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39 <br />EXECUTION OF PROPOSAL <br />PROJECT NAN[E:. fofld Waste and Organic Waste Collection <br />PROPOSAL. REQUEST NO.3ti7-5175 <br />THfS `PAGE MUST BE t=l1i;LY EXEGUI`ED AND 51GNED F'OR TWE PROI?.OSAL TQ BE.CONSl1:3ERE{?. <br />.. r <br />The person $xecutirig-the prbposa), an.behalf of the ;vendor, beliig first duiy:sworn, deposes.and eays:tltet: <br />(1 } He or slie is tally'informed.regarding.the.preparation and can#ents of the :attached.Rraposai and_.of.ail <br />pertinent circumstances regarc{irig'•sii.4ah Proposal; . • <br />{Z) Neither helshe, riot an.y official, agent or employee of the vendor has.eriiered..tnta any_agreement; <br />participated !rt any coiiusion, ar: otherwise taken any action which ls'irrres#raint of free coinpetitioti in . <br />connection with this proposal; and <br />SiGi~fA'fURi=/O~F PROPOSERy ~~`~ '`,~.~ ,~G~,~!~.-yr, •`f.~~a`<f~t-v~ f~ /~~: <br />~~ ~~~b ile ~/t f`l'A. 'S 'f `~ ~'~Yb r' ~L8i7i ~ / 1f4 I'F ~ 8-)_~~~~~4 .~' ~tf ~ ~7"~C 7~~..I7€ <br />Harr-Re of-corporation} <br />~,~~' .(A~dresa -County-'State -Zip Cade} • <br />Attest ~ . `~-~ <br />ecr• ryl~tssistant Secretary) <br />~.- <br />Preside t1Viae~". es/Assistant Vice' Tesident} <br />printed: t..t+C~-•r ~ s`c~ <br />--~ ~~ <br />Tale: ~ "t~~ ~ <br />CORPORATE SEAL: <br />Fecieal iQ, or Social Security Number ~ ~ ° /( /~ <br />NOTE - AFFidAVlT MUST 6E NOTARIZED <br />Subscribed and sworn to before-me <br />This ,_ day of~,2011. <br />_~ r~ <br />1`~"''~'.~rr~•,~ t -'' h ~ C. <br />Title <br />My Commission Expires C'1s'~,:c~'-~ 1T C.~1~~~ <br />LIRA t:, CAVINtS.~ , <br />Notary Pubato, Nar.th.Cawoiina <br />Chatham Co;utit.y. <br />tVlyCommisnlon.i=xpiras <br />Mash 1 Z',.~O:i.~:- <br />t to <br />