|
{
<br /> Nt}N-COLI�.ISIC��t Al�'��A'VI"�'C?��'�M�$�I7�.
<br /> 57CAT8��'..:�1,f,�v,°,s' �
<br /> � ) 35.
<br /> COUNZ`'Y 4F�,6,�'.�'�� }
<br /> ,��1��. ��`.���',1.��' .���mrc��.s�nt�,�
<br /> swo�r,���ttt�t;
<br /> 1� �Ie is (Owner, Pa7rrtu�r, �?#�icar�, Rewresentativ or Ag�n#� of'
<br /> . e id er th�t hae �rabmitc�d tixe
<br /> atfiac3h�ed bid;
<br /> 2� �c is full�infc�rmed zespect�ng the pregaration�nd contents o�tha attsched bid and
<br /> O�HI��lBTfifilIi@11L 0lFCL1TI25h'dY2CPS TCS�3CC�SiiC}3�11�;
<br /> 3) Snch bid is genuiae and is not a collusive or sham bid;
<br /> 4} Neither the said bidder nor auy of its offiaers, partners, own,crs, agents,
<br /> representafives,em:ployees crr parties in interest,including tl�s affiant,has in any way colluded,
<br /> conspitec�, eonnived ox agread, directty or zncl�rectly,with any other bidder, fir�t or person#o
<br /> submit a coIlusive or sham bid iu conneetion with the coniraat fax whic�z tlxe attacl�ed bid has
<br /> be�n submit#ed or ta refra�u from bi8diu,g in cannection with suah�anhacf,ar ha�in any me�nner,
<br /> drrectty or indirect�p, songht by agree,mcnt, or collusion or cammunication ar conf`eaeauce wi#h
<br /> any othcr bitider,fcrm ar�rs�ta fix tl�e price ar pricers in tbe attached bid or af ar�y ather
<br /> bidder,or to 1ax auy ovexhead,prafit or cast element ofthe bid.price tu�fhe bid prtce of any t�her
<br /> bidder, or to secu�r�#}�mugh a coltusiony conspiracp, conni�vance ar ur�awtul agreerszen# any
<br /> advanta�against the City of Decatwr,]�tinois,ar auy person intcrested in the praposed conuaat;
<br /> a�nd
<br /> 5} The price ar pxic�s quoted in#he�ttac3�ed bid are fair and proper anti ate not tainted
<br /> by any r.c,llusion,conspi�acy,c�nniv,anc�or unlaw�f�l agree�nneut ou#he part of the bidder or sny
<br /> of its agents,represenfatives,owners,em��aio3'ees,ar parties in interect,including this affiani. •
<br /> �-�'�~��%/;�„�%'--''CG��''� ,
<br /> �-r�� �tc-� ,���.�f7��r'�'
<br /> �.
<br /> Title
<br /> Subsen`bed and sworn to befcrre me i�is�_day °._ .�r c c c�
<br /> 2#3�;.
<br /> rrr Public
<br /> 1�itie
<br /> My Cammission eupires S� ����
<br /> N���
<br /> i �����
<br /> ` /�f�l�!
<br /> tS? �/iAfMl9
<br /> 1fli���
<br /> 1I
<br /> t
<br /> i
<br />
|