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' NON-COLLUSION AFFIDAVIT <br /> • RETURN WITH BID <br /> ' STATE OF ,1 j(i n b i S <br /> COUNTY OF MCkc-oe, <br /> e being first duly sworn, <br /> ' deposes and says that they are re (sole owner, partner,president, <br /> secretary, etc.) of 2CIIAinc> P lect-ac v , the party making the <br /> foregoing bid; that such bid is not made in the interest of or 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: <br /> Tr es:d� k <br /> Title <br /> Subscribed and sworn to before me this f O day of 4 _' 2015. <br /> S <br /> ( ) OFFICIAL SEAL <br /> VALERIE A VONDREHLE Notary Public <br /> ' NOTARY PUBLIC-STATE OF ILLINOIS <br /> *T r ceMrvllssl°ve t ri�'fit �e re 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 /> 22 <br />