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 will comply with the provisions of Public Law 1975, Chapter 127, and shall require all subcontractors to comply with the provisions of Public Law 1975, Chapter 127.
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