206-18 Exhibit to Resolution Authorizing Temporary Extension of Contract with Reliable Wood for Operation of Recycling Center.pdf

Article 3.03 State of New Jersey Township of West Orange Moral Integrity Affidavit for Contract State of ______________________ SS. County of ____________________ I, ___________________________, the __________________________of _____________________________hereinafter called the Respondent, being duly sworn, deposes and says: 1. That the Respondent herewith submits a proposal regarding this Contract to the Township of West Orange. 2. That the Respondent wishes to demonstrate moral integrity to the satisfaction of the Township of West Orange. 3. That, as of the date of signing this Affidavit, neither the Respondent, nor any of his owners, officers, or directors are involved in any Federal, State or other Governmental investigations concerning criminal or quasi- criminal violations, except as follows: (if none, so state). ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ 4. That neither the Respondent not any of his owners, officers or directors have ever committed any violations of a Federal or State of quasi-criminal statute, except as follows (if none, so state). ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 5. That the Respondent does not appear on the State of New Jersey’s Treasurer’s Department List. 6. That the State in which the Respondent is incorporated is: _____________