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NON-COLLUSION AFFIDAVIT <br /> ' RETURN WITH BID <br /> ' STATE OF <br /> ss <br /> COUNTY OF <br /> being first duly sworn, <br /> deposes and says that they are }',r� _ ' , _(sole owner,partner,president, <br /> secretary, etc.) of ' l._� a� t't,t ;ri, the party making the <br /> foregoing bid; that such bid is not mad 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 anN one else to put in a sham bid, or that anyone shall <br /> refrain from bidding; that said bidder has not in anv 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, protit or ci»t 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 a,,ent 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 /> ttc L.mn plc er _ <br /> ♦slat t ihlic No:':' sl <br /> Sl 1Tt OFF ytlSuWfP1 t <br /> l umm�s<itned for SI l t arl,5 County <br /> Title <br /> Itle <br /> ?v1c Cnrnnu 9s ion Espn e.,.(11 _..;YL'A <br /> Subscribed and sworn to before me thts >1 da of <br /> J,V""�' .2022. <br /> _ <br /> (SEAL) ~- <br /> I ' / otary Public <br /> *The Owner reserves the right,before any award of contract is made,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 />