293-22 Exhibit A.pdf

SECTION 3.0 PROPOSAL DOCUMENTS 32

Article 3.0 I STOCKHOLDER DISCLOSURE CERTIFICATION I certify that the list below contains the names and home addresses of all stockholders holding l 0% or more of the issued and outstanding stock of the undersigned. V I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. ---- PLEASE CHECK TYPE OF BUSINESS ORGANIZATION: Cv,.,..p/ffl{ ./ Partnership _ _ Limited Partnership _ _ Limited Liability~· __ V_ Corporation _ _ Sole Proprietorship_ _ Limited Liability Partnership_ _ Subchapter S Corp. _ _ PLEASE CHECK APPROPRIATE BOXES AND SIGN BELOW Stockholders HOME ADDRESS: -------------- NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ HOME ADDRESS: -------------- NAME: ------------------ HOME ADDRESS: --------------- 33

NAME: fl15.-Llfl-b-L6 /,\)eoD Prdu<C-C-S t.-L ~- Ei!fi ere !'... 1i't-rl<.oc0>k t1 111. P HOMEADDRESS: 3'(8 L1nc.olri 'BrvJ. fl lbDl-&S&-X I µ.I. Of5f(l/(p ' E:v.c ei'e <!...1fl-r)L.,,,.,,s;{.1..; 1 V1u:.. Prc:s1tx11i ·Representative Signature Print/llJame and Title / P";, /. ,., NOTARY PUBL!C .,_-::ri_·_L<.~l..,,./_ _2018 AIDA }I. VEGA NOTARY PUBLIC OF NEW JERSEY Wry Commission Exp!r6$ 614/201.9 34

OWNERSHIP DISCLOSURE This Statement is incorporated by reference into the Reliable Wood Products LLC, ("RWP") Disclosure Certification submitted by Nature's in connection with the RFP for Operation of the Township of West Orange Recycling Center The sole Member ofRWP is: TAS Recycling, LLC, a New Jersey limited liability company, having a principal office at 398 Lincoln Boulevard, B- 1, Middlesex New Jersey 08846 The outstanding Member interests ofTAS Recycling, LLC are owned Fifty (50%) Percent by Tammy V ene residing at 40 McCampbell Road, Holmdel, New Jersey 07733 and Fifty (50%) Percent by Joseph A. Kollock III, residing at 16668 Blue Marlin Court, Lewes, Delaware 19958. There are no other Members ofTAS Recycling, LLC. The Managers ofTAS Recycling, LLC are Tammy Vene and Eugene J. Ciarkowski, each having an office at 398 Lincoln Boulevard, Middlesex, New Jersey 08846. Mr. Ciarkowski has no ownership interest in either TAS Recycling, LLC or in R WP. Mr. Ciarkowski also serves as Vice President of R WP. Dated: 7 ;/f' /r& ~/r-----rl~- Reliable Wood Products, LLC

Article 3.2 State ofNew Jersey Township of West Orange Affidavit of Authorization for Contract SS. County of M lDDlGSe:. X. _c_~_(,L_'.),,_~_"_e.__l._111-_r<..lr-a __w_s_f<-_;___ being duly sworn, . deposes and says that he resides at L// 4:1£ H ({ L I (Title) who signed the Proposal for this Contract; that he was duly authorized to sign; that the seal attached is the seal of the Respondent; and that al I declarations and statements contained in the Proposal are true, to the best of his knowledge and belief. Subscribed and sworn to before me this / 6 day of ·:f2.e_ L ·y' • 2018 . ~~ My commission expires /t-147' 7; Po/'} AIDAN. VEGA NOTARY PUBUC OF NEW JERSEY My C-Omm!seloo E)({JllllS 5M/2019 35

Article 3.03 MARKET AFFIDAVIT AND GUARANTEE STA TE OF NEW JERSEY COUNTY OF M IPDL.IJ'.5 i: 'I-. I, '[!: IA Ve.l\e@_ lA-rko<v.'-["- ( ,am the ift&.h Pre.>1/)eAT (Name of Affiant) (Identify Relationship to Proposer) ofthe 'R.eLtl\-lr-Lc:- ~Joo\) Pa.Jue.TS. L{j!_. and being duly (Name of Proposer) sworn, I depose and say: All statements contained in this affidavit are true and correct and made with full knowledge that the State ofNew Jersey and West Orange will rely upon the truth of the statements contained in . this affidavit and in this Proposal in signing the contract for the Contract term. , ,_ · . "!:>u.t<l;U'7 Hi~ fml"'L<>Yill ~),z, # At all times during the term of this Contract, t"u.9e1H'. i!.l.Ar\Lc~k.t ~agrees to commit, that q.,,C· . KlfL<:l-lrltf fVt'OD fnJl<ek l,J C. .has secured and will maintain suffici~;t market capacity for the Marketing of all Recyclable Materials as outlined within the RFP at a Market as defined under NJ .S.A. 13:1 E-99.12 and received during the term of this Contract. I also understand and agree that failure to comply with the representations contained herein shall be cause for breach of contract and will entitle West Orange to damages arising there-from in accordance with the Liquidated Damages Provision within this Request for Proposal and Contract. Subscribed and sworn to before me this /£ day of ~1l:f 2018 Notary Public of My Commission expires li"fr V, 201f9 AIDAN. VEGA 36 NOTAAY PL'BUC OF NEW JERSEY My C-0rnmlsslon Elql!m 61412019

Article 3.04 State of New Jersey Township of West Orange Moral Integrity Affidavit for Contract SS. County of M\.,,i>~&" I, .f01J €.\'\<:!.. C..1.17-r\'-tlt.0~ki of Kl?Lvi-&.L& \M::vD fh.Jw.Js. t-Ll. hereinafter called the Respondent, being duly sworn, deposes and says: I. 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, no state). · hont 37

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: rJtvJ -:r/l{'St:ji 7. That if the answer to question #6 is a State other than New Jersey, the Respondent has received from the Secretary of the State of New Jersey a certificate authorizing the corporation to conduct business in New Jersey. 8. That the names and address of the principals, officers, and shareholders of the Respondent are as follows: (Use additional sheets ifrequired) 9. That he is personally acquainted with the operation of the Respondent; has full knowledge of the factual basis comprising the contents of this Affidavit; and that the contents are true. 10. That this Affidavit is made to the Township of West Orange to accept the Proposal for this Contract, knowing that the Township of West Orange relies upon the truth of the statements contained herein. x4~q~~ (Responcijitf / · - E~&n&- 'iL1!'rl/t.ct.v!:k(. 1/1u:: ?~roe,.,_[ (Type~ print name of ajjiant under signature) Subscribed and sworn to before me this 20!8. (~ __47.,,__V.~,_.;/._':a_V~9____. My commission expires _!1 AIDAN. VEGA 38 NOTARY PUBLIC Of NEW JERSEY MJ Cr.lmmlll$la! ~es 5W20t9

Officers: 3.04 #8 Members TAS Recycling Tammy Vene and Joseph Kollack • Eugene Ciarkowski Vice President & General Manager Reliable Wood Products, LLC 398 Lincoln Blvd. Middlesex, NJ 08846 • Matthew Vastano Vice President & Sales Manager Asst. Secretary Reliable Wood Products, LLC 398 Lincoln Blvd. Middlesex, NJ 08846 • John Sullivan Vice President Operations Reliable Wood Products 398 Lincoln Blvd. Middlesex, NJ 08846

Article 3 .05 No11-Collusio11 Affidavit SS. County of t~l II:>)) ll?..S E- 1-- J, t=u.5-epe. i!.wlia,,,sj:..i of the Township of l-cmo. V;;.LLE-'f , in the County of tV\O'<'f'I s and the State of ~·ew '=i'-ersef , of full age being duly sworn according to law, on !11:1 oath depose and say that: 1am tll<!.ffe Pres tD"" I of the firm of f!.&L,AJ,.LG- IJ)l<>V PaJ!~~~ bidder making the proposal for the above named project, and that I executed the said proposal for the above named project, and that I executed the said proposal with full authority to do so; that said bidder has not, directly or indirectly, entered into any agreement, participation in any collusion or otherwise taken any action in restraint of free, competitive bidding 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 Township of West Orange, New Jersey relies upon the truth of the statements contained in said proposal and in the statements contained in the affidavit in awarding the contract for the said project. I further warrant that no person or selling agency has been employed or retained to solicit or secure such a 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 '?;:L14UG- lJtro &.OuJ:, LLC. (N.J.S.A. 52:34-15). Name of Contractor 'i2,t;,UA-(,.L& 1i.,'t:OD trcJllJ{..f.s, kc a? nd sworn before me on this ___J_6 __u._J..-1,/~-----20 I 8. ___ day of_-:f My commission expires: r'1°"¥ 7'; :?L?/9 Note to Notarv:· When completing this form, all notaries must: 1- Indicate date. 2. Indicate State. 3. Sign Name. 4. Affix name by Printing it, typing it, using a rubber stamp, using an impression sea! or using a mechanical stamp. NOTE: The person who signed the proposalformfi'om the respondent