Laserfiche WebLink
KION-COLLUSION AFFIDAVIT OF PR14E BIDDER <br /> STATE OF -]-- i- <br /> SS. <br /> COUNTY OF �Oc 55 ) <br /> She. Q— CL BEING FIRST DULY <br /> SWORN,says that: <br /> 1) He is COwner� Partner, Officer, Representative, or Agent) of <br /> (� r, the Bidder that has submitted the <br /> attached bid; <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, film 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 ft bidder or any <br /> of its agents,representatives,owners,employees,or parties in interest,including this affiant. <br /> G <br /> 60ae-�^ z EIK31 ld�+ <br /> yyTitle <br /> Subscribed and sworn to before me this day of <br /> 20 <br /> NotaryPublic <br /> Title <br /> My Commission expires " �U <br /> OFFICIAL SEAL <br /> SYDONIA BOGNER <br /> NOTARY PUBLIC.STATE OF ILLINOIS <br /> MY COMMISSION EXPIRES 01-20-2026 <br />