18-10 Contract

PROPOSER’S AFFIDAVIT THIS AFFIDAVIT IS PART OF THE PROPOSAL State of New Jersey County of _ Essex I, Joseph A. Fonzino , . (Print Name) certify that Iam the _ Director/Health Officer (State Title) of the business entity submitting this proposal; thal I have completed and signed all of the required documents; that I am duly authorized to sign the proposal on behalf of the business entity; and that all of the declarations and statements contained in the proposal document are true and accurate to the best of my knowledge and belief. 01/07/10 yposer) (Date) NOTARY: Subscribed and sworn to before me a_(Wesk © Range this BN dayof An. 20ho 4 lotary Public) * Notary DENISE M. URSO NOTARY PUBLIC OF NEW JERSEY Commission Expires: ————Gemmission Expires 07/14/2014