180-26 - Exhibit B. AJ Contractors_compressed.pdf

INITIAL PROJECT WORKFORCE REPORT - CONSTRUCTION FORMAL 20 Ranet i693 READ INSTI 1. FID HUMBER STATE OF NEW JERSEY DIVISION OF CONTRACT COMPLIANCE EQUAL EMPLOYMENT OPPORIUNITY IN PUBLIC CONTRACTS 3. NAME AND ADDRESS OF PRIME CONTRACTOR INITIAL PROJECT WORKFORCE REPORT CONSTRUCTION TONS ON THE BACK CAREFULLY BI PLEASE TYPE OR PRINT IN BLACK OR BLUE INK. 2 CONTRACTOR ID NUNEER Official Use Only Assignment $$ $s Code Ra ame) CONTRACT NUMBER = ATE OF AWARD DOLLAR AMOUNT OF AWARD (Street Address) © NAME AND ADDRESS OF PROJECT 5 PROTECT SUMBER SUE (city) Gat) iy Code) county 2 18 THIS PROJECT COVERED BY A PROJE( 4.18 THIS COMPANY MINORITY OWNED { ] OR WOMAN OWNED { } % TRADE OR CRAFT LABOR AGREEMENT (PLAJ? OYES’ ONC —— — I PROJECTED MINORITY EMPLOVEES ey — 1, ASBESTOS WORKER PROJECTED PROJECTED PHASE -IN COMPLETION DATE DATE en 2. BRICKLAYER OR MASON 3. CARPENTER 4, ELECTRICIAN §. GLAZIER 6. HVAC MECHANIC 7, IRONWORKER §. OPERATING ENGINEER 9. PAINTER 10, PLUMBER 11. ROOFER 12. SHEET METAL WORKER 13, SPRINKLER FITTER 14. STEAMFITTER. 1§. SURVEYOR _} 16. TILER 17, TRUCK DRIVER 18. LABORER { } 19. OTHER | 20. OTHER 1 Thereby cerdfy that the foregoing stateme false, I ara subject to punishment. smade by me are true. Tate aware thatit any of tie foregoing watemente are wilfalle (Signature) Tw (Please Print Your Nasa) Tn ‘Area Code) ‘(Telephone Number) Ex) P-54 Dare}