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STATEMENT OF JOINT VENTURE

STATE OF NEW JERSEY

SS:

COUNTY OF:

We, the undersigned, being duly sworn according to law, upon our respective oaths depose and say that:

1. Each of the following named Consultants are pre-qualified with the New Jersey Department Of

Transportation to respond to Technical Proposals for work of that Department.

(A) ; ;

( ) Individual ( ) Partnership ( ) Corporation

(B) ; ;

( ) Individual ( ) Partnership ( ) Corporation

(C) ; ;

( ) Individual ( ) Partnership ( ) Corporation

2. The Consultants listed in paragraph 1, above, have entered into a joint venture agreement for the

special purpose of carrying on the work hereinafter described in paragraph 5 of this Statement.

3. Under the terms of the joint venture agreement, the assets of each of the Consultants named in

paragraph 1, above, will be available for the performance of the work of the joint venture and for the

satisfaction of any obligation or liability incurred by the joint venture. If any of the Consultants

named above is a partnership, the assets of the individual members of such partnership will also be

available to satisfy any obligations or liability of the joint venture.

4. This statement of joint venture is executed so that the named Consultants may under such joint

venture, compete for the work described in paragraph 5 of this Statement. If the joint venture is

selected to perform the work, the contract for the work shall be executed by any person authorized to

bind any Consultant to this joint venture, and when so executed shall bind this joint venture and each

and every Consultant named herein, severally and jointly.

5. The work for which this joint venture has been entered into is identified as:

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6. Each person signing this Statement of Joint Venture is duly authorized and empowered to execute this

Statement in the name of and on behalf of the Consultant as stated in the attached Authorization of

Signature, and each person signing this Statement and each Consultant represents under penalty of

law that the facts set forth herein is true and correct to the best of their knowledge, information, and

belief.

Subscribed and Sworn to before me

this

(A)

day Day of (Name of Consultant)

month , 20____

BY:

(Type or Print)

Subscribed and Sworn to before me

this

(B)

day Day of (Name of Consultant)month , 20____

BY:

(Type or Print)

Subscribed and Sworn to before me

this

(C)

day Day of (Name of Consultant)

month , 20____

BY:

(Type or Print)

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TO BE EXECUTED BY EACH JOINT VENTURER

SIGNATURE AUTHORIZATION

STATEMENT OF JOINT VENTURE

(A) hereby certifies that

(Name of Consultant) (Name of Representative)

has been and is hereby empowered to sign the foregoing Statement of Joint Venture as the authorized

representative of for the special purpose therein expressed.

(Name of Consultant)

ATTEST _________________________ ____________________________

(Corporate Secretary, (Seal necessary if Corporation) If Corporation)

(B) hereby certifies that

(Name of Consultant) (Name of Representative)

has been and is hereby empowered to sign the foregoing Statement of Joint Venture as the authorized

representative of for the special purpose therein expressed.

(Name of Consultant)

ATTEST _________________________ ____________________________

(Corporate Secretary, (Seal necessary if Corporation) if Corporation)

(C) hereby certifies that

(Name of Consultant) (Name of Representative)

has been and is hereby empowered to sign the foregoing Statement of Joint Venture as the authorized

representative of for the special purpose therein expressed.

(Name of Consultant)

ATTEST ____________________________ __________________________

(Corporate Secretary, (Seal necessary if corporation) if Corporation)