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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 (B) ( ) Individual (C) ( ) Individual ; ( ) Partnership ; ( ) Partnership ; ( ) Corporation ; ( ) Partnership ; ( ) Corporation ; ( ) 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:

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 day Day of month , 20____ (A) (Name of Consultant) BY: (Type or Print)

Subscribed and Sworn to before me this day Day of month , 20____

(B) (Name of Consultant) BY: (Type or Print)

Subscribed and Sworn to before me this day Day of month , 20____

(C) (Name of Consultant) BY: (Type or Print)

TO BE EXECUTED BY EACH JOINT VENTURER SIGNATURE AUTHORIZATION STATEMENT OF JOINT VENTURE

(A) (Name of Consultant)

hereby certifies that (Name of Representative)

has been and is hereby empowered to sign the foregoing Statement of Joint Venture as the authorized representative of (Name of Consultant) for the special purpose therein expressed.

ATTEST _________________________ ____________________________ (Corporate Secretary, (Seal necessary if Corporation) If Corporation)

(B) (Name of Consultant)

hereby certifies that (Name of Representative)

has been and is hereby empowered to sign the foregoing Statement of Joint Venture as the authorized representative of (Name of Consultant) for the special purpose therein expressed.

ATTEST _________________________ ____________________________ (Corporate Secretary, (Seal necessary if Corporation) if Corporation)

(C) (Name of Consultant)

hereby certifies that (Name of Representative)

has been and is hereby empowered to sign the foregoing Statement of Joint Venture as the authorized representative of (Name of Consultant) ATTEST ____________________________ __________________________ (Corporate Secretary, (Seal necessary if corporation) if Corporation) for the special purpose therein expressed.

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