180-26 - Exhibit A. CDBG 2025 SPECS_compressed.pdf

P.L. 1975, C. 127 — Affirmative Action CHECK THE BOX () _ Fifty (50) or more employees in the entire firm or corporation (_ ) Less than fifty (50) employees in the entire firm or corporation For Firms of Fifty (50) or More Employees: An Employee Information Report (Form AA302) must be completed and returned to the (City, Town, Borough, Township) within seven (7) days after receipt of notification of intent to award contract or receipt of contract, whichever is sooner. An Affirmative Action Plan approved by the Federal Government or the New Jersey Affirmative Action Office is an acceptable alternate. In the space provided below, indicate whether your firm has met any of the requirements listed above. Indicate the number of New Jersey Affirmative Action Certificate of Approvals in the space provided. For Firms of Less than Fifty (50) Employees: Vendors of less than fifty (50) employees are required to complete and return with bid an Affidavit of Affirmative Action, (see enclosed Exhibit). If during the term of contract the firm’s workforce increases to fifty (50) or more employees, the public agency shall be notified, At this time, an Employee information Report (AA302) must be completed and returned to the (City, Town, Borough, Township). INDICATE IN THE APPLICABLE BOXES BELOW WHETHER YOU HAVE MET ANY CRITERIA FOR COMPLIANCE WITH THE NEW JERSEY AFFIRMATIVE ACTION REGULATIONS. FIRMS OF FIFTY (50) OR MORE EMPLOYEES A Federal Certificate of Approval has been received © (Proof of this will be required at the time of award) A New Jersey Affirmative Action Certificate of Approval has been received. The number is (Proof of this will be required at the time of award) I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. FIRM NAME; SIGNATURE: TITLE: DATE: BID IDENTIFICATION: NOTE: IF YOU ARE THE SUCCESFUL BIDDER, YOUR FIRM IS REQUIRED TO PROVIDE THE ABOVE