99-24 Exhibit to Temporary Extension Agreement.pdf

Article 3.19 Article 3.19 TOWNSHIP OF WEST TOWNSHIP OF WEST ORANGE ORANGE DISCLOSURE OF DfSCLOSURE INVESTMENT ACTIVITIES OF INVESTMENT ACTIVITIES IN IRAN IN IRAN Leliabie Proposer: 11..ibL.tJ.\-l'.>L..t Proposer: Woo v>voD LLC RD!ML-15;. 1y LLC... D Pops f Pursuant to Pursuant Law 2012, Public La\v to Public any person 25, any 2012, ¢.c. 25, person or or entity entity that submits aa bid that submits or proposal bid or proposal or or otherwise proposes toto otherwise proposes enter into enter or renew into or contract must renev·i aa contract complete the must complete certification below the certification under penalty attest, under below toto attest, penalty ofof perjury, perjury, that the

penalty ofof perjury, perjury, that the that the person or person entity, or or entity, one of or one the person of the person or entity's parents, or entity’s subsidiaries, or parents, subsidiaries, affiliates, isis not or affiliates, identified on not identified list created on aa list created maintained by and maintained and Ne\.v Jersey the New by the Department of Jersey Department of the Treasury as the Treasury as aa person person or entity engaging or entity engaging in investment in investment activities inin Iran. activities Iran. If finds aa person Director finds the Director If the person oror entity violation of be inin violation entity toto be

violation of be inin violation entity toto be the principles of the vhich are principles ..which are the subject of the subject of this law, this law, s/he take action shall take s/he shall action as may be as may appropriate and be appropriate and provided provided by by law, rule or law, rule or contract, including but contract, including but not limited not lirn ited to, imposing sanctions, to, imposing seeking compliance, sanctions, seeking recovering damages, compliance, recovering declaring, declaring damages, declaring, declaring thethe party party inin default default and and seeking debarment seeking debarment or of the suspension of or suspension person or the

default and and seeking debarment seeking debarment or of the suspension of or suspension person or the person entity. or entity. II certify, certify, pursuant pursuant toto Public Law 2012, Public Lan• 2012, c.c. 23, 25, that that the the person person or entity listed or entity above fo1· listed above for n'hich which Il am am authorized authorized to submit aa proposal: to submit Must check proposal: l\1ust appropriate boxes check appropriate boxes ~ Isls not Pal not providing providing goods services of or services goods or $20,000,000 or of S20,000,000 more in or more the energy in the energy sector of Iran, sector of including aa person lran, including person or entity or that provides entity that provides oil or liquefied oil or natural gas liquefied natural tankers, or

entity that provides oil or liquefied oil or natural gas liquefied natural tankers, or gas tankers, or products used toto construct products used or maintain construct or maintain pipelines used pipelines transpoit oi used toto transpo1t or liquefied oil I or natural gas, liquefied natural gas, for the energy for the sector of energy sector Iran, and of Iran, and 0[J IsIs not institution that financial institution not aa financial $20,000,000 or extends $20,000,000 that extends credit to more inin credit or more another person to another person or for 45 entity, for or entity, 45 days, or days, or more, more, if that person

or entity, 45 days, or days, or more, more, if that person if that person or entity will or entity use the \viii use credit to the credit goods or provide goods to provide or services the energy in the services in energy sector in sector in Iran. Iran. event that the event InJn the person or that aa person entity is or entity make the unable toto make is unable the above above certification or one because itit or certification because one of its parents, of its parents, subsidiaries, or subsidiaries, affiliates has or affiliates engaged inin the has engaged the above activities, aa detailed,

engaged inin the has engaged the above activities, aa detailed, referenced activities, above referenced detailed, accurate and precise accurate and description precise description of the of activities must the activities must bebe provided provided in part 22 below in part belov.• to the New to the Jersey Turnpike Ne\v Jersey under penalty Authority under Turnpike Authority penalty ofof perjury. perjury. Failure Failure to to provide provide such \Viii result such will in the result in the proposal being rendered proposal being rendered as non-responsive and as non-responsive and appropriate penalties, fines appropriate penalties, fines and/or be assessed will be sanctions will and/or sanctions as provided assessed as by law. provided by law. Part 2:

will be sanctions will and/or sanctions as provided assessed as by law. provided by law. Part 2: PLEASE Part 2: PROVIDE FURTHER PLEASE PROVIDE FURTHER JN FORMATION RELATED INFORMATION RELATED TO TO INVESTMENT ACTIVITIES IN INVESTMENT ACTlVITlES IRAN IN !RAN You must provide You must pro\•ide aa detailed, detailed, accurate accurate andand precise description of precise description of the activities of the activities of the the proposer, proposer, or or one one of of its its parents, parents, subsidiaries subsidiaries or or affiliates,

or affiliates, affiliates, engaging inin the engaging the investment activities inin Iran investment activities Iran outlined above by outlined above completing the by completing the boxes boxes below. below. Name: Name:~-~~-,.,---------- Relationship to Proposer: Relationship to Proposer:---------- Description of Activities: Description of Activities:--------------------------- Duration of Engagement·. Duration of Engagement. _ _ _ _ _ _ _ _ _ Anticipated Anticipated Cessation Date: _ _ _ _ _ _ _ __ Cessation Date: Proposer Contact Proposer Contact Name: Name: Contact Contact Phone Phone Number: Number:---------- Certification: CertiFication: 1,I, being duly swom being duly sworn upon upon my my oath, oath, hereby represent and hereby represent and state that the state that foregoing information the foregoing information and and any any auachments

any auachments attachments thereto thereto toto the the best best of of my my knowledge are true knowledge ;:ire true and and complete. complete. [I attest that 1I am attest that authorized to am authorized to execute execute thisthis certification certification on on behalf of the above beha!fofthe referenced person above referenced person or or entily. !| acknowledge entity. acknowledge that the Township that the Township of of West West Orange, Orange, Stntc State ofof New Jersey is New