99-24 Exhibit to Temporary Extension Agreement.pdf

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