238-25 Exhibit B.pdf

Part I] DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART 11 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 Securities 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 SEC (or foreign equivalent] filing Page i's Please 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 II other than for any publicly traded parent entities referenced above. The disclosure shal! be continued until _____names_and, addresses of ery non-corporate: stockholder, and i individual _partne: and momber excesding the 10. ta ait 7 Ie Ss | ifsmere space 8 needed, — . Stockholder/Partner/Member and Address Corresponding Entity Listed in Part I Part IV Certification I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. [ acknowledge: that I am authorized to execute this certification on behalf of the bidder/proposer; that the Township of West Orange is relying on the information contained herein and that I am under a contiauing 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 1 am aware that it is a criminal offense to make a false statement or mistepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the

or mistepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the Township of West Orange to declare any contraci(s) resulting from this certification void and unenforceable. Full Name (Print): Linda M. Spahle Title: | Acting Secretary . Signature: : Mule 4 spall Date: | 40/8/2025 : J fe / 32