8 Declaration of Eligibility ENG

Small Business Sustainability Program Affidavit of Eligibility I __________________________________, on behalf of myself and my business ____________________________________________________ (the “Business”), located at _____________________________, San José, California, 95____, declare that the Business qualifies as a “Small Business” for purposes of participating in the Santa Clara Valley Transportation Authority (“VTA”) Small Business Sustainability Program (“SBSP”). Specifically, I declare that the Business has twenty-five (25) or fewer employees and has annual revenues of less than seven million five hundred dollars ($7,500,000). I further declare that I am over the age of eighteen (18) and am that I am an authorized representative of the business. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that I signed this Affidavit of Eligibility on ____________ in [Date] _________________, California. [City] Signature:

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Printed Name:

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Title:

__________________________________

Business Name:

__________________________________

Notary’s attestation:

11-11-15