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Packet · Oct 2, 2012

Conference/Public Meeting Agenda/Documents — Packet

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[char |e (Resjhondent) Nicholas Vewe (Type or print name of affiant under signature) a to before me this 2 ly _ day of Augusd 2008. PE Public) A My commission expires at ay y, 20089 AIDA N. WOT MCC ay : Expiees Safin

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Section 3.02 State of New Jersey Township of West Orange Affidavit of Authorization for Contract State of New N lay Sey SS. County of, Hud SO N N ichal as Vang being duly sworn, deposes and says that he resides at 40) Cc : Z | J, 0nN33 that he is the V | ag _ Pes 1 cla 1 (Title) who signed the Proposal for this Contract; that he was duly authorized to sign; that the seal attached is the seal of the Respondent, and that all declarations and statements contained in the Proposal are true, to the best of [ febdeo | ‘(Res portent) his knowledge and belief. Nicholas Vene (Type of print name of affiant under signature) J swom to before me this 2 b day of PUAGUS 2008. Migtary Public) Ma, 4° My commission expires Gy 2008.9 VEGA Horan pense Sansa er 3

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Section 3.03 State of New Jersey Township of West Orange Moral Integrity Affidavit for Contract State of Naw ley Sy SS. County of Hudson i Nicholas Vew2 ue Viae-President or Reliable io dod Products, USeinatter called the Respondent, being duly sworn, deposes and says: we wa That the Respondent herewith submits a proposal regarding this Contract to the Township of West Orange. That the Respondent wishes to demonstrate moral integrity to the satisfaction of the Township of West Orange. That, as of the date of signing this Affidavit, neither the Respondent, nor any of his owners, officers, or directors are involved in any Federal, State or other Governmental investigations concerning criminal or quasi- criminal violations, except as follows: (if none, so state). That neither the Respondent not any of his owners, officers or directors have ever committed any violations of a Federal or State of quasi-crimina! statute, except as follows (if none, so state). That the Respondent does not appear on the State of New Jersey’s Treasurer’s Department List. vinwd That the State in which the Respondent is jctormed, is: Now & le Y SEY 33

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7. That if the answer to question # 6 is a State other than New Jersey, the Respondent has received from the Secretary of the State of New Jersey a certificate authorizing the corporation to conduct business in New Jersey. 8. That the names and addresses of the principals, officers, and shareholders of the i eoward follow: Leonac irrello —widitta | Caen (Use additional sheets if required) 9. ‘That he is personally acquainted with the operation of the Respondent; has full knowledge of the factual basis comprising the contents of this Affidavit; and that the contents are true. 10. That this Affidavit is made to the Township of West Orange to accept the Proposal for this Contract, knowing that the Township of West Orange relies upon the truth of the statements contained herein. J Ieholes [be (Respdndent) Nicholas Vewe (Type or print name of affiant under signature) wy swom to before me this ? 0 day of Fugu. st 2008. SEE Public) tr My commission expires May 4 2008. 9 AIDA N. VESA NOTARY PUSUIC OF NEW JERSEY Commnission Expires 5/4/2007

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Section 3.04 Non-Collusion Affidavit State of Now Jersey SS. County of Yud SON i, N ick las. ene of the Township of. Hl ‘ Ag [ , in the County of Unwiorkin and the State of _V2wt Sty , of full age being duly sworn according to law, on my oath depose and sa’ that: Tam (ZS of the firm of UGe bidder making the proposal for the above named project, and that I executed the said proposal for the above named project, and that I executed the said proposal with full authority to do so; that said bidder has not, directly or indirectly, entered into any agreement, participation in any collusion or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and in this Affidavit are true and correct, and made with full knowledge that the Township of West Orange, New Jersey relies upon the truth of the statements contained in said proposal and in the statements contained in the affidavit in awarding the contract for the said project. I further warrant that no person or selling agency has been employed or retained to solicit or secure such a contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by_MON €& (N.J.S.A. 52:34-15) Name of Contractor Reliable Wood Aetucts, ue X/ | holo WO (Starplame Here) By: Nicholas Vene Subscribed and sworn before me on this Z ly day of fugust ¥ojdtry Rublic) HOLAR UC OF Re say i My céinmission expires: May $ oS Note to Notarv: When completing the jurat, all notaries must: 1- Indicate date. 2. Indicate State. 3. Sign Name. 4. Affix name by Printing it, typing it, using a rubber stamp, using an impression seal or using a mechanical stamp. NOTE: The person who signed the proposal form for the respondent should sign this form also. WARNING: IF YOU FAIL TO FULLY, ACCURATELY, AND COMPLETELY FILL OUT THIS AFFIDAVIT OF NON-COLLUSION, YOUR PROPOSAL SHALL BE REJECTED. io) a

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Section 3.05 State of New Jersey Township of New Jersey Sub-Contractor Use Form Furnish below the company name, address, telephone number, and name of contact person for each sub-subcontractor, if any, to be used in the performance of the Work for the Contract. Experience statements shall be attached hereto for each sub-contractor. NOTE: If no work will be sub-contracted, indicate NONE. Nowe The contractor is advised that any change of sub-contractor(s) from the ones listed herein is subjected to the Township of West Orange’s approval. Change of sub-contractor(s) will be approved only if made for good cause and not as a result of an arbitrary purpose. fines: Ada Ni. Vesa Roliable (tone! Craducs, 74a (Name of Company) [Coven Pd. Avs, Jersey City, NI, 07305 August 2, 2008 By: "TL hthiled [lek (Date? Hanpl ‘ame (Original Signature Only) Wrewolas, Vine _,ve (Print Name & Title)

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SA Section 3.06 Experience Statement Township of West Orange, West Orange, New Jersey Gentlemen: Thereby certify that my company has performed the following private or public work which is relevant to this proposal. { further certify that my company has never defaulter under any contract. (Give name of project, owner’s name and address, contact person, and phone number, type of work, when started and completed, and dollar amount of work.) Soe \nfornotion included in Bid Respow &. fe— Poliahle Wood Hadueb, Le Ai tess) Arda. I. VEG (Name of Company) I Cavan P+. five } Jerseut ity, NI, 07305 (Address) August a lo, IDO wk belobole (Date) “of Name (Original Signature Only) Voine as Vene_, VP (Print Name and Title)

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SA (You may attach your own forms to this sheet if you prefer, but sign and witness this sheet) Section 3.07 Qualifications of Personnel Below provide the names of the personnel both management, supervisory and non supervisory who will be assigned to the West Orange Recycling Center. In addition to their names please provide their experience in operating a facility for Class B, Vegetative Waste Processing, Class C, Leaf Composting and Recycling Convenience Center. Experience shall include the amount of time served in the various positions held. Indicate those personnel who are NJDEP Certified Compost Facility Operators. I hereby certify that these employees will be assigned to the West Orange Recycling Center and that their individual experience is as described. See inforrcrion ‘included in Bid Response. Dr Tihs) Aide N. V2. on (Name of Company) {awa Pk fe; Jorsen} City, NO 0 ROS Fig ust Io, 200% wf, Joho [lel (Date Sign] Name (Original Signtiture Only) Ni¢holas Vene_, ve (Print Name and Title) (You may attach your own forms to this sheet if you prefer, but sign and witness this sheet) 38

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Section 3.08 Equipment List Below provide a list of equipment that you will use at the West Orange Recycling Center to perform the operations specified in these bid documents. Indicate if the equipment is owned or leased or if it will be acquired for this contract. T hereby certify that this equipment will be used at the West Orange Recycling Center. See Information ineluded in Bid Pespowse nao Jive) Arda N.VE ge (Name of Company) LCaven P. Ave, Jeers NY OTIS (Address) fugust 20, 200% S| bho > oul (Date) aks lame iii Signature Only) Nicholas Véne_, Ve (Print Name and Title) (You may attach your own forms to this sheet if you prefer, but sign and witness this sheet) 39

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Section 3.09 Consent of Surety - To Accompany Proposal Fist Indemmiy of Tey i | Matter called Surety), organized and existing under the laws of The State of Newlersey and duly authorized and qualified to transact business in the State of New Jersey, in consideration of the sum of the One Dollar ($1.00), lawful money of the United States of America, to it in hand paid, receipt whereof it hereby acknowledged, and in consideration, hereby certified and agrees that if the contract for which that attached bid is made be awarded coehb Word PrecluctsUlfrereafter called Contractor) for the performance of certain work or supplying of certain materials, or both, as more particularly set forth in said bid on ay ip OF Wet Drange and described for purposes of this instrument as a bid for to the TOWNSHIP OF WEST ORANGE and if Contractor shall enter into the contract with a bond in the full amount of the contract price. First indemnity of Are rica Insurance Company (Name of Insurance Company) A Leon Road, Pe caup pure), New Jersey 01054 (Address) See Bid Bono lnclded wrth Bid Proposal (Signature Attorney-In-Fact for Insurance Company) Note: Proof of authority of officers of Surety Company to execute this document must be submitted. 40

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