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Affidavit of Declaration from Authorized Representative of Qualified 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your name in the first blank space, followed by your job title and the name of the Company you represent.
  3. In the next section, enter the quarter end date and the number of full-time permanent employees based at the Company's operations in Sandoval County, New Mexico.
  4. Attach the 'Quarterly Employment and Wage' data as required. Ensure this document is submitted to the State of New Mexico Department of Workforce Solutions for compliance.
  5. As an authorized representative, sign and date the declaration, providing your job title and company name.
  6. Complete the acknowledgment section for notarization by entering details such as county, date, and notary public information.

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ATTACHMENT A BID/PROPOSAL AFFIDAVIT Page 1 of 7

AUTHORIZED REPRESENTATIVE I. I possess the legal authority to make this Affidavit on behalf of myself and the business for which I am acting. statement,

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Affidavit of Declaration from Authorized Representative of

I am an authorized representative of the Company, and except where otherwise noted, I have personal knowledge of the facts set forth in this Declaration.

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