Resolution of the City of Jersey City, N.J.
File No. Res. 20-651 Agenda No. 10.46 Approved: Sep 10 2020
RESOLUTION RATIFYING AN EMERGENCY CONTRACT AWARD TO DERRICK CASANOVA TO PROVIDE CONSTITUENT OUTREACH AND ASSISTANCE TO THE HOUSELESS POPULATION IN JOURNAL SQUARE AS PART OF THE CITY’S ONGOING RESPONSE TO THE CORONAVIRUS EPIDEMIC
COUNCIL offered and moved adoption of the following resolution:
WHEREAS, the Coronavirus outbreak began in early 2020 with an epicenter in the New York City metropolitan region, including the City of Jersey City (City); and
WHEREAS, as a result of the pandemic, the Director of the Department of Health & Human Services notified the Purchasing Agent that an emergency existed because of the need to provide assistance, education, and personal protective equipment (PPE) to the houseless individuals whose primary place of residence is the Journal Square plaza in order to help stop the spread of the virus; and
WHEREAS, the Purchasing Agent was satisfied that an emergency existed; and
WHEREAS, it was necessary to have this outreach work conducted as soon as possible in order to protect and promote the public health, safety and welfare; and
WHEREAS, on March 15, 2020 the Purchasing Agent instructed Derrick Casanova to perform this work; and
WHEREAS, the New Jersey State Treasurer has determined that contracts awarded under emergency conditions pursuant to N.J.S.A. 40A:11-6 and N.J.A.C. 5:34-6.1 et seq. may be awarded without complying with the Pay to Play Law, N.J.S.A. 19:44A-20.4 et seq.; and
WHEREAS, the total cost to utilize the services of Derrick Casanova for 5 months will not exceed $16,250.00; and
WHEREAS, funds in the amount of $5,000.00 are available in Account No. 01-201-38-911-699, PO #: 138311; and
NOW, THEREFORE, BE IT RESOLVED by the Municipal Council of the City of Jersey City that;
1. Because of the above stated reasons which are incorporated herein, an emergency contract award to Derrick Casanova (286 Grove Street, Jersey City, NJ 07302) made pursuant to N.J.S.A. 40A:11-6 and N.J.A.C. 5:34-6.1 et seq. to conduct outreach, education and material assistance to the houseless population in Journal Square for 5 months is hereby ratified;
2. The total cost of the emergency contract is $16,250.00;
3. Pursuant to N.J.A.C. 5:30-5.5(d), the continuation of the contract after the expenditure of funds encumbered in the 2020 fiscal year temporary budget shall be subject to the availability and appropriation of sufficient funds in the 2020 fiscal year permanent budget and in the subsequent fiscal year budget;
4. The Director of the Department of Health & Human Services shall reduce to writing her notification to the Purchasing Agent of the emergency and file it with the Purchasing Agent; and
4. The Purchasing Agent and Business Administrator are authorized to take such other actions as may be necessary to effectuate the purposes of this resolution.
Res. 20-651 Approved: September 10 2020
Resolution ratifying an emergency contract award to Derrick Casanova to provide constituent outreach and assistance to the houseless population in Journal Square as part of the City’s ongoing response to the Coronavirus epidemic
APPROVED AS TO LEGAL FORM
Business Administrator Corporation Counsel
☐ Certification Required
RECORD OF COUNCIL VOTE – Sep 10 AYE NAY N.V. Absent AYE NAY N.V. Absent AYE NAY N.V. Absent N.V. – RIDLEY ✓ SALEH ✓ LAVARRO ✓ (Abstain) PRINZ-AREY ✓ SOLOMON ✓ RIVERA ✓ BOGGIANO ✓ ROBINSON ✓ WATTERMAN, ✓ PRES Adopted at a meeting of the Municipal Council of the City of Jersey.
Joyce E. Watterman, President of Council Sean Gallagher, City Clerk
Page 2 of 16
Res. 20-651 Approved: September 10 2020
Resolution ratifying an emergency contract award to Derrick Casanova to provide constituent outreach and assistance to the houseless population in Journal Square as part of the City’s ongoing response to the Coronavirus epidemic
RESOLUTION FACT SHEET - This summary sheet is to be attached to the front of any resolution that is submitted for Council consideration. Incomplete or vague fact sheets will be returned with the resolution.
Project Manager Margaret DeVico, Administrative Analyst 2015475114 [email protected] Division Division of Immigrant Affairs
Note: Project Manager must be available by phone during agenda meeting (Wednesday prior to council meeting @ 1:00 p.m.)
Purpose Resolution ratifying an emergency contract award to Derrick Casanova to provide constituent outreach and assistance to the houseless population in Journal Square as part of the City’s ongoing response to the Coronavirus epidemic
Contract term (include all) March 15 - August 15, 2020
Type of award: Emergency Contract
ATTACHMENTS: Derrick Casanova - Compliance Documents NJBRC - Derrick Casanova Emergency Declaration - Derrick Casanova Casanova Derrick AA-302 2020-08-04 SSN redacted Exhibit A page 1
Approved by Status: Margaret DeVico, Administrative Analyst Approved - Jul 31 2020 Stacey Flanagan, Department Head - HHS None Emma Guzman, Account Clerk None John McKinney, Attorney None Peter Baker, Corporation Counsel None Amy Forman, Attorney None Nick Strasser, Attorney None Norma Garcia, Attorney None Ray Reddington, Attorney None Jeremy Jacobsen, Attorney Approved - Jul 31 2020 Sapana Shah, Attorney None Jeana Abuan, Public Agency Compliance Officer Approved - Aug 05 2020 Soraya Hebron, Diversity and Inclusion Approved - Aug 05 2020 Raquel Tosado, Assistant Purchasing Agent None Patricia Vega, Assistant Purchasing Agent None Patrice Lambert, Purchasing Approved - Aug 07 2020 Elizabeth Castillo, Chief Financial Officer Approved - Aug 10 2020 Brian Platt, Business Administrator Approved - Aug 17 2020
Page 3 of 16 CERTIFICATIONonCOMPLIANCEwrrn THE_CI'1‘Y-OF»JERSEY.CITY CONTRACTORPAY-TO¢PLAY REFORM ORDINANCE08-128ADOPTED ON 3, zoos _ SEPTEMBER
I PARTI - VendorAf?nnation
- 'I_‘hundersigned,einganthoriaedandknowledgeableofthecircumstances,doesherebycertifythat . E6VV / 4 g Q [Q1]/U U0(name ofbusiness entity),has>not made any reportable contributionsin the **one-yearperiod preceding (date CityV.Council4 awards contract)thatwould deemed be_’violatJ'ons Section ' _ be to of One of the City of Jersey’City’s
' Contractor Pay—to-PlayReformOrdinance 08-128 (attached.hereto)vandthat would bar the award '
I
' of thiscontract.I further certifythat din-ingthe term of the contract‘ '
(name ‘ of businessentity)will not make any reportablecont_1'ibutions 08-. - I 128. violationiofOrdinance
PART II -‘ Signature and Attestation:
Thexmdersignedis fully aware that if I'hav_emisrepresented in whole‘orpart thisaffirmation and "certi?cation",I and/or the businessentity, willbe liable for anypenalty permitted under‘law._ v'Na'rne'of _smessEmi’ -
'
' Signed ‘ _ Title: . - V .PrintNa1ne-Agb?fl/'0/C»[2‘l5*"'<3‘/“Date:7‘({77(i7’
Subscribedand swornbefore me /“' ' /\
day J U ‘ this of L 2%/Q __ (Af?am) My Commissionexpires: , 271% A/.‘,’;":./§l'/
’ (Print name & title of a?iant) (cmpufausSeal) GEORGEE. GABRIEL NOTARYPtaucorNewaazssy IDI 2454405 Expires?/19'2?21_
**Pursuantto Section 2 of Ordinance 08-128, no contributions or solicitationof contributionsmade prior to the effective date Ordinance 08-128 (September 23, 2008) shall be deemedto be a violation of the Ordinance.
a:\wrr>o¢:\m£:mr.ym Plzythyno-PlayCuli?alinn followingom D3-l23.wpd
Page 4 of 16 1...
...... \.~€~'.'....-.r
Page 5 of 16 BUSINESS ENTITY DISCLOSURE CERTIFICATION FOR NON-FAIR AND OPEN CONTRACTS RequiredPursuant To N.}.S.A.19:44A-20.8 CITY OF_/ERSEYCITY
The undersigned,being authorized and knowledgeableof the circumstances,does hereby certifythat the
' Part II — Ownershi Disclo ure Certi?c n D I certifythat die list below contains the names and home addresses of all owners holding10% or more of the issued and outstandingstock of the undersigned.
Check the box that represents the type entity: DPartnership DCorporauonofSole ssProprietorship DSubchapterS Corporation DlimitedPartnership DLimitedLiabilityCorporation DLimitedLiabilityPartnership Name of Home Address Stock or Shareholder V (, . 0 $&VV/CKggz jg4Qggp_.,‘T 62 1/6 , 30’
P 3- i readAtte tati n: The undersignedis fullyaware that if I have misrepresentedin whole or part this affirmation and certi?cation,I
' and/ or the business e ' , be liabl for any penalty permitted under law. Name of Busine 'ty: ‘ / Signature of Af?ant: Title: Printed Name ofAf?ant: C Vl// Qf ‘ AMV\_/_4Date: V47)5 E 0-} O if ‘ /1 Subscribedand sworn before me this §A day of i I C}U L C \/ ’ 2 (Witnessed or attested by) Commission expires: GEORGEB. GABRIEL MY NOT ARVHBUC(F IEWJESEY (Seal) ID # 2454405
Page 6 of 16 CITY OF JERSEY CITY DEPARTMENT OF BUSINESS ADMINISTRATION OFFICE OF DIVERSITYAND INCLUSION
SUPPLIER DIVERSITY BIDDER QUESTIONNAIRE
The City of Jersey City is committed to ensuring that its utilization of vendors re?ects the diversity of its community. Please complete this form to assist us with monitoring our supplier diversity performance.
I/é/ Business Name: D65/7 él ”'0
Address: 6v/t>v€~I/T X/J 9 9,730,)‘
’ // Phone: 3"/ 7’ 3/50 379/ (F/\1" Email: Please indicate if your business guali?es as any of the following: (See de?nitions for clari?cation) ZmnorityOwned El Woman Owned D Veteran Owned El Disability Owned El Lesbian, Gay, Bisexual, Transgender Owned El None Please indicate if your business is currently certified by an authorized certifying body as any of the following: D Minority Business Enterprise E1 Woman Business Enterprise D Veteran Business Enterprise El Disability Owned Business Enterprise El Lesbian, Gay, Bisexual, Transgender Business Enterprise El Disadvantaged Business Enterprise D Small Business Enterprise El/None THE CITYOF JERSEY CITY IS AN AFFIRMATIVEACTION& EQUAL OPPORTUNITYEMPLOYER ANDCOMPLIESWITH ALL LOCAL, STATE AND FEDERALLAWS AND REGULATIONSINEMPLOYMENT AND CONTRACTING. Page 7 of 16 CITY OF JERSEY CITY DEPARTMENT OF BUSINESS ADMINISTRATION OFFICE OF DIVERSITY AND INCLUSION SUPPLIER DIVERSITYDEFINITIONS Minority Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by persons who are African American, Hispanic, Asian American, American Indian or Alaskan Native, de?ned as follows: African American: a person having origins in any of the black racial groups of Africa. Hispanic: a person of Mexican, Puerto Rican, Central or South American or other non-European Spanish culture or origin regardless of race. Asian: a person having origins in any of the original peoples of the Far East, South East Asia, Indian subcontinent, Hawaii or the Paci?c islands. American Indian or Alaskan Native: a person having origins in any of the original peoples of North America and who maintains cultural identi?cation through tribal affiliation or community recognition. Woman Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by a woman or women. Veteran Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by a person or persons who are veterans. "Veteran" means any citizen and resident of this State now or hereafter honorably discharged or released under honorable circumstances who served in any branch of the Armed Forces of the United States or a Reserve component thereof for at least 90 days and shall include disabled veterans. Disability 0wned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by a person or persons with a disability. Lesbian, Gay, Bisexual, Transgender Owned- a business which is a sole proprietorship, partnership or corporation at least 51% of which is owned and controlled by an LGBT person or persons. THE CITY OF JERSEY CITY IS AN AFFIRMATIVEACTION & EQUAL OPPORTUNITY EMPLOYER AND COMPLIES WITH ALL LOCAL, STATE AND FEDERALLAWS AND REGULATIONSIN EMPLOYMENT AND CONTRACTING. Page 8 of 16 A C.271POLITICALCONTRIBUTIONDISCLOSUREFORM Required Pursuant To N.J.S.A. 19:44A-20.26 This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract. Part — I Vendor Information J VendorName: I ~& |/V ’<»K (Q J hxp Vlgz Address: Cw.b;LgJ+ AJJ 1)2}«>2 ' M TZ/’ City: State : 1p: Theundersignedbeing authorized to certify, hereby certi?es that the submission provided hereinrepresents compliance with the provisions of N.J.S.A. 19:44A—20.26and as represented by the Instructions accompanyingthis form. Dar/vipk (‘!Ja,t.\,eq '}—)}7-7—15<;Q' Sigriatur Printed Name Title Part II — Contribution Disclosure Disclosure requirement: Pursuantto N.J.S.A. l9:44A—20.26-thisdisclosure must include all reportable political contributions (more than $300 per election cycle)over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit. Check here if disclosure is provided in electronic form. contributor Name Recipient Name Date Dollar Amount ’ it Check here if the information is continued on subsequent page(s) Page 9 of 16 APPENDIXA . V A?RICANS WITH DISABILITIES AC1‘ OF 1990 Equal Opportunity for Individuals with Disability (5 The contractor andura.90 Vail,1>1/I8/ ,Chereelicr“owuer“)do hereby agreethatthe . provisions ot"i‘itiell of the Amer cans WithDisabilitiesActof 1990(the "Act") (42 ESQ S12] 01et seq.), whichprohibitsdiscriminationon the basis of disabilityby publicerrtiiiesrin all services.programs, and activitiesprovidedor made available by publicentities,and the rule; and regulations promulgated purxuant there unto, aremadea part ofthiscontract. inprovidingany aid,bene?t.or service on behaifofthe ownerpm-auantto thiscontract, thecontractoragreesthat theperfomtance shallbeinstrict compliancewith the Act. in the event that the contractor, its agents, servants, employees,orsubcontractorsviolutdor are aliugecitohaveviolatedtheActduringtheperformanceofthiseontraet,theeontractorsbalidefendtheowner in any actionoradministmtiveproceedingcommencedpursuant to thisAct.Thecontractor shallindemnify, protect, andsaveharmiextho owner, its agents, servants, andemployeesfromandagainst anyandallsuits, claims, losses,demands,ordamages,of whateverkindor nnturertrisingout efor claimedto arise out ofthe allegedviolation.Thecaixtrnetorshall,at inownexpense,appear,defend,andpay any andail_~chat'~ges.for ‘legalscrvieeeandanyandallcosts andotbcrcxpensesarisingfromsuchactionor administrativeproceeding or incurredin connectiontherewith.In anyandall wtnplaintsbroughtpursuantto the owner's grievance procedure,theconnectoragrees to abideby anydecisionof the ownerwhichis renderedpursuant tosaid grievance lfany notionoradminiatmtivoproceedingresults in an awardof damages againstthe owner, or ifthe owner incurs my expenseto curea violationof theADAwhich has been brought pursuant to itsgrievanceprocedure.the contractor shall satisfy anddischargethesomeat its own expense. The ownershall,as soonas practicablea?era claimhas beenmadeagainstit,give written noticethereofto the contractor along with lb" and complete particuinrsof the claim,Ifnrry action or administrative proceedingis broughtagainst the owner or any of its agents, servants, nndemployees, the owner shall expeditiouslyforwardor have forwardedto the contractor every demand,complaint, notice, sunimons, pleading. or other processreceived by theowner or in:representatives. ‘ it is expressly agreed and‘understoodthat ‘anyapprovalby the owner of the services provided by the contractor pursuant to this contract will not relieve-thecontractor ofthe’obligationto comply withtheAct and to defend, indemnify,iprotcct,andsrtve hnnnlessthaowner~ptu'suantto this paragraph. it is ?trtheragreedandunderstoodthattheownerassumesno obligationto indemnify or save harmlessthe contractor, its agents. servants, employeesandsubcontructorsfor any claimwhich-mayarise out of their performanceof this Agreement.Furthermore,the contractorexpresslyunderstandsand agrees thatthe provisionsof this indemnificationclauseshrillinrxowuyilmitthecontractor'sobllgutionsassumedinthis Agreement, nor shall they construed to relievethe contractor item any liability,nor precludetheowner fromtakinganyotheractionsnvallebletoit under-'nnyotherprovisionsofthe Agreementor otherwiseat law. - Representative’:Nnm ‘ itiel’ ' - Der/we/6 Cat!‘-—oV5v Representative’: Signa ure: ' ‘lame of Company: _ l‘eLNo.: Z7I_b- [/ Date: 2 ’2E' Page 10 of 16 ‘ EXHIBIT A l(.‘oiiIi'iiiiaIion) The contractor or subcontractoragrees to informin writing its appropriate recruitment agencies including. but not limited to, employinciit agcntiics.placement bureaus.colleges. uiiiversitius.and labor unions that it does iioi discriminate on the basis ofii"c.race. creed. color. national origin. ancestry. marital status. affectional or sexual orientation. gender identity (|i~t?.\'p|’t:§Siul|.disability. iiatiunality or sex. and that it will discontinue the use of any recruitment agency which enitagesindirect or indirecttliscriniiiiuturypractices. l The contractor or subcuntractloragrees to revise any of its testing procedures. if necessary. to assure that all personneltesting conforms with the principlesofjob related testing. as established by the statutes and court decisions ofthe State of New Jersey and as established by applicable Federal law and applicable Federal court decisions. . ln confnnning with the target}-demploymcni goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading.downgrading and layoff to ensure that all such actions are taken vi ithout regard to age. race.creed. color, iiatioital origin, ancestry. marital status. affectioiial or sexual orientation.gender identity or expression. disability. nationality or sex. consistent with the statutes and court decisions nfthc Stutc ol'Nen Jersey. and applicable Federal law andapplicable lederal court decisions. The contractor shall submit tothe public agency. after notification of award but prior to execution of a goods and services contract. one of the following three documents: Letter of Federal Af?rinative Action Plan Approval Ceni?cate of Employee lnl'oi'ittattuiiReport Employee Information Report iornt AA302 telectrotiically provided by the Division and distribiited to the public agency through the Division's website at \\\\\\.‘l e.n'. t c .\ in co tr c oin i ‘e The coiitractor and its subcontractorsshall furnish such reports or otherdocumentsto the Divisionof Purchase8; Property. CCAU. F.l-‘.0Monitoring Pnigrain as may he requested by the oflici:frointime to time in order to carry out the purposes ofthesc regulations. and public agencies shall fumish such information as may be requested by the Division of Purchase It Property. CCAU. EEO Monitoring Program for cunrliicting a compliance inxestigatinn pursuant to Subchapter I0 oftlle Administratiu: Code at l\'.J.A.C. l7:27. The undersigned vendor certi?es their company‘: receipt. Iinonlrdge rind commitment to comply with: liXlllBl'l A .V.J.S.4\. I015-Jl and .\J..\.(.'. 17:37 \IA.\DATOR\' [OI ‘AL E.\lPLO\'.\IE.\T ()|’PORTl'.\'|TY l.\.\(-l AGE , Goods. Professional Seniers and General Seniee Contracts i t?lnndatory .\?‘irnutive .\ttion Language) ‘I he undersigned \rllliln' [iirther nért-esto furnhh nir i-rquiretl Itirm.\ oi‘f\iIlHIl.'|‘ ant! understands that their roritrnrt/conipnity‘s but shall he rejected its non-rt-sponsixr if said contractor fails to runuply with lhr requirements ol'.\..l..\'..\. lII:5-Jl and .V.J.A.('. I“l:27. r V! &A’ L.‘ ' K€p|’BS¢ll(llI\t'l\|InI'fIil|t[l’ nit: Representative’: Signature: , _ . V V Name tilt nrnpanyt 7 ' 't'¢L\o.;__D?2; F60‘/ DIR: /2' I Page 11 of 16 7/30/2020 N.J. Department of Treasury - Division of Revenue, On-Line Inquiry STATE OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATE Taxpayer Name: CASANOVA, DERRICK Trade Name: Address: 246 GROVE ST #1 JERSEY CITY, NJ 07302 Certificate Number: 2381004 Effective Date: September 13, 2019 Date of Issuance: July 30, 2020 For Office Use Only: 20200730160348588 Page 12 of 16 https://www1.state.nj.us/TYTR_BRC/servlet/common/BRCLogin 1/1 EMERGENCYCERTIFICATION 1. I am the Director of the Department of Health and Human Sen/ices (HHS)for the City ofJersey City (the ”City"). 2. On March 9, 2020, the Governor of the State of New Jersey has declared the concurrent invocation of both a State of Emergency pursuant to N.J.S.A. App.A.:9-33 et seq. and a Public Health Emergency as contemplated by N.J.S.A. 26:13—1et seq., which action invoked the authority and powers contemplated by N.J.S.A. 26213-3, the Emergency Health Powers Act. 3. The City is working with federal, state and county officials and authorities on a daily basis on prevention and mitigation activities that include providing critical information to the public about COVID-19to provide facts and avoid unnecessary fear, training emergency responders and health professionals about the disease and investigating suspected, presumptive and confirmed cases. A significant part of this work has involved conducting targeted outreach to houseless individuals living in Journal Square. 4. Due to the need to ensure all residents of Jersey City have access to personal hygiene facilities, PPE,and education about COVID—19,and pursuant to N.J.S.A.40A:11—6,an emergency situation exists that justifies the emergency award of a contract for the provision of outreach services for the houseless living in Journal Square. 9. I have deemed that the services of DerrickCasanova (the "Consultant”), a Jersey City resident with an address at 246 Grove Street, Jersey City, NJ 07302, is a consultant capable of providing the above described COVID—19outreach services. 10. I respectfully submit that the proposal submitted by the Consultant be approved. I certify the foregoing statements are true and I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. July 31,2020 ey Flanagan Director, Jersey City Department of Health and Human Services Page 13 of 16 4 iv» ,4 “N3 LJL T \q.w&»+$?. J. _\.w.Hw,UJ3? .5. \m%4ws Jdxo:5 5 .2... Q. uzam?zouNb 235.. uo.mS< “NA. \. a Hue? 3.20". 5=;o_ zo_.2u_n_:zm9 D2< mE:.<2u.m u U zo_Umm :9/.:._.Eo ,x 9.. 5. mmmm.>m-w Eu. ?zo_mzm,5E..oz doom <93 MZOEA moooEN ?iomo?u ma?a >50 hmmaemQ .02 mmSEQ< .: .:a._.w>. 3...?» ‘ a\.~\w\...£_:.o as M. mi? nouao.n_EuNEE. En_._no.&mmon:Em?tsmm2: E vou?ui oneoz =mAm3203._ Sun 2.5. _H_oz mm; as NEE; u:o_>a=_ ammon_OEmm .2o¢><.. mommH =.a___.5 Eaxuoi??u _nu_.o_u¢ 350 , «.3103 main .na~.»_..u. u=u_u_:.._uu._. 523...... :.?«: . .. ‘ ‘1 _JDU n_u:o_nma_E.. — mmu>o.._.§_w._._J R u._wan:m_2\m_n_u..tO o_z..£mE A<._.O._. m=._ooE. ._ macaw:IE Z< bv <.P¢C <¢>C .n_:n— : G 2C_.—..uu.U z<_m< >._.z:oo Z596 u_z<.aE 204.5 .z:z z<_m< uo?m sums: t.:=kEc2E._:.:. zoz .67 .2 2.5: 9 mq??a mi: Page 14 of 16 ._.u ...w>o4.=? _zw_.:.m3mE.mm.:._:2 ~a.,o._._2u .5. m_._m<.Gu.3cz D \D n>z<.=.3u E: 2 mzomumxu.» \ Eém >_.._.u.\; .%u_:z_ >z§2:u ‘Z22 A<...QZ_” mzcv. ZOZ .)§W .¢m_§ un3W_~b\ .>.r’z§.m.uQ,N~u.mW...?\.¢&.“N.2» wnkhwnb . LP“ n..._. .W. m .2 cm??la .2 .H.§auwmu..:=..:.zu: =§==_ 5.. 5 zo?mm =2 Eommx wow :22; 52 on E “E on .c:o_ w? m:_~w_n_Eouca m:o_U:=u:_ .3 .2 m_.:. Séaoum Ezmnm 0... oz... _2mou_ mE_._.zm m_.¢ m2 The contractor or subcontractor agrees to inform in writing its appropriaterecruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universities,and labor unions, that it does not discriminate on the basis of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinuethe use of any recruitment agency which engages in direct or indirect discriminatorypractices. The contractor or subcontractoragrees to revise any of its testing procedures,if necessary, to assure that all personneltesting conforms with the principles of job-related testing,as establishedby the statutes and court decisions of the State of New Jersey and as establishedby applicable Federal law and applicable Federal court decisions. In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federalcourt decisions. The contractor shall submit to the public agency, after noti?cation of award but prior to execution of a goods and services contract, one of the following three documents: Letter of Federal Af?rmative Action Plan Approval Certi?cate of Employee Information Report Employee Information Report Form AA302 (electronically provided by the Divisionand distributedto the public agency through the Division’s website at www tale s/treasury/conlnlcl co pliance The contractor and its subcontractors shall furnish such reports or other documentsto the Division of Purchase & Property, CCAU, EEO Monitoring Program as may be requestedby the of?ce from time to time in order to carry out the pulposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Purchase & Property, CCAU, EEO MonitoringProgram for conductinga compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27. The undersigned vendor certi?es on their company's receipt, knowledge and commitment to comply with: EXHIBIT A N.J.S.A. 10:5-31 and N.J.A.C. 17:27 MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE Goods, Professional Services and General Service Contracts (Mandatory Affirmative Action Language) The undersigned vendor further agrees to furnish the required forms of evidence and understands that their contract/company's bid shall be rejected as non-responsive if said contractor fails to comply with the requirements ol'N.J.S.A. 105-31 and N.J.A.C. 17:27. Rcpresentative’s Nameffitle (Print): Representative's Slgnnlure: Name of Company: Tel. No.: Date: Page 16 of 16