18-10 Contract

NON-COLLUSION AFFIDAVIT I,__ Joseph A. Fonzino of the City of West Orange , in the County of Essex , and the State of ___New Jersey , of full age, being duly sworn according to law on my oath depose and say that: West Orange Iam Director , of the firm of Health Dept. the vendor making this Proposal for the above named project, and that J executed the said Proposal with full authority to do so; that said vendor has not, directly or indirectly, entered into an agreement, participated in any collusion, or otherwise taken any action in restraint of free competition in connection with the above named project and that all statements contained in said Proposal and in this affidavit are true and correct, and made with full knowledge that the State of New Jersey, County of Essex, relies upon the truth of the statements contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said project. 1 fully warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by_ Township of West Orange (Company Name) Za Piresigent ice reece or em Tathote Representative Joseph A. Fonzino Print Name Director/Health Officer Tile * FAILURE TO SIGN THIS AFFIDAVIT BY A DULY AUTHORIZED COMPANY OFFICIAL WILL RESULT IN REJECTION OF THIS PROPOSAL.