Township Council Meeting — Packet

oem ceverteer son You must provide a detailed, accurate and precise description of the activities of the person or entity, or a parent entity, subsidiary, or affiliate thereof engaging in investment activates in Iran below and, if more space is needed, on additional sheets provided by you, ose = io are : {= rc yn =TOSTET Rapeeweni-ana- slate the whe Pore OE-MorMation-and—=| anty attachments there to the best of my knowledge are true and complete, I attest that! am authorized to execute this certification on behalf of the above-referenced person or entity, _ Lavknowledge that the Township of West Orange is relying on the information contained herein and thereby acknowledge that Iam under a continuing obligcition from the date of this certification through the completion of any contracts with the Reference to Township of West Orange to notify the —-Referenee.to_Township_of West Orange in writing of any changes to the answers_of information contained herein, I acknowledge thet I am aware that it is a-criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with the Township. of West Orange and. that the Reference to Township of West Orange at its option may declare any coniract(s) resulting from this certification void and unenforceable. DANIEL CHRISTOFFERSON |PRESIDENT Full Name Title {Print) al HP f LO/1/25 Signature [ Date 38 i i