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DocuSign Envelope ID: BF09ME9-72974B22-8360-Al 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 /> ThQ person executing the proposal,on behalf of the vendor,, being first duly sworn,deposes and says <br /> that: <br /> 1) He or she is fulIV informed regarding the preparation and contents of the attached Proposal;and <br /> of all pertinent circurnstances regarding such Proposal,- <br /> (2) Neither heIslhe,nor any official,argent or employee of the vendor has entered into any <br /> agreement,partidpated In any cetlusion,or ot1herwise taken any action which Is in restraint of <br /> free competition in connectl:on with this proposal,and <br /> SIGNATURE OF PROP05ER - <br /> 50r, UC_iD ►ZCC-`{L UX Nam, t_LC <br /> (Print fuli name of corporation) <br /> 39o) NGL.pe c1e_a`'6 ,r C_ aTa', <br /> Address-Co, nty-State-Zip Code <br /> Attest <br /> (Secret Assi it Secreta <br /> By: - <br /> Presidentplic[e�Preside ntfAssistant Vice President) <br /> printed: � ....F o - - - <br /> Title. �12�S�flCJJ� <br /> - CORPORATE SEAL. <br /> Federal ID.or Social Security Number--_..s�o 0 <br /> NOTE-AFFIDAVIT MUST BE NOTARIZED <br /> Subscribed and sworn to before me this.__1__.__day of, oig <br /> My Commission Expires 7 <br /> Title <br /> RFP No.5259 <br />