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R2018-65 Accepting the Bid and Authorizing the Execution of a Contract with A. C. Pavement Striping Company for Microsurfacing CP 2018-24
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R2018-65 Accepting the Bid and Authorizing the Execution of a Contract with A. C. Pavement Striping Company for Microsurfacing CP 2018-24
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Last modified
6/20/2018 12:33:57 PM
Creation date
6/8/2018 8:53:25 AM
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Resolution/Ordinance
Res Ord Num
R2018-65
Res Ord Title
Resolution Accepting the Bid and Authorizing the Execution of a Contract with A. C. Pavement Striping Company for Microsurfacing CP 2018-24
Department
Public Works
Approved Date
6/4/2018
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t <br />' NON-COLLUSION AFFIDAVIT <br /> RETURN WITH BID <br /> STATE OF S ) <br /> ) ss <br /> COUNTY OF � ) <br /> being first duly sworn, <br /> deposes and says that they are_ a G 2 f (sole owner, partner, president, <br /> secretary, etc.) of AC , the party making the <br /> foregoing bid;that such bid is not made in the interest of or on behalf of any undisclosed person, <br /> partnership, company, association, organization or corporation; that such bid is genuine and not <br />' collusive or sham; that said bidder has not directly or indirectly induced or solicited any other <br /> bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, <br /> connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall <br />' refrain from bidding; that said bidder has not in any manner, directly or indirectly, sought by <br /> agreement, communication or conference with anyone to fix the bid price of said bidder or of <br /> any other bidder, or to fix any overhead,profit or cost element of such bid price, or of that of any <br />' other bidder, or to secure any advantage against the public body awarding the contract or anyone <br /> interested in the proposed contract; that all statements contained in such bid are true; and, <br /> further,that said bidder has not, directly or indirectly,submitted their bid price or any breakdown <br />' thereof, or the contents thereof, or divulged information or data relative thereto, or paid and will <br /> not pay any fee in connection therewith to any corporation, partnership, company, association, <br /> organization, bid depository, or to any member or agent thereof,or to any other individual except <br />' to such person or persons as have a partnership or other financial interest with said bidder in their <br /> general business. <br />' � t <br /> Signed: <br />' WILLI RINATI <br /> CORPORATE SECRETARY <br /> Title <br />' <br /> e thisLday of 92018. <br /> OFFICIAL SEAL <br /> ( AATT..�� THERESE J, TABOR <br /> 'NOTARY PUBLIC; STATE OF ILLINOIS <br /> My Commission Expires 3-29-2020 N ry Public <br /> * o any award of contract is ma e,to require of any bidder to <br />' whom it may make an award of the Contract, a duly executed non-collusion affidavit in the form <br /> designated above <br /> 1 <br /> 1 <br />
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