Orange County NC Website
EXECUTION of~ PROPOSAL <br />PROJECT NAME:. i=ood~ Waste at~d Clrganic llVaste Coilection <br />PROPOSAL REQt)EST N0.367-5175 <br />TWIS`PAGE MUST (3E FUI:LY 1=~EGUTI=D AND SIGNED FOR TWE PROi?.O-SAL TU BE:CONSifJ,ER~r~~. <br />Ths person executing the prbposai, an.bahalf of the vendor, bolrig first.ciuiY:~wom, d$poses.and $ays:titat: <br />(1) Fie or siie is fuiiy ~fnformed.r'egarding.the.prepara#ion and eonients of tiie aftached.Rroposal.,and.of.aif <br />pertinent cii'cumstanaes regarciirig'•siich Ptoposal; . ~ ~ • • - • <br />-(2) Neither he/.she, nor any offfciai, agent or employee of the vendor has.errter~d..lntti any:agreement, <br />• participated Irt any vialfusion, ar. ~#herwise taken any aotfon•ivhiali Is in restraint•of•fre~-coi7ipetitiori in . <br />connection with this proposal; and <br />SIGNATURE OF PROP©SER~t,r_r,i~ L~ Gc~ "~l~"(~' fl~+~+.t~.G 3r~ - <br />(Prfnf full-nameof-corporaiion} <br />(Ac~dr'ess -County Slate -Zip Code) , <br />Attest ~ , <br />ecr ry/Assistcnt Secretary) <br />.-r' <br />Preside t~Vice~~ reslAssis.tant Vice' Te§ident) <br />...-:., <br />Tstie• , '~ ~'f ~~ <br />CORPORATE SEAL: <br />Fedexai ID. or Social Security Number- ~~~' ` /~ `~.~' /~, ,_ <br />NOTE - AFf=IDAVIT MUST BE. NOTARfZED <br />Suisscribed and sworn to before-me <br />Tftis , day of '-,~-- ,2Q11. <br />Tide • <br />My Commission Expires 'C'i{~~~ 1~"7 t1~C.~1~~~ <br />LOR~1 G. Cf+YiN~.~.9` • <br />Notary Pub.tto, Ngcth•Cacq(i~ra <br />Chatham Cq;u-rit.Y. <br />Niy Comrntaalon.Ex.piras <br />Marsh T 7,-z:p;T,4:. <br />(c~ <br />