APPLICANT’S REPRESENTATION

I, (“Applicant”) represent that MURCH & SMITH ENERGY SOLUTIONS, LLC, or any
of its representatives, agents, or employees did not at any time, directly or indirectly, call on,
solicit, divert, or take me away from any person, firm, corporation, business, or other entity that
currently employs me or formerly employed me.

I, (“Applicant”) represent that I contacted MURCH & SMITH ENERGY SOLUTIONS,

LLC for its employment placement, and/or training, and/or employment certification service(s)
and was not solicited by MURCH & SMITH ENERGY SOLUTIONS, LLC for such service(s).

Applicant Signature: ______________________________________

Printed Name: ______________________________________

Date: ______________________________________

MURCH & SMITH ENERGY SOLUTIONS, LLC

Page 1 of 1