STATE OF NEW JERSEY}
COUNTY OF}s.s.:[PROJECT NAME]
I,, of the City of in the State (Commonwealth) of , being of full age and duly sworn according to law, on my oath depose and say that:
I am employed by the firm of , the bidder submitting the Bid Proposal for the above named project, in the capacity of , and I have executed the Bid Proposal with full authority to do so. Further, the bidder has not, directly or indirectly, entered into any agreement, participated in any collusion, or other wise take any action in restraint of free, competitive bidding in connection with the above named project. All statements contained in said Bid Proposal and in this affidavit are true and correct and made with full knowledge that the State of New Jersey and the [GOVERNING BODY] rely upon the truth of the statements contained in this affidavit and in said bid Proposal in awarding the contract for the said project.
I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by the
Name of Firm or IndividualTitle
Subscribed and sworn to before me this
day of 1999.
Notary Public of
My Commission expires , 19.
New Jersey Department of Environmental Protection
Compliance and Enforcement, Office of Local Environmental Management
Uniform Bid Specifications