Laserfiche WebLink
NON-COLLUSION AFFIDAVIT OF PRIME BIDDER <br /> STATE OF Y C� } <br /> ) SS <br /> COUNTY OF �c.a+�- <br /> 5 J� .�.a• ,BEING FIRST DULY <br /> SWORN,says that: <br /> 1) He is (Owners, Partner, Officer, TtniBftidd�erttl <br /> or Agent) of <br /> V! _l�r� ,�;c_ at bas submitted the <br /> i;obed bid; <br /> 2) He is Rilly informed inspecting 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) Neifl= the said bidder nor any of its officers, partners, owners, agents, <br /> represenffitives, employees or parties in ktere4 including this want,has m any way colluded, <br /> conspired, coxmived or agreed, directly or indireciiy, with any other bidder, firm or person to <br /> submit a collusive or sham bid iii connection with the contract f+ar 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 comfarence with <br /> any other bidder, firm or person to fix the price or prigs in the attached bid or of any other <br /> bidder,or to fix any overhead,profit or cost eleruent of the bid price or the bid price of any other <br /> bidder, or to secure through a collusions conspiracy, cormivame or unlawful agreement any <br /> advantage against the City of Deoatvr,Illinois,or any person interested in the proposed contract; <br /> and <br /> a") The price or prices quoted in the attached bid are fair and proper and are not tainted <br /> by any collusion,conspiracy,connivance or umlawfnl agreement on the part of the bidder or any <br /> of its agents,representatives,owners,employees,or parties in interest,including ibis affiant. <br /> �lKrs-� rl�c�.►�� <br /> Title <br /> Subscribed and sworn.to before me this fday of�::ee e q <br /> 20 <br /> Notazv Public <br /> Title <br /> MY Commission expires <br />