Supporting Documentation · Mar 26, 2024
99-24 Exhibit to Temporary Extension Agreement.pdf
00d0dba76ba6d3d1d7a63a33656ba8a40ca72823740f177df05bad83d7b1ada0Indexed text
the RFP RFP atat aa Market Market as as defined defined under N.J.S.A. under 13:1E-99.12 NJ .S.A. 13:1 and received E-99.12 and received during during the the term term of of this this Contract. Contract. II also also understand and agree understand and agree that that failure failure to to comply comply with with the the representations representations contained contained herein herein shall shall be cause be cause for for breach breach ofof contract contract and and will entitle West will entitle West Orange Orange to to damages damages arising
to damages damages arising arising there-from there-from in 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. el Able weod Products Le Viee 2, ~eC 10 ew Name of Firm.or Individual ; Title Pe ; Z Signatur: ed Date CubewE GLaclooski Subscribed and Subscribed and sworn sworn to to before before me me this_/& this of ~1l:f
this_/& this of ~1l:f day of /£ day Fas 2018 2018 Notary Public Notary Public of of My Commission My Commission expires expires li"fr Hay, V, 5.20189 201f9 AIDA N. VEGA AIDAN. VEGA 36 36 NOTARY PUBLIC OF NOTAAY PL'BUC OF NEW NEW JERSEY JERSEY MyMy C-0rnmlsslon E4/2019 Expire 61412019 Commission Elql!m
3.04 Article 3.04 Article State of State New Jersey of New Jersey Township of Township West Orange of West Orange Moral Integrity Moral Affidavitfor Integrity Affidavit Contract for Contract State of NEW Tense / SS. SS. County of County _M\PdraLe of M N \.,,i>~&" L_gugene I, .f01J Cnnlowski C..1.17-r\'-tlt.0~ki €.\'\<:!.. thes he Bres or of venT Kl?Lvi-&.L& fh.Jw.Js. t-Ll. whod felels Retnble \M::vD (C. hereinafter called the hereinafter called Respondent, being the Respondent, being duly sworn, duly sworn, deposes and deposes says: and says: Respondent herewith the Respondent That the I.I. That herewith submits proposal regarding submits aa proposal regarding this Contract to this Contract the to the Township of West Township of Orange. West Orange. 2.2. That the Respondent That the
to the Township of West Township of Orange. West Orange. 2.2. That the Respondent That the wishes toto demonstrate Respondent wishes moral integrity demonstrate moral to the integrity to of the satisfaction of the satisfaction the Township of Township West Orange. of West Orange. 3. That, 3. That, as as of the date of the date of signing this of signing this Affidavit, Affidavit, neither neither the the Respondent, nor any Respondent, nor any of his of his owners, officers, or owners, officers, or directors directors are involved in are involved State or Federal, State any Federal, in any other or other Governmental Governmental investigations concerning criminal investigations concerning or quasi-criminal
al Governmental investigations concerning criminal investigations concerning or quasi-criminal criminal or violations, except quasi-criminal violations, except as as follows: (if none, follows: (if none, soso state). state), on & 4.4. That That neither neither the the Respondent Respondent not any of not any of his his owners, officers or owners, officers or directors have ever directors have ever committed any committed any violations violations ofof aa Federal Federal or State of or State of quasi-criminal quasi-criminal statute, statute, except except as as follows (if follows none, no (if none, state). no state). · hon& hont 37
5. That 5. That the Respondent does the Respondent not appear does not appear on the State on the State of of New New Jersey's Treasurer’s Jersey's Treasurer's Department List. Department List. 6. That 6. That the State in the State in which which the the Respondent Respondent isis incorporated incorporated is: is: gw rJtvJ Jeter, -:r/l{'St:ji 7. That 7. That if if the the answer answer to to question question #6 #6 isis aa State State other other than than New New Jersey, the Respondent Jersey, the Respondent has has received from the received from the Secretary Secretary of of the State of the State of New Jersey aa certificate New Jersey certificate authorizing authorizing the
New Jersey certificate authorizing authorizing the the corporation toto conduct corporation business inin New conduct business Jersey. New Jersey. 8. That 8. That the the names names and address of and address of the the principals, officers, and principals, officers, shareholders of and shareholders of the the Respondent are as Respondent are as follows: follows: SEE ATThcde? (Use (Use additional sheets ififrequired) additional sheets required) 9. That 9. That hehe isis personally acquainted with personally acquainted with the operation of the operation the Respondent; of the Respondent; has has full full knowledge of knowledge of the factual basis the factual comprising the basis comprising the contents contents of of this Affidavit; and
contents of of this Affidavit; and this Affidavit; and that that the the contents are contents are true. true. 10. That 10. this Affidavit That this Affidavit isis made made to the Township to the Township of of West West Orange to accept Orange to accept the Proposal the Proposal for this for this Contract, knowing that Contract, knowing that the the Township Township of West Orange of West relies upon Orange relies the truth upon the truth of of the statements contained the statements contained herein. herein. x4~q~~ (Responcijitf /3 · - - Cuoene 'iL1!'rl/t.ct.v!:k(. E~&n&- Vice Prec
- Cuoene 'iL1!'rl/t.ct.v!:k(. E~&n&- Vice Prec Gwnrlooslel | 1/1u:: en ?~roe,.,_[ (Type~vr print (Type name of print name of affiant under signature) ajjiant under signature) Subscribed and Subscribed sworn to and sworn to before me this before me this /E day of Fels ’ 2018. 20!8. (~ A WE (Notary Public) commission expires My commission My M__ expires _!1 47.,,__V.~,_.;/._' “ay Jeng :a_V~9____}. AIDA AIDAN. N. VEGA VEGA 38 38 PUBLIG Of NOTARY PUBLIC NOTARY NEW JERSEY OF NEW JERSEY Cr.lmmlll$la! Expires tyMJ Complssion BA12019 ~es 5W20t9
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