99-24 Exhibit to Temporary Extension Agreement.pdf

State ofof New Jersey is New Jersey is relying relying onon the the information information contained herein and contained herein and thereby thereby acknowledge acknowledge that that II am am under under aa continuing continuing obligation obligation fram from thethe date of this date of certification through this certification through the the completion completion of of any any contracts conmlcts with with thethe Township Township to to notify notify the

with thethe Township Township to to notify notify the Township in the To\vnship in writing writing of of any changes to any changes to the the answers answers of of information information contained herein. I1 acknowledge contained herein. acknowledge that that I{ am am aware aware that that itit isis an criminiil criminal ofTense offense to to make make aa false false statement statement oror misrepresentation misrepresentation inin this this certification, certification, andand ifif!1 de do so, so, I| recegnize that !{ am

do so, so, I| recegnize that !{ am recognize that am subject subject toto criminal criminal -.· prosecution prosecution under the law under the and that law and that itit will will also also constitute constitute aa material material breach bre;ich ofof my agreement(s) with my agreement(s) with the Township of\Ves! the Township of West Orange, Orange, StateState of of New New Jersey and that Jersey and that the Township atat its the Township ifs option option may may declare declare any contract(s) resulting any contract(s)

may declare declare any contract(s) resulting any contract(s) resulting from from this this certification void and certification void and unenforceable. unenforceable. _;;,,->~ //~ Full Name (Print): Ful!Name(Print): /;~e.ne. <!'..11>-r)Lcw.sl.q. Signature:::\.~4~~ -- //- Title: 1,h e rs- iV-es 1p-enI Date: '?'/t.7-f 8 ' I 56