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NON-COLLUSION.AFFIDAVIT <br /> RET�JRN WITH BID <br /> STATE OF ���.,�I�t.�I S ) <br /> }ss <br /> C4tJNTY OF (��"'1�1�,� } <br /> � �� �v !L� , beir►g first duly swarn, <br /> deposes and says_that they are (sole awner,partner,president, <br /> secretary, etc.) of D(1 tU tfCS 9tJ - L. � L.the party making the <br /> foregoing bid; that such bid is nat m e in the interest of or on behalf of any undisclosed person, <br /> partnership, company, associatian, organization or carparation; that such bid is genuine and not <br /> callusive ar sham; that said bidder has not directly or indirectly induced or solicited any other <br /> bidder to put in a false or sharn bid, and has not directly ar indirectly colIuded, canspired, <br /> cannzved, ar agreed with any bidder or anyone else to put in a sham bid, or that anyone shaIl <br /> refrain from bidding; ihat sazd bidder has not in any manner, directly or indirectly, sought by <br /> agreement, cammunication or conference wath anyone to fix the bid price of said bidder c�r of <br /> any other bidder, ar to�x any overhead,profzt or cost element af such bid price, or af that af any <br /> other bidder,ar to secuce any advantage against the public bady awarding the contract oz anyone <br /> interested in the proposed contract; Ehat all statements contained in such bid are true; and, <br /> further,that said bidder has not,directly or indirecily,submitted their bid price or any breakdown <br /> thereof, or the contents ihereof, or divulged informa#ion or data relative thereto, ar paid and will <br /> not pay any fee in connection ther�with to any corporatian, partnership, campa.ny, association, <br /> organizatian,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 ather financial interest with said bidder in their <br /> general business. <br /> Sign � <br /> � �� <br /> � ?��. t1!'�i�, Title �G� ��1�� <br /> Subscribed and swarn to befare zne this G���day of �`'' '� �_,2419. <br /> (SEAL) <br /> Notazy 61ic <br /> *The Owner resez-ves the right,befvre any award of contract is made,t equire of any bidder ta <br /> whom it may nnake an award af the Contract,a duly executed non-collusion affidavit in the forni <br /> designated above <br /> "OFFtC1AL SEAL" <br /> riF�nNY c caaw <br /> NOTAfiY PUBLfCM 8TA?E OF ILLtttOi$ <br /> �nr co�M�ss�ar��xai�Es a�-zM�a�s <br />