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Get NJ NJEDA AA 2010

NJEDA AA Form 2 NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY Revised 2010-Dec Internal Process Management Gateway One 9th Floor Room 900 Newark NJ 07102 973 855-3447 609 278-4772 fax affirmativeaction njeda.com e-mail MONTHLY PROJECT WORKFORCE REPORT - CONSTRUCTION NJEDA AA Form 2 3. Contractor FID OR SS Number Complete and submit form at http //aaonline. njeda*com 1. Name Address of General Contractor 2. NJEDA Contractor ID Number 4. Reporting Month mm/dd/yyyy Name 5. Name of Company that is Recipient of NJEDA Financial Assistance Address City State 6. Date Gen* Contract was awarded 9. NJEDA Project No* 5 digits Zip Code 14. NUMBER OF EMPLOYEES 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING 11. PERCENT OF WORK COMPLETED 13. CLASS* 12. TRADE OR CRAFT A. B. TOTAL 8. County BLACK C. D. HISPANIC AMERICAN INDIAN 15. TOTAL E* ASIAN F* WOMEN NO. OF MIN* EMP. 17. OF WORK HRS 18. CUMULATIVE WORK HRS 16. WORK HOURS WORK HOURS MIN W/H WOM W/H OF MIN OF WOM F J AP 20. COMPLETED BY PRINT OR TYPE I CERTIFY THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT NAME AREA CODE 1 of 1 TELEPHONE NUMBER SIGNATURE EXT. Contractor FID OR SS Number Complete and submit form at http //aaonline. njeda*com 1. Name Address of General Contractor 2. NJEDA Contractor ID Number 4. Reporting Month mm/dd/yyyy Name 5. Name of Company that is Recipient of NJEDA Financial Assistance Address City State 6. NJEDA Contractor ID Number 4. Reporting Month mm/dd/yyyy Name 5. Name of Company that is Recipient of NJEDA Financial Assistance Address City State 6. Date Gen* Contract was awarded 9. NJEDA Project No* 5 digits Zip Code 14. NUMBER OF EMPLOYEES 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING 11. Date Gen* Contract was awarded 9. NJEDA Project No* 5 digits Zip Code 14. NUMBER OF EMPLOYEES 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING 11. PERCENT OF WORK COMPLETED 13. CLASS* 12. TRADE OR CRAFT A. B. TOTAL 8. County BLACK C. D. HISPANIC AMERICAN INDIAN 15. PERCENT OF WORK COMPLETED 13. CLASS* 12. TRADE OR CRAFT A. B. TOTAL 8. County BLACK C. D. HISPANIC AMERICAN INDIAN 15. TOTAL E* ASIAN F* WOMEN NO. OF MIN* EMP. 17. OF WORK HRS 18. CUMULATIVE WORK HRS 16. WORK HOURS WORK HOURS MIN W/H WOM W/H OF MIN OF WOM F J AP 20. TOTAL E* ASIAN F* WOMEN NO. OF MIN* EMP. 17. OF WORK HRS 18. CUMULATIVE WORK HRS 16. WORK HOURS WORK HOURS MIN W/H WOM W/H OF MIN OF WOM F J AP 20. COMPLETED BY PRINT OR TYPE I CERTIFY THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT NAME AREA CODE 1 of 1 TELEPHONE NUMBER SIGNATURE EXT. Contractor FID OR SS Number Complete and submit form at http //aaonline. njeda*com 1. Name Address of General Contractor 2. NJEDA Contractor ID Number 4. Reporting Month mm/dd/yyyy Name 5. Name of Company that is Recipient of NJEDA Financial Assistance Address City State 6. Date Gen* Contract was awarded 9. NJEDA Project No* 5 digits Zip Code 14. NUMBER OF EMPLOYEES 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING 11. NJEDA Contractor ID Number 4. Reporting Month mm/dd/yyyy Name 5. Name of Company that is Recipient of NJEDA Financial Assistance Address City State 6. Date Gen* Contract was awarded 9. NJEDA Project No* 5 digits Zip Code 14. NUMBER OF EMPLOYEES 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING 11. PERCENT OF WORK COMPLETED 13. CLASS* 12. TRADE OR CRAFT A. B. TOTAL 8. County BLACK C. D. HISPANIC AMERICAN INDIAN 15. .

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