293-22 Exhibit A.pdf

Article 3.07 Experience Statement Township of West Orange, West Orange, New Jersey Gentlemen: I hereby certify that my company has performed the following private or public work which is relevant to this proposal. I further certify that my company has never defaulted under any contract. (Give name of project, owner’s name and address, contact person, and phone number, type of work, when started and completed, and dollar amount of work.) ___________________________________ ________________________________ (Witness) (Name of Company) ________________________________ (Address) ___________________________________ BY: _____________________________ (Date) Sign Name (Original Signature Only) ________________________________ (Print Name and Title) (You may attach your own forms to this sheet if you prefer, but sign and witness this sheet) 42