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Supporting Documentation · Mar 26, 2024

99-24 Exhibit to Temporary Extension Agreement.pdf

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Article 3.07 Article 3.07 Experience Statement Experience Statement Township of Township of West West Orange, Orange, West Orange, New West Orange, New Jersey Jersey Gentlemen: Gentlemen: II hereby hereby certify certify that that my my company company has has performed performed the the following following private private or or public public work work which is relevant which is relevant to to this this proposal. proposal. I| further further certify certify that that my my company company has has never never defaulted defaulted under under any contract. any contract. (Give name (Give name of of project, project, owner’s owner’s name name and and address, address, contact

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owner’s name name and and address, address, contact contact person, person, and and phone phone number, number, type of type of work, work, when when started started and and completed, completed, and and dollar dollar amount amount of of work.) work.) ___________________________________ ________________________________ (Witness) (Witness) (Name of (Name of Company) Company) ________________________________ (Address) (Address) ___________________________________ BY: _____________________________ BY: (Date) (Date) Sign Name Sign Name (Original (Original Signature Signature Only) Only) ________________________________ (Print Name

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________________________________ (Print Name (Print Name and and Title) Title) (You may (You may attach attach your your own own forms forms to to this this sheet sheet if if you you prefer, prefer, but but sign sign and and witness witness this this sheet) sheet) 42 42

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