Laserfiche WebLink
NON-COLLUSION AFFIDAVIT <br /> RETURN WITH BID <br /> STATE OF :r%WNoi5 ) <br /> ss <br /> COUNTY OF <br /> (��I,��pkrti �,.. K�Aahp✓''� being first duly sworn, <br /> deposes and says that they are idC (sole owner,partner,president, <br /> secretary, etc.) of KC&*_LAhe (-.anW- I <br /> the party making the <br /> foregoing bid; that such bid is A 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 /> Signed: <br /> Title <br /> OFFICIAL SEAL <br /> Subscr1% Nsfv cb c�NOW 's apt day of �Maj , 2021. <br /> NOTARY PUBLIC,ST <br /> ( COMMISSION EXPIRES 1211012023 <br /> NolMry Public <br /> *The Owner reserves the right, before any award of contract is made,to require Ly 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 />