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NON-COLLUSION AFFIDAVIT OF PRIME BIDDER. <br /> STATE OF :�60 D t S ) <br /> ) SS. <br /> COUNTY OF AAA-,-UAJ ) <br /> —� l4s A,, r"' ... ,BEING FIRST DULY <br /> SWORN,says that: <br /> 1) He is (Owner, Partner, OL&er., Representative, or Agent) of <br /> A- �a Jj,S j a t j t)F-r/lt,fj� _ �. e Bidder that has submitted the <br /> attached bid; 7� ' <br /> 2) He is fully informed respecting the preparation and contents of the attached bid and <br /> of all pertinent circumstances respecting such bid; <br /> 3) Such bid is genuine and is not a collusive or sham bid; <br /> 4) Neither the said bidder nor any of its officers, partners, owners, agents, <br /> representatives, employees or parties in interest, including this affiant,has in any way colluded, <br /> conspired, connived or agreed, directly or indirectly, with any other bidder, firm or person to <br /> submit a collusive or sham bid in connection with the contract for which the attached bid has <br /> been submitted or to refrain from bidding in connection with such contract,or has in any manner, <br /> directly or indirectly, sought by agreement, or collusion or communication or conference with <br /> any other bidder, firm or person to fix the price or prices in the attached bid or of any other <br /> bidder,or to fix any overhead,profit or cost element of the,bid price or the bid price of any other <br /> bidder, or to secure through a collusion, conspiracy, connivance or unlawful agreement any <br /> advantage against the City of Decatur,Illinois, or any person interested in the proposed contract; <br /> and <br /> 5) The price or prices quoted in the attached bid are fair and proper and are not tainted <br /> by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or any <br /> of its agents,representatives,owners,employees,or parties in interest,inc ding this affiant. <br /> ' Title <br /> Subscribed and sworn to before me L this��i day of <br /> 20,2&. <br /> "OF=SEAL"TIFNOTARY PISFjY CO€ MIS2023 o Public <br /> t� 1 Title <br /> My Commission expires <br />