293-22 Exhibit A.pdf

ARTICLE 3.15 DISCLOSURE OF VIOLATIONS Please list any violations, alleged violations, fines and notices of violations issued against the respondent, related companies, or affiliates within the last 5 years. The information disclosed must include any governmental agency, Municipality, or individual initiating the charge, along with date and nature of the violations (use additional sheets if required). Include copies of all violations, alleged violations, fines, notices of violation, appeals, and final determinations. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ There have been no violations against ________________ ________or any related companies, (Respondent) and or affiliates within the past 5 years _____________________________ (Type or print name of affiant under signature) Subscribed and sworn to before me this ____________ day of _____________, 2018 ____________________________ (Notary Public) My commission expires _________________________. 53