238-25 Exhibit B.pdf

ee a cee rt ema Part I DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II Ifa bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annual filing(s) with the federal Secutities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website (URL) containing the last annual SEG (or foreign equivalent) filing Page #s Ploase list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part I other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner, and member exceeding the 10 ——pereent- ownership eriteria-established-pursuant-to NJ-S-A-52:35-24.3-has-beemlisted-Attach additionat sheets ———__ jeeded. ted, Stocknolder/Partner/Memberand Address Corresponding Entity Listed in Part Il Part JV Certitication I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best ofmy knowledge are true and complete. Lacknowledge: that Iam authorized to execute this certification on behalf of the bidder/proposer, that the Lownship of West Orange is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the completion of any contracts with Township of West Orange to notify the Township of West Orange in writing of any changes to the information contained herein; that I am aware that itis a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, 1am subject to criminal prosecution under the

ation contained herein; that I am aware that itis a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, 1am subject to criminal prosecution under the law and that it will constitute a material breach of my agreemeni(s) with the, permitting the Township of West Orange to declare any contract(s) resulting from this certification void and unenforceable, Full Name Prin, PANIEL. CHRIST ORFERSON Tite: PRESIDENT Signature: qt Date: [t0/1/25 a