Orange County NC Website
117 <br />EXECUTION OF PROPOSAL <br />PROJECT NAME: Urban Curbside Recycling Services <br />PROPOSAL REQUEST NO. <br />THIS PAGE MUST BE FULLY EXECUTED AND SIGNED FOR THE PROPOSAL TO BE <br />CONSIDERED. <br />The person executing the proposal, on behalf of the vendor, being first duly sworn, deposes and says <br />that: <br />(1) He or she is fully informed regarding the preparation and contents of the attached Proposal <br />and of all pertinent circumstances regarding such Proposal; <br />(2) Neither he /she, nor any official, agent or employee of the vendor has entered Into any <br />agreement, participated In any collusion, or otherwise taken any action which Is in restraint of <br />free competition in connection with this proposal; and <br />SIGNATURE OF PROPOSER <br />(Print full name of corporation) <br />(Address - County- State - Zip Code) <br />Attest <br />(Secretary /Assistant Secretary) <br />By: <br />President/Vice President/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 12014 <br />Title <br />My Commission Expires <br />RFP #5199 Page 25 of 26 <br />