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Springfield Free Public Library /Township of Springfield <br />AFFIRMATIVE ACTION COMPLIANCE NOTICE <br />N.J.S.A. 10:5 -31 and N.J.A.C. 17:27 <br />GOODS AND SERVICES CONTRACTS <br />(INCLUDING PROFESSIONAL SERVICES) <br />This form is a summary of the successful bidder's requirement to comply with the requirements of <br />N.J.S.A. 10:5 -31 and N.J.A.C. 17:27 -1 et seq. <br />The successful bidder shall submit to the public agency, after notification of award but prior to execution <br />of this contract, one of the following three documents as forms of evidence: <br />(a) A photocopy of a valid letter that the contractor is operating under an existing <br />Federally approved or sanctioned affirmative action program (good for one year from the <br />date of the letter); OR <br />(b) A photocopy of a Certificate of Employee Information Report approval, issued in <br />accordance with N.J.A.C. 17:27 -4; OR <br />(c) A photocopy of an Employee Information Report (Form AA302) provided by the <br />Division and distributed to the public agency to be completed by the contractor in <br />accordance with N.J.A.C. 17:27 -4. <br />The successful vendor may obtain the Affirmative Action Employee Information Report (AA302) from <br />the contracting unit during normal business hours. <br />The successful vendor(s) must submit the copies of the AA302 Report to the Division of Contract <br />Compliance and Equal Employment Opportunity in Public Contracts (Division). The Public Agency <br />copy is submitted to the public agency, and the vendor copy is retained by the vendor. <br />The undersigned vendor certifies that he /she is aware of the commitment to comply with the <br />requirements of N.J.S.A. 10:5 -31 and N.J.A.C. 17:27.1 et seq. and agrees to furnish the required forms of <br />evidence. <br />The undersigned vendor further understands that his /her bid shall be rejected as non - responsive if said <br />contractor fails to comply with the requirements of N.J.S.A. 10:5 -31 and N.J.A.C. 17:27 -1 et seq. <br />COMPANY: <br />TITLE: <br />SIGNATURE: <br />PRINT NAME: <br />DATE: <br />C:IProgram FileslNeevia.ComlDocument ConverterltemplPDFConvert .3395.1.Springfield Free ILS RFP March <br />2010. doc 20 <br />Attachment number 2 <br />F -12 Page 179 <br />