STATE OF NEW JERSEY}
COUNTY OF}SS: [PROJECT NAME]
I, , am the of the , and being duly sworn, I depose and say:
1.All of the answers set forth in the Questionnaire are true and each question is answered on the basis of my personal knowledge.
2.All of the answers given in the Questionnaire are given by me for the express purpose of inducing the [GOVERNING BODY] to award to [NAME OF BIDDER] the contract for solid waste collection [and recycling] services in the event said bidder is the lowest responsible bidder on the basis of the bid proposal which is submitted herewith.
3.I understand and agree that the [CONTRACTING UNIT] will rely upon the information provided in the Questionnaire in determining the lowest, responsible bidder to be awarded the contract.
4.I also understand and agree that the [GOVERNING BODY] may reject the bid proposal in the event that the answer to any of the foregoing questions is false.
5.I do hereby authorize the [CONTRACTING UNIT], or any duly authorized representative thereof, to inquire about or to investigate the answer to any question provided in the Questionnaire, and I further authorize any person or organization that has knowledge of the facts supplied in such statement to furnish the [CONTRACTING UNIT] with any information necessary to verify the answers given.
Name of Firm or IndividualTitle
Subscribed and sworn to before me this
day of 1999.
Notary Public of
New Jersey Department of Environmental Protection
Compliance and Enforcement, Office of Local Environmental Management
Uniform Bid Specifications