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EXECUTION OF PROPOSAL <br />PROJECT NAME: Urban Curbside Recycling Services <br />PROPOSAL REQUEST NO. i& 7- 5 t a a <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 />1 :- <br />(Printfull name of corporation) <br />01 at C, a7 a <br />(Address - County- State - 2ip Code) <br />Attest <br />(Secretary /A-,, Secr ry) <br />By: L - <br />Presiden ce PresiZ Assistant Vice President) <br />Printed: S�za -j <br />Title: <br />CORPORATE SEAL: <br />Federal ID. or Social Security Number__ -oq 5w4aq <br />NOTE - AFFIDAVIT MUST BE NOTARIZED <br />Subscribed and sworn before me <br />This /tS _ day of 20114 <br />tt !� '94 X . . . ....... . . .... <br />Title <br />My Commission Expires <br />RFP 95199 Page 25 of 26 <br />