180-26 - Exhibit B. AJ Contractors_compressed.pdf

we INSTRUCTIONS FOR COMPLETING THE INITIAL PROJECT WORKFORCE REPORT - CONSTRUCTION (44201) DO NOT COMPLETE THIS FORM FOR GOODS AND/OR SERVICE CONTRACTS Enter the Federal Idencification Number assigned to the contractor by the Internal Revenue Service, or if a Federal Employer Identification Number has been applied for but not vet issued, or if your business is such that you have not or will not receive a Federal Identificati umber, enter the social security number assigned to the single owner or one partner, in the case of a partnership. Note: The Division of CC/EEO will assign a contractor ID number to your company. This number will be vour permanently assigned contractor ID number that must be on all correspondence and reports submitted to this office Enter the prime contractor's name, address and zip code number. Check box if Company is Minority Owned or Woman Owned Enter the complete name and address of the Public Agency awarding the contract. Include the contract number, date of award and dollar amount of the contract. 6. Enter the name and address of the project, including the county in which the project is located. Note: A project contract ID number will be assigned to your firm upon receipt of the completed Initial Project Workforce Report (AA201) for this contract. This number must be indicated on all correspondence and reports submitted to this office relating to this contract. , Cheek: “Yes” or “No” to indicate whether a Project Labor Agreement (PLA) was established withthe labor organization(s) for this project. Under the Projected Total Number of Employees in each trade or craft and at each level of classification, enter the total composite workforce of the prime contractor and all subcontractors projected to work on the project. Under Projected Employees enter total iinority and female employees of the prime contractor and all subcontractors projected to work on the project. Minority employees include Black, Hispanic, American Indian and Asian, (J=Journerworker, AP=Apprentice). Include projected phase-in and completion dates. 10. Print or type the name of the company official or authorized Equal Employment Opportunity EEO) official include signature and ticle, phone number and date the report is submitted, This report must be submitted to the Public Agency that awards the contract and the Division of Contract Comphauce and

cial include signature and ticle, phone number and date the report is submitted, This report must be submitted to the Public Agency that awards the contract and the Division of Contract Comphauce and Equal Employment Opportunity in Public Contracts no later than three (3) days after the contractor signs the contract. THE CONTRACTOR Is TO RETAIN THE FOURTH AND FINAL COPY MARKED "CONTRACTOR", SUBMIT THE THIRD COPY MARKED “PUBLIC AGENCY” TO THE PUBLIC AGENCY AWARDING THE CONTRACT AND FORWARD THE REMAINING TWO (2) COPIES TO: NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF CONTRACT COMPLIANCE & EQUAL EMPLOYMENT OPPORTUNITY IN PUBLIC CONTRACTS