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NON-COLLUSION AFFIDAVIT <br /> STATE OF ►JVI1 ) <br /> ) ss <br /> COUNTY OF ) <br /> RETURN WITH BID <br /> { 1> being first duly sworn, <br /> deposes and says that they are (sole owner, partner, president, <br /> secretary, etc.) of*p J OP dl D)G V l ! , the party making the <br /> ' foregoing bid; that such bid is not ma&in the interest of o 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:0APAA ,j <br /> Title <br /> � <br /> - vI � KA. PAS., &P, Kell bar <br /> ' Subscribed and sworn to before me this day o U(y U d—( 2023. <br /> ' (SEAL) - - - - - - - - 11�A ztAJAA&!i�J <br /> "OFFICIAL SEAL" <br /> TIFFANY C CRAW o a P l <br /> NOTARY PUBLIC,STATE OF ILLINOIS <br /> ' *The Ow MY COMMI I N ExPI S os• 4.2017 award of contract is mad to equire of any bidder to <br /> whom it may make an award of the Contract, a duly executed non-col usion affidavit in the form <br /> designated above. <br /> 19 <br />