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NON-COLLUSION AFFIDAVIT OF PRIME BIDDER <br /> STATE OF <br /> SS. <br /> COUNTY OFy,,,4 <br /> BEING FIRST DULY <br /> SWORN, says that: <br /> 1) He is . (Owner Partner, Officer, Representative, or Agent) of <br /> < `` �' , the Bidd r that has submitted the <br /> attached bid; ('5� S,d'' <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 orthe 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 int t, including this Mant. <br /> Title <br /> 2o23 <br /> Subscribed and sworn to before me this_ � �day of <br /> OFFICIAL SEAL <br /> NOTARY PUBIC.STATE OF ILLINOIS <br /> MY COMMISSION EXPIRES 43.22.2425 <br /> Notary Public <br /> My Commission expires_ Title <br />