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Get Source Disclosure Certification Form

Authorized to make this Certification on behalf of the Contractor. The Contractor submits this Certification in response to the referenced contract issued by the Division of Purchase and Property, Department of the Treasury, State of New Jersey (the "Division"), in accordance with the requirements of N.J.S.A. 52:34-13.2. Instructions: List every location where services will be performed by the Contractor and all Subcontractors. If any of the services cannot be performed within the United States,.

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