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DocuSign Envelope ID: BF09ME9-7297-41322-8360-A1 E6C073ECAF <br /> ATTACHMENT D- EXECUTION OF PROPOSAL <br /> Project Name: Recycling Processor <br /> System Proposal Request No: 5259 <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 <br /> that: <br /> (1) He or she is fully informed regarding the preparation and contents of the attached Proposal and <br /> 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 /> (Prirrtfull name of corporation) — <br /> (Address-County- State-dip 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 this day of 2016 <br /> — My Commission Expires _ <br /> Title <br /> RFP No.5259 <br />