261-25 Cerbo Submission.pdf

TOWNSHIP OF WEST ORANGE AFFIRMATIVE ACTION AFFIDAVI STATE OF NEW JERSEY COUNTY OF ESSEX I, Cyo Lf ol agPUe , of the (Township, City, Town, Township) of N Qens SJease V4 of full age, being duly sworn according to law on my oath depose and say that: . | Fats ipa wy aIn the County of Yow aus , State of | | ral nN 4. 1am (President, Partner, Owner) of the firm of Ceked s aa. Mame Cremmhorses, Lane. A Bidder making a Proposal upon the Project entitled 2096 “te of Lending af Vac fou Lerah'ord 2. lam familiar with the Affirmative Action requirement of N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 and rules and regulations issued by the Treasurer, State of New Jersey, pursuant thereto. 3. The firm has complied with all the Affirmative Action requirements of the State of New Jersey, including those required by N.J.S.A. 10:5-31 et seq. and N.J.A.C, 17:27 and the rules and regulations issued by the Treasurer, State of New Jersey, pursuant thereto. 4, | am aware that if the firm does not comply with N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 and rules and regulations issued pursuant thereto, that no monies will be paid by the State of New Jersey, County of Hudson, Township of West Orange, until an Affirmative Action Plan is approved. | am also aware that the Contract may be terminated and the firm may be debarred from all public contracts for a period of up to five (5) years. | i i i 5. lam aware that this affidavit does not fulfil the Affirmative Action requirements of the State of New Jersey and that further action on my partis necessary as provided in section C-58 of the corresponding Specification. Sworn and i subscribed ' Signature of Authorized Representative before me this day of , 20 Name and Title Seal-Notary Public of NU Firm's Address 85