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'. NON-COLLUSION AFFIDAVIT
<br /> t
<br /> STATE OF Scc o s )
<br /> ss
<br /> COUNTY OF Sa,.lj,clwwK )
<br /> j PMes R 13ru.uee being first duly sworn,
<br /> ' deposes and says that they are preside..'+ (sole owner, partner, president,
<br /> secretary, etc.) of LW 0,,,4jmcjvs Ww j�, xjc_, , 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 /> 1 ed:
<br /> Title
<br /> J Subscribed and sworn to be ore e this S day of 2012.
<br /> OFFICIAL SEAL
<br /> (SEAL) MARTHA LOU THORNLEY
<br /> NOTARY PUBLIC,STATE OF ILLINOIS
<br /> MY COMMISSION EXPIRES 9-26-2015 O P ull 1C
<br /> 1 *The Owner reserves the right, before any award of contract is made, to require of antbidde
<br /> whom it may make an award of the Contract, a duly executed non-collusion affidavit in the form
<br /> designated above.
<br /> F,
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