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NON-COLLUSION AFFIDAVIT OF PRIME BIDDER <br /> STATE OF -114(1016 <br /> COUNTY OF 1I�l a )1'l ) SS. <br /> 51-.61 <br /> CI f r( -I l , BEING FIRST DULY <br /> SWORN, says that: <br /> 1) He is •w er Partner, Officer, Representative, or Agent) of <br /> A-• ' / / . , 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 hid; <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 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 the bidder or any <br /> of its agents,representatives, owners, employees,or parties in interest, including this affiant. <br /> m y <br /> 0Gun! / Pv? irt-fri--r _ <br /> Title <br /> Subscribed and sworn to before me this 1 day of G COW Ov <br /> 20 2-0 . <br /> Notary Public <br /> i1 ( i /Dm l� Official sea] <br /> SUSAN Commission expires ( l d� , JANE COLE <br /> Notary Public.State of Illinois <br /> Commission No. 1013677 <br /> My Commission Expires July 15.2025 <br /> �� ���1 <br />