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NON-CO�,LUSION.AFFIDhVIT
<br /> � R�TURN VtJITH BID
<br /> STATE OF �..�l���� )
<br /> )ss
<br /> COUNTY C?F �'1�G...C�O+� )
<br /> JG•-r� ��-t� �.-"z-�� , being first duly sworn,
<br /> deposes and says that they re ' � �?� (sole owner,partner,president,
<br /> secretary, etc.) of cn� 2t c�v C,... �. v, �. the party making the
<br /> faregaing bid; that such bid is not made in the interest f or an behalf af any undisciosed person,
<br /> partnership, company, association, arganization or carporation; that such bid is genuine and not
<br /> coliusive or sham; that said bidder has nat direcily ar indirectly induced or solicited any ather
<br /> bidder to put in a false or sham bid, and has not directly or indirectly calluded, conspired,
<br /> connived, or agreed with any 6idder or anyone eise ta 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 �x 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 af that of any
<br /> other bidder, or to secure any advantage against the gublic body awarding the cannact ar anyane
<br /> interested in the propased cc►ntract; that all statements contained in such bid are true; and,
<br /> fi.irther,that said bidder has nat,directly or i�direct]y,submitted their bid price or any breakdown
<br /> thereof, or the contents thereaf, or diwlged infarmation or data relative thereto, or paid and will
<br /> not pay any fee in connection therewith ta any corporation, partnership, campany, associati€tn,
<br /> organization,bid depository,or to any member or agent thereof,or to any other individual except
<br /> to such person ar persons as have a partnership or ather financial interest with said bidder in their
<br /> general business.
<br /> Signed: � ,�
<br /> n ,
<br /> �� � „
<br /> ,/; i
<br /> TitIe ,�}r��-��e�
<br /> Subscribed and sworn to befare rne this�day o � ,2019.
<br /> �........- - '''� �
<br /> (SEAL "OFFICIAL SEAL" �,, vv�,
<br /> �cAt��x s �oxMAx Notary Puhlic
<br /> N�TARY PUBLIC,STA7B OF lLlIWd18
<br /> MY COMMISSION EXPIRES 06-15-2021
<br /> *The Owner reserves the right, before any award of contract is nnade, to require of any bidder to
<br /> whom it may make an award of the Contract,a duly executed non-coilusion affidavit in ihe farm
<br /> designated above.
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