10-21 Exhibit - Authorizing Execution of Grant Agreement for the HDSRF Grant Funds for Preliminary Assessment and Site Investigation.pdf

PROD-00188179 Township of West Orange Project Site: Biddleman Inc. Grant Award: Up to $63,956 SCHEDULE B PROJECT COMPLETION CERTIFICATE The undersigned hereby certifies as follows: 1. I am an Authorized Representative of Grantee, the Township of West Orange. I make this statement pursuant to Section 4 of the Agreement, by and between Grantor, the New Jersey Economic Development Authority and Grantee, dated as of [insert same date as date in Agreement]. (All undefined terms used herein shall have the same meaning ascribed to them in the Agreement). 2. The Project was completed as of . (date) 3 The Project is being operated as an authorized “Project” under the Act and as substantially as proposed in the Application. The Grant proceeds were used only for the purposes for which the Grant was made, and the Grantee has adhered to all terms and conditions of the Agreement. 4. Enclosed is a check for unexpended Grant proceeds, if any as determined under the attached Calculation of Unexpended Proceeds Form, payable to the Authority in accordance with Section 4.1 of the Agreement. (Signature): ______________________ Name (Print):______________________ Date:______________ Title:_____________________________ Forward to the NJ Economic Development Authority at the below address the executed Project Completion Certificate along with a check, payable to the NJEDA, for unexpended funds, if any, in the amount calculated on the CALCULATION OF UNEXPENDED PROCEEDS FORM attached. New Jersey Economic Development Authority Underwriting Attn: Kathy Junghans, Finance Officer kjunghans@njeda.com This Project Completion Certificate may be executed and delivered to the above Finance Officer by email with attached PDF all with the same force and effect as if the same were a fully executed and delivered original. PROD-00188179 Township of West Orange Project Site: Biddleman Inc.