.If this form is not being completed electronically, please attach pages for additonal contributionsas necéssary- Olfieiwise click "Add a Contribution" 10 enter additonal contributions.-~.-.~.CHSi.i Rl/21/2009Page 2 of 3
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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.
Page 7 and 8: ..City Clerk File No.Res. 09-875Age
Page 9 and 10: . .City Clerk File No.Res. 09-876Ag
Page 11 and 12: .--City Clerk File No. Res. 09-877A
Page 13 and 14: City Clerk File No. Res. 09-878Agen
Page 21 and 22: ~.'. ... . ~City Clerk File No. Res
Page 25 and 26: Resolution of the City of Jersey Ci
Page 27 and 28: AGREEMENTThs Agreement dated theday
Page 29 and 30: services, etc., in order to carry o
Page 31 and 32: Before fial payment on the contract
Page 35 and 36: APPLICATION FOR RECREATIONAL EVENT
Page 39 and 40: The State shall have the right of i
Page 43 and 44: - .-- ,.'.. - '--.:. _......_'~.and
Page 45 and 46: . .,-; .~ .':-:::0."; : ,. :c:¡--
Page 47 and 48: City Clerk File No. Res. 09-888Åge
Page 49 and 50: --~4. The Licensee agrees to assume
Page 51 and 52: ':.~'~~-;-'..:ï"-- -.-~assign this
Page 55 and 56: :-';=.':Form W..9(Rev. Oclober 2007
Page 57: )BUSINESS ENTITY DISCLOSURE CERTIFI
Page 65 and 66: Date Submitted to B.A.RESOLUTION FA
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 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
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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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ti." !lS;:~'ì .-: =---;; .. ~-;':
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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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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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lß!21/20Ø~12: 29 28134381340ll!13
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ie/21/2009 12: 28 201343sei4010/81/
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1~/21/2eÐ9 12: 28 20134~B04Ø. .l
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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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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
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Resolution of the City of Jersey City, N.J.

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