Njeda Aa Form 3 PDF Details

If you’re looking to fill out New Jersey’s Economic Development Authority (NJEDA) Form 3, then you’ve come to the right place. This is an important form that allows businesses in the Garden State to access a plethora of economic development services and incentives offered by NJEDA, so getting it right is essential for your success. In this blog post, we'll walk through filling out NJEDA Aa Form 3 step-by-step while discussing everything you need to know about what kinds of assistance are available from NJEDA and how best take advantage of them. We'll also discuss any possible pitfalls or tips for filing smoothly. So read on for all the helpful info about completing an NJEDA Aa Form 3 application quickly and correctly!

QuestionAnswer
Form NameNjeda Aa Form 3
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesNSTRUCTION, 2011, JAN, Subcontractor

Form Preview Example

NJEDA AA Form 3

NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY

Revised 2010 DEC

 

AFFIRMATIVE ACTION COMPLETION CERTIFICATE

 

COUNTY THAT PROJECT IS LOCATED IN

 

NJEDA PROJECT NUMBER

 

 

 

 

 

NJEDA PROJECT OWNER/APPLICANT COMPANY NAME

PROJECT LOCATION (include Street, City and Zip Code)

Completion Certificate to be completed by Subcontractor, Construction Manager and/or General Contractor, Project Owner/Applicant and

Landlord (if applicable) and forwarded to:

NJ Economic Development Authority

 

 

 

 

Gateway One - Suite 900

 

 

 

 

Newark, NJ 07102

 

 

 

 

OR faxed to (609) 278-4772 OR email to: affirmativeaction@njeda.com

 

I/We, the undersigned ,

Subcontractor

Construction Manager

General Contractor

Landlord

certify to the New Jersey Economic Development Authority and the Project Owner/Applicant as follows:

 

1.Construction of the above project is substantially complete.

2.All workers employed in construction of the Project have been paid at a rate not less than the Prevailing Wage rate unless specifically exempted by N.J.A.C. 19:30-3.4. In making this certification I have relied on payroll records submitted by subcontractors and lower-tier contractors.

3.We have made good faith efforts to achieve minority and women workforce participation goals and submitted all reports and certificates required by the Authority,

SUBCONTRACTOR

CONSTRUCTION MANAGER OR GENERAL

CONTRACTOR

DATE

DATE

Signature of Authorized Representative for Subcontractor

Print Name and Title

Print OR Type Company Name of Subcontractor

Street Address OR PO Box of Subcontractor

City, State and Zip Code of Subcontractor

Signature of Authorized Representative for (check one)

Construction Manager

General Contractor

Print Name and Title

Print OR Type Company Name of (check one)

Street Address OR PO Box of (check one)

City, State and Zip Code of (check one)

5 NJEDA AA Form 3 Completion Certificate (2011 JAN) 2 pages

C

NJEDA AA FORM 3

NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY page 2 of 2

 

AFFIRMATIVE ACTION COMPLETION CERTIFICATE

I/We, the undersigned authorized representative of the Project Owner/Applicant, certify as follows:

1.) I/We have reviewed the attached Completion Certificate of the Contractor and construction is substantially complete.

2.) I/We have no knowledge or information which would cause me/us to believe that any facts, information or representations made herein are false or misleading.

OWNER

DATE

Signature of Authorized Representative for Project Owner/Applicant

Print Name and Title

Print OR Type Project Owner/Applicant Name

Street Address OR PO Box of Project Owner/Applicant

City, State and Zip Code of Project Owner/Applicant

I/We, the undersigned authorized representative of the Landlord of the Recipient of Authority Financial Assistance, certify as follows: 1.) I/We have reviewed the attached Completion Certificate of the Contractor and construction is substantially complete.

2.) I/We have no knowledge or information which would cause me/us to believe that any facts, information or representations made herein are false or misleading.

LANDLORD OF RECIPIENT

DATE

Signature of Authorized Representative for Project Owner/Grant Recipient's Landlord

Print Name and Title of Landlord's Signatory Above

Print Project Owner/Grant Recipient's Landlord Co. or Firm Name

Street Address OR PO Box of Project Owner/Grant Recipient's Landlord Co. or Firm Name

City, State and Zip Code of Project Owner/Grant Recipient's Landlord Co. or Firm Name

DO NOT WRITE BELOW THIS LINE - FOR NJEDA USE ONLY

DATE INFO RECEIVED

REQUEST OUTSTANDING

RELEASE AUTHORIZED

AA Cer

CPR

AA201 AA202 AA Cer

CPR

AA201 AA202

Signature

Date

Good Faith Documentation

Good Faith Documentation

Please Note: Outstanding information requested on

 

has not been received

5 NJEDA AA Form 3 Completion Certificate (2011 JAN) 2 pages