271-22 Attachment-SUBMISSION.pdf

i , : - i Main Menu ielp ‘Translate this Page )) Sete! Language | ¥ Translation Digcta i View Employee Information Report (AA302 Initial Form) Section A - Company Identification \ ' £4, FID Number or SSN: 146784792 2, Type of Business: ‘SERVICE | 3, Total NO. Employees in the Entire Company: ' 1 } 4. Company Name: ED Arborists Foresters i i t i 5, Street: 976 Old School House Road City: ‘Blairstown “County: SUSSEX i ' State: .NU ~ "Zip Code: ,07825 6, Name of Parent or Affiliated Company (if none, so indicate): i 5 city: ‘State: | | Zip Code: | : ) 7, Company Type: ' Single-Establishmen 8. State the Number of Establishements in NJ location: 0 i i 9. Total Number of employees at establishment which has been awarded the contract: 4 : | 40. Public Agency Awarding Contract: Monmouth County Parks ‘City: ‘Lincroft | County: MONMOUTH State: (NJ Zip Code: 07738 | i Section B - Employment Data 14, Report all permanent, temporary and part-time employees ON YOUR OWN PAYROLL. Enter the appropriate figures on all lines and in all columns. | Where there are no employees in a particular category, enter a zero. Include ALL employees, not just those in minority/non-minority categories. vio Ceteragies |Officals / Managers Professionals j Technicians | ' Sales Workers Office & Clerical Craftworkers (Skilled) Operatives (Semi-skilled) Laborers (Unskilled) , |Service Workers. Temporary & Part-Time Employees TOTAL. 0 vy) a Q 0 0 0 cu 9 ie} Q TOTAL MALE GOUNT: 1 i FEMALE dak: Gaicvagios Officals / Managers :Professionals Technicians Sales Workers Office & Clerical Craftworkers (Skilled) Operatives (Semi-skilled) Laborers (Unskilled) Service Workers : Temporary & Part-Time Employees TOTAL oe seeaeecooce 0 i) oO oO i) i) o o o 0 o TOTAL FEMALE COUNT: 0 L __ 12. How Was Information as to Race or Ethnic Group in Section B Obtained: ‘Other ; ‘18. Date of Payrall Period Used From: (5/2/2022 To: 5/9/2022 Section C - Personal Identification 14, Contact Name: ‘Evan Diltuvio 15. Tite: sOwner 46, Contact Email: ‘dilluvioevan@gmail.com j