181-26 Exhibit B-Reggio Construction_compressed.pdf

Accompanying this Proposal is a Certified Check o1 le to the Township of West Orange, New Jersey in the sum of $. ersigned agrees to be forfeited as liquidated damages, and not as a penalty, if the Contract is awarded to the undersigned and the undersigned shall fail to execute the Contract for the project, or furnish the Performance Bond required within the stipulated time. Otherwise, the check or bid bond will be returned to the undersigned. Has the undersigned bidder, or has any person, firm, corporation or partnership having an interest in the undersigned bidder, ever been listed or barred from the performance of public work by any department or agency of the State of New Jersey by reason of the violation of any law, rule or regulation of the State? No % Yes If yes, state full details including the dates of all occurrences. she undersigned ei a eres [mca | individual aaa Ges CONSTRUCTION WC of the State of SS having its principal — PAL'SADES PARK, NJ 0 soclaptagelaisae nls 3 OJ6 with a telephone number of @!) BB - C16 © toy purposes of receiving telephone communications in connection with the performance of the Contract. P-21