98-24 Exhibits to the Agreement for the Operation of the Recycling Center - 2024.pdf

Section 5: Employee information report Business Registration Certificate

Certification 74.795 CERTIFICATE OF EMPLOYEE INFORMATION REPORT INITIAL —_ This is to certify that the contractor listed N.J.A.C. 17:27-1.1 et. seq. and the SI effect for the period of ee > 6w tias submitted an Employee Information Report pursuant to Treasurer has approved said ‘eport. This approval will remain in NATURE'S CHOICE NJ Lic \\ 1106 MILLSTONE RIVER RD HILLSBOROUGH NJ 088 ELIZABETH MAHER MUOIO. State Treasurer

or iv2a, 1:43 AM, N.J. Department of Treasury - Division of Revenue, On-Line Inquiry | OR : STATE OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATE | 20230816074336582 Taxpayer Name: NATURE'S CHOICE NJ LLC Trade Name: Address: 1106 MILLSTONE RIVER ROAD | HILLSBOROUGH, NJ 08844-0884 Certificate Number: 2887057 | Effective Date: August 11, 2023 Date of Issuance: August 16, 2023 | | For Office Use Only: | oT = ee as =o See one = https:/)www/1,state.nj.us/TYTR_8RC/serviecommon/BRCLogin 44

Section 6: BID Bond Consent of Surety Insurance Certificate

Bond No. 873944 Bid Bond KNOW ALL MEN BY THESE PRESENTS that we _Nature’s Choice NJ, LLC the Principal, and, Evergreen National Indemnity Company, 6150 Oak Tree Boulevard, Suite 440 Independence, OH 44131, the Surety, are hereby bound unto Township of West Orange, 66 Main St., West Orange, NJ 07052 the Obligee, in the penal sum of Ten Percent of the Total Price Bid; Not to Exceed Twenty Thousand and 00/100 Dollars (10% TPB; NTE $20, 000.00) the payment of which we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, by these presents. WHEREAS, the Principal is herewith submitting a bid or proposal for Operation of the Township of West Orange Recycling Center, 590 Mt Pleasant Ave, West Orange, NJ for Class B. Exempt Woods Class C, Exempt Compost Operation and the Recycling Convenience Genter for Electronics, Scrap Metal, Tires and Class A Recyclable Materials. NOW, THEREFORE, the condition of this obligation is that if the Principal shall be awarded the contract and the Obligee shall so notify the Surety, and if within the period specified in the contract, or if no period be specified, within twenty (20) days after the Principal's receipt of notice of award, the Principal enters into a contract and gives bond for the faithful performance of the contract, then this obligation shall be null and void; otherwise, the same shall remain in full force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. If the Obligee makes no award within (90) days of the execution date hereof, then this bond shall be null and void unless extended by written consent of Surety. No liability of the Surety shall arise hereunder unless and until the Obligee delivers written notice of a claim to the Surety. Said notification must be sent within fifteen (15) days after the alleged breach giving rise to such claim; and no suit under this bond by or for the benefit of the Obligee may be instituted sooner than thirty (30) days or later than ninety (90) days after the Surety receives such notice. Failure to act in accordance with this paragraph shall nullify and void this bond and Surety's obligations hereunder. Signed, sealed and executed this 7th day of February, 2024. Nature’s Choice NJ,

Failure to act in accordance with this paragraph shall nullify and void this bond and Surety's obligations hereunder. Signed, sealed and executed this 7th day of February, 2024. Nature’s Choice NJ, LLC Evergreen National Indemnity Company Principal Surety By XK SY By ZMK Pras Steven KR carn Culie K Bowers, Attorney-In-Fact Le Alladin Le Witness: Witness: 71d (<Kosxerny/ Matter yastono ‘Cillian Pezzano, Witnéss’7 BOND UNDERWRITER: Evergreen UNI, LLC 8150 Oak Tree Boulevard, Suite 440, Independence, Ohio 44131 PHONE: (440) 995-5100, FAX: (440) 995-5111

EVERGREEN NATIONAL INDEMNITY COMPANY Independence, Ohio POWER OF ATTORNEY Bond No. 873944 KNOW ALL MEN BY THESE PRESENTS: That the Evergreen National indemnity Company, a corporation in the State of Ohio does hereby nominate, constitute and appoint: Julie K Bowers, Denise M Borowy, Hilarie Frankenberry, Karen M Loconti-Diaz, Lillian Pezzano, Kathleen P Price, Patricia A Temple its true and lawful Attorney(s)-In-Fact to make, execute, attest, seal anc deliver for and on its behalf, as Surety, and as its act and deed, where required, any and all bonds, undertakings, recognizances and written obligations in the nature thereof. This Power of Attorney is granted and is signed by facsimile pursuant to the following Resolution adopted by its Board of Directors on the 23rd day of July, 2004, ‘RESOLVED, That any two officers of the Company have the authority to make, execute and deliver a Power of Attorney constituting as Attorney(s)- in-fact such persons, firms, or corporations as may be selected from time to time FURTHER RESOLVED, that the signatures of such officers and the Seal of the Company may be affixed to any such Power of Attorney or any Certificate relating thereto by facsimile; and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company; and any such powers so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached." IN WITNESS WHEREOF, the Evergreen National Indemnity Company has caused its corporate seal to be affixed hereunto, and these presents to be signed by its duly authorized officers this 1st day of April, 2022. EVERGREEN NATIONAL INDEMNITY COMPANY am Me ai: EN by _ 4\ SEAL; 5 Maithew T. Tucker , President . a a ae By: 2 Notary Public) State of Ohio) $s: On this 1st day of April, 2022, before the subscriber, a Notary for the State of Ohio, duly commissioned and qualified, personally came Matthew T. Tucker and David A. Canzone of the Evergreen National Indemnity Company, to me personally known to be the individuals and officers described herein, and who executed the preceding instrument and acknowledged the execution of the same and being by me duly sworn, deposed and said that they are the officers of said Company

officers described herein, and who executed the preceding instrument and acknowledged the execution of the same and being by me duly sworn, deposed and said that they are the officers of said Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of said Corporation, and that the resolution of said Company, referred to in the preceding instrument, is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal at Cleveland, Ohio, the day and year above written. 78 Julie K Bowers ete Kole Notary Pubic omen Julie K Bowers, Notary Public fags 13,28 My Commission Expires August 13, 2024 State of Ohio ) Ss: |, the undersigned, Secretary of the Evergreen National Indemnity Company, a stock corporation of the State of Ohio, DO HEREBY CERTIFY that the foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the Resolution of the Board of Directors, set forth herein above, is now in force. Signed and sealed in Independence, Ohio, this 7th day of February, 2024, Mi, E-~ Wan C. Collier, Secretary

State of New Jersey Department of Banking and Insurance CERTIFICATE OF AUTHORITY Date: May 02, 2023 NAIC Company Code: 12750 THIS IS TO CERTIFY THAT THE EVERGREEN NATIONAL INDEMNITY COMPANY, HAVING COMPLIED WITH THE LAWS OF THE STATE OF NEW JERSEY, AND ANY SUPPLEMENTS OR AMENDMENTS THERETO WITH RESPECT TO THE TRANSACTION OF THE BUSINESS OF INSURANCE, IS LICENSED TO TRANSACT IN THIS STATE UNTIL THE Ist DAY OF MAY, 2024, THE LINES OF INSURANCE SPECIFICALLY DESIGNATED BELOW: 01 - Fire and Allied Lines 11 - Other Liability 13 - Fidelity and Surety 16 - Glass 05 - Inland Marine 07 - Automobile Liability Bodily Injury 08 - Automobile Liability Property Damage 09 - Automobile Physical Damage MARLENE CARIDE COMMISSIONER OF BANKING AND INSURANCE

Evergreen National Indemnity Company Certificate 2022 The following financial information was obtained from the Statutory Annual Statement filed by Evergreen National Indemnity Company with the Ohio Department of Insurance, Direct Written Premium Reinsurance Assumed Reinsurance Ceded Net Written Premium Change in Unearned Net Eamed Premium Losses & LAE Incurred Net Commission Expense Other Expenses Underwriting Gain/ (Loss) Net Investment Income Net Realized Capital Gains (Loss) Other Income/ (Expense) Income Before FIT Federal Income Tax Net Income Assets Invested Assets Uncollected premium and agents’ balances Reinsurance Recoverable Other Assets Total Assets Liabilities & Surplus Uneamed Premium Reserve Loss & LAE Reserves Ceded Reinsurance Payable Amounts retained for others Other Liabilities Total Liabilities Surplus Total Liabilities & Surplus Statement of Income Balance Sheet 37,465,662 2,510,439 (23,071,703) 16,904,398 (87,859) 16,816,539 3,514,447 6,711,258 4,392,816 2,198,018 2,249,785 130,133 6,053 4,583,989 778,092 3,805,897 60,331,980 1,322,166 227,141 280,277 62,161,564 7,469,996 6,623,014 2,738,823 1,607,393 2,731,838 24,171,064 40,990,500 62,161,564 I hereby certify that the above information is that coniained in the Statutory Annual Statement filed by Evergreen National Indemnity Company with the Ohio Department of Insurance for the year ending December 31, 2022, Ty Davi. Canzone, Treasurbe_— /