98-24 Exhibits to the Agreement for the Operation of the Recycling Center - Part II.pdf

I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the bidder/proposer; that the Township of West Orange is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the completion of any contracts with Township of West Orange to notify the Township of West Orange in writing of any changes to the information contained herein; that [ am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, | am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the Township of West Orange to declare any contract(s) resulting from this certification void and unenforceable. Fullame (Print): | S-feven f Caen tile: | Dees Deal Signature: Date: X STA See AtteteD 38 a}tefaood

OocuSign Envelope ID: BCEBISBA-C87B-4AA5-9074-SSCEZADEI7EA, STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, ¢.33, as amended by P.L. 2016, ¢.43) This statement shall be completed, certified to, and included with all bid and Proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or Proposal. Name of Organization; Nature's Choice NJ LLC Organization Address: 1106 Millstone River Rd, Hillsborough Twp NJ 08844 Part I Check the box that represents the type of business organization: oO Sole Proprietorship (skip Parts I! and tl, execute certification in Part lv) Oo Non-Profit Corporation (skip Parts ll and III, execute certification in Part lV) Oo For-Profit Corporation (any type) Biimites Liability Company (LLC) Oo Partnership Dbimitea Partnership Duimites Liability Partnership (LLP) Oo Other (be specific): Part & The list below contains the names and addresses of all stockhalders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a 10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR Oi No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV) (Please attach additional sheets if more space is needed): Name of Individual or Business Entity Address Compost 360 Acquisition, LLC 9 Greenway Plaza, Ste 2400, Houston, TX 77406

OccuSign Envetope ID: BCEB3SBA-CB7B~4AA5-9D74-S5C62ADES76A Part IIT DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PARTI \f a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivatent filing, ownership disclosure can be met by providing links to the website(s) containing the last annua) filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each Person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. [ Website (URL) containing the last annual SEC (or foreign equivalent) filing Page#'s Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part Il other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every noncorporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Address Corresponding Entity Listed in Partll Compost 360 Acquisition Parent, LLC 9G Plaza, Ste 2400, Houston TX 77046 610% of Compost 360 Acquisition, LLC) reenweyniare : Compost 360 Holdings, LLC 2400. Houston TX 77046 (10% of Compost 360 Acquisition Parent, LLO] 9 Greenway Plaza, Ste 2400, Houston beta Corneeeemente te Le) 9 Greenway Plaza, Ste 2400, Houston TX 77046 See addendum far further detail Part IV Certification |, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. | acknowledge: that | am authorized to execute this certification on behalf of the bidder/proposer; that the City is relying on the information contained herein and that | am under a continuing

plete. | acknowledge: that | am authorized to execute this certification on behalf of the bidder/proposer; that the City is relying on the information contained herein and that | am under a continuing obligation from the date of this certification through the completion of any contracts with City Zo notify the City in writing of any changes to the information cantained herein; that | am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | am subject to criminal prosecution under the law and that it will canstitute a material breach of my agreement(s) with the, permitting the City to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): | - Steyen @ Cam Title: | fresiPent_ Signature: NG Syl Date: 2fel a oo |

DacuSign Envelope ID: BCEB35BA-C87B-4AAS-9D74-55CE2ADE376A, Addendum to Statement of Ownership Disclosure Part Ul f Stockholder/Partner/Member and Corresponding Entity Listed in Part Il Address Sterling Compost 360 Aggregator, L.P. {>10% of Compost 360 Investments, LLC) 9 Greenway Plaza, Suite 2400, Houston TX 77046 Sterling Group Foundation Fund, L.P. (>10% of Sterling Compost 360 Aggregator, L.P.) 9 Greenway Plaza, Suite 2400, Houston 1X 77046 Sterling Group Foundation Fund (Executive Fund), L.P. (>10% of Sterling Compost 360 Aggregator, L.P.) 3 Greenway Plaza, Suite 2400, Houston TK77046 Compost 360 Blocker Corp (>10% of Sterling Compost 360 Aggregator, L.P.) 9 Greenway Plaza, Suite 2400, Houston 177046 Sterling Group Foundation Fund (Parallel), L.P. (>10% of Compost 360 Blocker Corp) 9 Greenway Plaza, Suite 2400, Houston TX 77046 Allianz Leben Private Equity Fonds 2001 Gmbh (>10% of Sterling Group Foundation Fund (Parallel), L.P.) Seidistrasse 24-24a Munich Bavaria 80335 Germany Harel Hamilton LaneLp (>10% of Sterling Group Foundation Fund (Parallel), LP.) 110 Washington Street, Suite 1300 Conshohocken, PA 19428 The Jesus Fund 1901 Napa Valley Drive {>10% of Sterling Group Foundation Fund (Parallel), L.P.) Little Rock, AR 72212 Arizona Psprs Trust 3010 E. Camelback Road, Suite 200. (>10% of Sterling Group Foundation Fund, LP.) Phoenix AZ 85016 New York State Teachers Retirement System 10 Corporate Woods Drive (>10% of Sterling Group Foundation Fund, LP) Albany NY 12211 Richard D Kinder 2229 San Felipe, Suite 1700 {>10% of Sterling Group Foundation Fund, LP.) Houston TX 77019 Ronald M Cameron 1901 Napa Valley Drive (>10% of Sterling Group Foundation Fund, LP) Little Rock, AR 72212 State Of Wisconsin Investment Board {>10% of Sterling Group Foundation Fund, L.P.) 121 East Wilson Street Madison WI 53703 Kevin Garland (>10% of Sterling Group Foundation Fund (Executive Fund), L.P.) 11 Glenleigh Dr. Little Rock AR 72227

Article 3.02 State of New Jersey Township of West Orange Affidavit of Authorization for Contract State of Ver ) Tevs e+ SS. County of Somerse __ STeven R. Carn being duly sworn, deposes and says that he resides at_{JOle Mi Nitone River Road Hills Leroetn hy. O&F4E that he is the ¢ resident (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 all declarations and statements contained in the Proposal are true, to the best of his knowledge and belief. Xk SHC (Type and print name of affiant under signature STawen BR Caw fieforemettiis (2 day os tbr Cid 2024. CAL (Nofary\Public) \_) ft whee eone N\eoshenber 15,2077 ubssribed and swor 39

Article 3.03 MARKET CAPACITY AFFIDAVIT STATE OF NEW JERSEY COUNTY OF L_STewen R Carn ,am the President (Name of Affiant) (Identify Relationship to Proposer) ofthe MJature's @Horee UT. Luc 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 of New 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. Atall times during the term of this Contract, STeJen K Cam agrees to commit, that Rabuce's dttoiee PT eve. _ has secured and will maintain sufficient market capacity for the Marketing of all Recyclable Materials as outlined within the RFP at a Market as defined under N.J.S.A. 13:1E-99.12 and received during the term of this Contract. Lalso 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. Kpatares dtice WT. LUC, President Name of Firm or Individual , Title Y Kx SHY, 2/ te) 203% Signature Date Subscribed and sworn to before me iF day aCioptuatyens LLL X CA. Nota ‘ochic ot MB hgh Court}. My Gonsfnission expires GS. , 2024 40

Article 3.04 State of New Jersey Township of West Orange Moral Integrity Affidavit for Contract State of Mew Tetgey SS County of. Somecsev L_ Steven & Cacn , the Presi deal of Nedure's CHoiee W5- CLC hereinafter called the Respondent, being duly sworn, deposes and says: 1. That the Respondent herewith submits a proposal regarding this Contract to the Township of West Orange. YES 2. That the Respondent wishes to demonstrate moral integrity to the satisfaction of the Township of West Orange. y 6S 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). hows, 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). Hone 41

5. That the Respondent does not appear on the State of New Jersey’s Treasurer’s Department List. NO W& Dov VeT 6. That the State in which the Respondent is incorporated is:_ Wel’ Teesey 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: Steven KR Caen, President + ¢£0 Zarde|l AMAND SeereTary + oo (Use additional sheets if required) 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. feos 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. yes atures CHotee WI LLC CS tee (Respondent) STaen R Caen, President (Type or print name of affiant under signature) scribed and sWorn to before me tnis(2 # day df. Febhetacgy ams Glee, Wolary Public) Myc fumission ovine MMOL IS, AQT] 42

Article 3.05 Non-Collusion Affidavit State of Meu! Taser SS. County of Somers el L sTeen BR Carn of the Township of _ Hi Is Lorogy , in the County of Sowers oC and the State of_Mew Tevsey , of full age being duly sworn according to law, on my oath depose and say that: lam __ Pres iDewT— of the firm of Mitures Etat wT LLG, the Proposer 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 Proposer has not, directly or indirectly, entered into any agreement, participation in any collusion or otherwise taken any action in restraint of free, competitive Proposal 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 Mature's Chwiee PT LUO (NIS.A. 52:34-15). Name of Contractor Mebue t's diloioe UT we (Sign Name Here) Steen, £m ee before moe nis ( # we obledoncs 2024. y-cominission expires: [5 2 7 Note to Notary: 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 seal or using a mevhanical stamp. NOTE: The person who signed the proposal form from the respondent should sign this form also. 43