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f <br /> ' f <br /> NON-COLLUSION DISCLOSURE CERTIFICATE <br /> Contractor shall disclose,to the best of his or her knowledge,any employee of the City of Decatur or <br /> member of the State legislature,or any relative of any such officer or employee who is an officer or <br /> director of,or has a material interest in the vendor's business,who is in a position to influence this <br /> procurement. <br /> Name Relationships <br /> A/� <br /> Company Name: <br /> AAd <br /> Authorized Representative: <br /> (,, C, <br /> Title: <br /> L; t _ <br /> Signature: j <br /> Date: / <br /> l <br /> 30 <br />