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

SCHEDULE B PROJECT COMPLETION CERTIFICATE (CONT’D.) CALCULATION OF UNEXPENDED PROCEEDS FORM DATE PROJECT COMPLETED: ____________________________ The following actual approved project costs have been paid: NJ DEP Oversight (actual dollars invoiced): $_______________________ Preliminary Assessment $_______________________ Site Investigation $_______________________ Remedial Investigation $________________________ Remedial Action $________________________ Contingency $________________________ Other costs (Itemize) $ ________________________ (A) Total Project Costs Paid: $_________________________ (B) Project Grant Amount (from Schedule A) $________________________ Amount to be Remitted to NJEDA (B) – (A) $________________________ Kindly make checks payable to the “New Jersey Economic Development Authority” or “NJEDA” and returned with the Project Completion Certificate. Should you prefer to wire the unexpended funds instead you may do so by using the following instructions: Wells Fargo Bank, N.A. 1 West State Street Trenton, NJ 08608 ABA #121 000 248 ACCT # 2100009100456 New Jersey Economic Development Authority 36 West State Street P.O. Box 990 Trenton, NJ 08625 Re: ____________ Fee (type of fee) ________________________________________ (P__________) (Project Name) (Project #) 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.