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EXHIBIT E <br /> NON-COLLUSION DISCLOSURE ' <br /> ® RE: ADVERTISING BROKER <br /> The vendor shall disclose, to the best of his or her knowledge, any employee of City of Decatur <br /> ® or member of the State legislature, or any relative of any such officer or employee who is an <br /> officer or director of, or has a material interest in,the vendor's business, who is in a position to <br /> _. influence this procurement. <br /> s <br /> ® Name Relationships <br /> i <br /> Date: <br /> Company Name: <br /> Authorized Representative: <br /> Title: t <br /> signature: <br /> i <br /> i <br /> i <br />