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14 <br /> ATTACHMENT A - NON-COLLUSION DISCLOSURE <br /> The bidder shall disclose, to the best of his/her knowledge, any employee of the 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 bidder's business, and who is in a position <br /> to influence this procurement. <br /> Name Relationships <br /> Date: <br /> Company Name: <br /> Q­V1N sy ST 01 2Z C. <br /> Authorized Representative: <br /> N rNA- N <br /> Title: <br /> /l,Scl�cnf- <br /> Signature: <br /> BF-3 <br />