Supporting Documentation · Mar 26, 2024
99-24 Exhibit to Temporary Extension Agreement.pdf
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Show all pagesARTICLE 3.15 ARTICLE 3.15 DISCLOSURE OF DISCLOSURE OF VIOLATIONS VIOLATIONS Please list Please list any any violations, alleged violations, violations, alleged violations, fines fines and and notices notices ofof violations issued against violations issued against the the respondent, related respondent, related companies, companies, or or affiliates affiliates within within thethe last last 55 years. years. The The information information disclosed disclosed must include must include any any governmental governmental agency, agency, Municipality, Municipality, or or individual individual initiating initiating the the charge, charge, along
charge, along along with date and with date and nature nature of of the the violations violations (use(use additional additional sheets sheets ifif required). required). Include Include copies copies of of all all violations, alleged violations, violations, alleged violations, fines, fines, notices notices of of violation, violation, appeals, appeals, and and final final determinations.
final determinations. determinations. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ There have There have been been no no violations violations against against ________________ ________or or any any related related companies, companies, (Respondent) (Respondent) and or and or affiliates affiliates within the past within the past 55 years years _____________________________ (Type or (Type or print print name name of
print name name of of affiant affiant under under signature) signature) Subscribed and Subscribed and sworn sworn to to before before me me this day of this ____________ day of _____________,, 2018 2018 ____________________________ (Notary Public) (Notary Public) My commission My commission expires expires _________________________. 53 53
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