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21 <br />EXECUTION OF PROPOSAL <br />PROJECT NAME: Food Waste and Organic Waste Collection , <br />PROPOSAL REQUEST NO. 367 5175 <br />THIS PAGE MUST BE FULLY EXECUTED AND SIGNED FOR THE PROPOSAL TO BE CONSIDERED. <br />The person executing the proposal, on behalf of the vendor, being first duly sworn, deposes and says that: <br />{1) He or she is fully informed regarding the preparation- and contents of the attached Proposal and of all <br />pertinent circumstances regarding such Proposal; <br />(2) Neither he/she, nor any official, agent or employee of the vendor has entered Into any agreement, <br />participated In any collusion, or otherwise taken any action which Is in restraint of free competition in- <br />connection with this proposal; and <br />SIGNATURE OF-PROPOSER <br />(Printfull name of corporation) <br />(Address -County- State -Zap Code). <br />Attest <br />(Secretary/Assistant Secretary) <br />By: , <br />President/Vice Pres/Assistant Vice President) <br />-Printed: <br />Title: <br />CORPORATE SEAL: <br />Federal ID. or Social Security Number <br />NOTE -AFFIDAVIT MUST BE NOTARIZED <br />Subscribed and sworn to before me <br />This day of ,2011. <br />Title <br />My Commission Expires <br />io <br />