99-24 Exhibit to Temporary Extension Agreement.pdf

that that the State the State of of New New Jersey Jersey and and West West Orange Orange will rely upon will rely upon the the truth truth of of the the statements statements contained contained in in this affidavit this affidavit and and in in this this Proposal Proposal inin signing signing the the contract contract for for the the Contract Contract term. term. At all At all times times during during the the term term of of this this Contract, Contract, _______________________agrees agrees to to commit,

to commit, commit, that that ___________________________ has has secured secured and and will will maintain maintain sufficient sufficient market market capacity capacity for for the Marketing the Marketing of of all all Recyclable Recyclable Materials Materials asas outlined outlined within within the the RFP RFP atat aa Market Market as as defined defined under N.J.S.A. under N.J.S.A. 13:1E-99.12 13:1E-99.12 andand received received during during the the term term ofof this this Contract.

the term term ofof this this Contract. Contract. II also also understand understand and and agree agree that that failure failure to to comply comply with with the the representations representations contained contained herein herein shall shall be cause for breach of contract and will entitle West Orange to damages arising there-from in be cause for breach of contract and will entitle West Orange to damages arising there-from in accordance with accordance with the the Liquidated Liquidated Damages Damages Provision Provision within within this this Request Request for for Proposal Proposal and and Contract. Contract. Name of Name of Firm Firm or or Individual Individual Title Title Signature Signature

or Individual Individual Title Title Signature Signature Date Date Subscribed and Subscribed and sworn sworn to to before before me me this this day of day of 2018 2018 ____________________________ Notary Public Notary Public of of My Commission My Commission expires expires ,, 2018 2018 37 37

Article 3.04 Article 3.04 State of State of New New Jersey Jersey Township of Township of West West Orange Orange Moral Integrity Moral Integrity Affidavit Affidavit for for Contract Contract State of State of _________________________ SS. SS. County of County of _______________________ I,I, ______________________________,, the the __________________________________of of hereinafter called ________________________________ hereinafter called the the Respondent, Respondent, being being duly duly sworn, sworn, deposes and deposes and says: says: 1. That 1. That the the Respondent Respondent herewith herewith submits submits aa proposal proposal regarding regarding this this Contract Contract to

this Contract Contract to to the the Township of Township of West West Orange. Orange. 2. That 2. That the the Respondent Respondent wishes wishes to to demonstrate demonstrate moral moral integrity integrity to to the the satisfaction satisfaction of of the the Township of Township of West West Orange. Orange. 3. That, 3. That, as as of of the the date date of of signing signing this this Affidavit, Affidavit, neither neither the the Respondent, Respondent, nor nor any any of of his

any of of his his owners, officers, owners, officers, or or directors directors areare involved involved in in any any Federal, Federal, State State oror other other Governmental investigations Governmental investigations concerning concerning criminal criminal or or quasi-criminal quasi-criminal violations, violations, except except as follows: as follows: (if (if none, none, soso state). state). ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 4. That 4. That neither neither the the Respondent Respondent not not any any of of his his owners, owners, officers

of his his owners, owners, officers officers or or directors directors have have ever ever committed any committed any violations violations ofof aa Federal Federal or or State State of of quasi-criminal quasi-criminal statute, statute, except except asas follows (if follows (if none, none, no no state). state). _____________________________________________________________________ _____________________________________________________________________ ______________________________________________________________________ 38 38

5. That 5. That the the Respondent Respondent does does not not appear appear on on the the State State of of New New Jersey’s Jersey’s Treasurer’s Treasurer’s Department List. Department List. 6. That 6. That the the State State in in which the Respondent which the Respondent is is incorporated incorporated is: is: ______________________ 7. That 7. That if if the the answer answer to to question question #6#6 is is aa State State other other than than New New Jersey, Jersey, the the Respondent Respondent has has received from received from the the Secretary Secretary ofof the the State

received from the the Secretary Secretary ofof the the State State of of New New Jersey Jersey aa certificate certificate authorizing authorizing the the corporation to corporation to conduct conduct business business in in New New Jersey. Jersey. 8. That 8. That the the names names and and address address of of the the principals, principals, officers, officers, and and shareholders shareholders of of the the Respondent are Respondent are as as follows: follows: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ (Use additional (Use additional sheets sheets if