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NON-COLLUSION AFFIDAVIT <br /> I RIJTURN WITH IIID <br /> STATE OF' ) ss )ss <br /> COUNTY OF Mo(\ <br /> aA-,(\ I— • being first duly sworn, <br /> deposes and says that they are AL*.* (sole owner, partner, president, <br /> ' secretary, etc.) of ,e)0,k(`c LJ-tgS _—tom__, the party making the <br /> foregoing bid; that such bid is not0tade 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 /> Ceti <br /> Title <br /> ' Sgbscribedwo day ofJ4G , 2022. <br /> (SEAFFICIAL SEAL <br /> ERINE A KINNEY NotUr Public <br /> ' BLIC,S AIRES 121100123 <br /> SION EX*Thes t e 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 /> 26 <br />