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Get NJ NJEDA AA 2012-2024

NJEDA AA Form 2 Revised 2012 APRIL NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY Internal Process Management Gateway One 9th Floor Room 900 Newark NJ 07102 973 855-3447 phone 973 877-1427 fax affirmativeaction njeda.com email MONTHLY PROJECT WORKFORCE REPORT - CONSTRUCTION NJEDA AA Form 2 3. Contractor FEIN Federal Employer Identification Number Complete and submit form at https //aaonline. njeda*com 2. NJEDA Contractor ID Number 1. Name Address of General Contractor 4. Reporting Month mm/dd/yyyy NAME 5. Company receiving EDA Financial Assistance or Real Estate Project Name 7. Name and Address of Project STREET ADDRESS CITY 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING STATE 11. PERCENT OF WORK COMPLETED TRADE OR CRAFT 15. TOTAL 14 A. 14 B. 14 D. 14 E* 14 F* T0TAL BLACK HISPANIC AMERICAN INDIAN ASIAN WOMEN 15. NO. OF MIN EMP. 16. WORK HRS* WORK HOURS 16 B. 17 A. 17 B. MIN W/H WOMEN W/H OF MIN W/H OF WOM J AP SUBTOTAL F I CERTIFIY THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT DATE 17. OF WORK HOURS 16 A. SIGNATURE 8. County 9. NJEDA Project No* 5 digits ZIP CODE 14. NUMBER OF EMPLOYEES CLASS 6. Date Gen* Contract was awarded 18. CUMULATIVE WORK HRS* 19. CUM OF W/H 18 A. 18 B. 19 A. MIN HOURS Weekly Certified Payroll Reports for 19 B. Contractor FEIN Federal Employer Identification Number Complete and submit form at https //aaonline. njeda*com 2. NJEDA Contractor ID Number 1. Name Address of General Contractor 4. Reporting Month mm/dd/yyyy NAME 5. njeda*com 2. NJEDA Contractor ID Number 1. Name Address of General Contractor 4. Reporting Month mm/dd/yyyy NAME 5. Company receiving EDA Financial Assistance or Real Estate Project Name 7. Name and Address of Project STREET ADDRESS CITY 10. Company receiving EDA Financial Assistance or Real Estate Project Name 7. Name and Address of Project STREET ADDRESS CITY 10. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING STATE 11. PERCENT OF WORK COMPLETED TRADE OR CRAFT 15. CONTRACTOR NAME LIST GENERAL CONTRACTOR WITH SUBS FOLLOWING STATE 11. PERCENT OF WORK COMPLETED TRADE OR CRAFT 15. TOTAL 14 A. 14 B. 14 D. 14 E* 14 F* T0TAL BLACK HISPANIC AMERICAN INDIAN ASIAN WOMEN 15. NO. OF MIN EMP. TOTAL 14 A. 14 B. 14 D. 14 E* 14 F* T0TAL BLACK HISPANIC AMERICAN INDIAN ASIAN WOMEN 15. NO. OF MIN EMP. 16. WORK HRS* WORK HOURS 16 B. 17 A. 17 B. MIN W/H WOMEN W/H OF MIN W/H OF WOM J AP SUBTOTAL F I CERTIFIY THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT DATE 17. 16. WORK HRS* WORK HOURS 16 B. 17 A. 17 B. MIN W/H WOMEN W/H OF MIN W/H OF WOM J AP SUBTOTAL F I CERTIFIY THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT DATE 17. OF WORK HOURS 16 A. SIGNATURE 8. County 9. NJEDA Project No* 5 digits ZIP CODE 14. NUMBER OF EMPLOYEES CLASS 6. OF WORK HOURS 16 A. SIGNATURE 8. County 9. NJEDA Project No* 5 digits ZIP CODE 14. NUMBER OF EMPLOYEES CLASS 6. Date Gen* Contract was awarded 18. CUMULATIVE WORK HRS* 19. CUM OF W/H 18 A. 18 B. 19 A. MIN HOURS Weekly Certified Payroll Reports for 19 B. .

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