Township Council Meeting — Packet

ener Person or Entity Shauger Property Services, Inc. COMPLETE PART | BY CHECKING EITHER BOX, found on ‘Treasury’s ~ websile af I certify, pursuant to Public Law 2012, ¢. 25, that neither the person or entity listed above, nor any parent entity, subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury's list of entities determined to be engaged in prohibited activities in Iran pursuant to P.L. 2012, c. 25 (“Chapter 25 List"). 1 Jurther certify that I am the person listed above, or I am an officer or representative of the entity listed _above_and_am—authorized_—io—make—this_| certification on its behalf. I will skip Part 2 and sign and complete the Certification below. Jam tunable to certify as above because the person or entity and/or a parent entity, subsidiary, or affiliate thereof is listed on the N.J. Department of the Treasury's Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in Part 2 below sign and complete the Certification below. 37