271-22 Attachment-SUBMISSION.pdf

TOWNSHIP OF WEST ORANGE NON-CONFLICT OF INTEREST CERTIFICATION REQUEST FOR QUALIFICATIONS FOR Protessiong/ Services , WUT Tree Expert (Title of RFQ) The undersigned certifies to the Township of West Orange, County of Essex, State of New Jersey that in perfomming services to the Township he/she is aware of no circumstance that ‘would constitute a conflict of interest, financial or otherwise, between him/her (ar his/her firm) and the interests of the Township. The undersigned certifies that he/she has made a search of his/her firm’s client base and has executed this certification subsequent to such. search, The undersigned acknowledges this a continuing certification, and shall remain in effect for the term of the services contained in the solicited request for qualifications. certify that the foregoing statements made by me are true and accurate to my personal knowledge; J am making this certification in good faith. I arn aware that if any of the foregoing statements made by me are false, the Board is free to tamninate any professional service agreement entered into with the undersigned and/or his or her finn. Certifying Official: PRINTNAME: Van Di lluvte SIGNED BY: Cuan LL a TITLE: Owner DATE: 6/99 PQ Page | 20