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7.5.AFFIRMATIVE ACTION AFFIDAVIT

STATE OF NEW JERSEY}

COUNTY OF }s.s.:[PROJECT NAME]

I,     [NAME OF AFFIANT]     , 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  [NAME OF BIDDER]  , the bidder submitting the Bid Proposal for the above named project, in the capacity of [TITLE OF AFFIANT] , 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

SignatureDate

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

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