Exhibit C - Affirmative Action Compliance Notice.pdf
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- Solicitation number
- EMLAS-25-001
- Issued by
- Atlantic County, New Jersey
About this file
This is an Affirmative Action Compliance Notice form (Exhibit C) required for goods and services contracts, including professional services, under New Jersey statutes N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27. The document serves as a summary of requirements that successful bidders must fulfill to comply with New Jersey's affirmative action regulations. The successful bidder must submit one of three acceptable forms of evidence to the public agency after notification of award but prior to contract execution: a photocopy of a valid letter showing the contractor operates under an existing federally approved affirmative action program (valid for one year), a photocopy of a Certificate of Employee Information Report approval issued under N.J.A.C. 17:27-4, or a completed Employee Information Report (Form AA302) provided by the Division.
The successful vendor can obtain the required AA302 form from the contracting unit during normal business hours and must submit copies to both the Division of Contract Compliance and Equal Employment Opportunity in Public Contracts and the public agency, while retaining a vendor copy. The form includes a certification section where the vendor acknowledges awareness of their commitment to comply with the specified New Jersey statutes and regulations, requiring company name, printed name of signatory, date, signature, and title of the person signing on behalf of the company.
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Text version
EXHIBIT C
AFFIRMATIVE ACTION COMPLIANCE NOTICE
N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27
GOODS AND SERVICES CONTRACTS
(INCLUDING PROFESSIONAL SERVICES)
This form is a summary of the successful bidder’s requirement to comply with the requirements of N.J.S.A. 10:5-31 and
N.J.A.C. 17:27-1 et seq.
The successful bidder shall submit to the public agency, after notification of award but prior to execution of this contract, one of the following three documents as forms of evidence:
(A) A photocopy of a valid letter that the contractor is operating under an existing Federally approved or sanctioned affirmative action program (good for one year from the date of the letter);
OR
(B) A photocopy of a Certificate of Employee Information Report approval, issued in accordance with N.J.A.C.
17:27-4;
OR
(C) A photocopy of an employee Information Report (Form AA302) provided by the Division and distributed to the public agency to be completed by the contractor in accordance with N.J.A.C. 17:27-4.
The successful vendor may obtain the Affirmative Action Employees Information Report (AA302) from the contracting unit during normal business hours.
The successful vendor(s) must submit the copies of the AA302 Report to the Division of Contract Compliance and Equal
Employment Opportunity in Public Contracts (Division). The Public Agency copy is submitted to the public agency, and the vendor copy is retained by the vendor.
The undersigned vendor certifies that he/she is aware of the commitment to comply with the requirements of N.J.S.A.
10:5-31 and N.J.A.C. 17:27-1 et seq.
COMPANY: ______________________________
PRINT NAME: ____________________________
DATE: ____________________
SIGNATURE: ______________________________
TITLE: ___________________________________
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