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RETURN WITH BID <br /> ' NON-COLLUSION AFFIDAVIT <br /> STATE OF Indiana <br /> COUNTY OF Randolph <br /> Aaron Anderson being first duly sworn, <br /> deposes and says that they are Vice President (sole owner, partner, president, <br /> secretary, etc.) of Culy Contracting LLC ,the party making the foregoing <br /> ' bid;that such bid is not made in the interest of or on behalf of any undisclosed person,partnership, <br /> company, association, organization or corporation; that such bid is genuine and not collusive or <br /> sham;that said bidder has not directly or indirectly induced or solicited any other bidder to put in <br /> ' a false or sham bid, and has not directly or indirectly colluded,conspired,connived,or agreed with <br /> any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that said <br /> bidder has not in any manner, directly or indirectly, sought by agreement, communication or <br /> conference with anyone to fix the bid price of said bidder or of any other bidder, or to fix any <br /> ' overhead, profit or cost element of such bid price, or of that of any other bidder, or to secure any <br /> advantage against the public body awarding the contract or anyone interested in the proposed <br /> contract; that all statements contained in such bid are true; and, further, that said bidder has not, <br /> ' directly or indirectly, submitted their bid price or any breakdown thereof, or the contents thereof, <br /> or divulged information or data relative thereto, or paid and will not pay any fee in connection <br /> therewith to any corporation, partnership, company, association, organization, bid depository, or <br /> ' to any member or agent thereof,or to any other individual except to such person or persons as have <br /> a partnership or other financial interest with said bidder in their general business. <br /> ' Signed: <br /> t HERR/G <br /> ��ssonNa. <br /> � ,yp.F� Title Vice President <br /> O]� <br /> o: NOTgR <br /> m SL',Asgribecl d sworn to before me this 3rd day of November , 2023. <br /> LL N <br /> c <br /> 'sem ) <br /> vp� . nE P re0Y.'�O\ <br /> ' p .. • F� Notary Public <br /> STAT <br /> t *The Owner reserves the 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 /> ' 28 <br /> i <br />