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� . ,
<br /> NON-COLLUSION AFFIDAVIT
<br /> , . RETURN WITH BID
<br /> STATE OF (,�� Aj p ( �
<br /> ' COUNTY OF �.,A2� �f
<br /> '
<br /> ,
<br /> t�b�--7 �. �Jl�IJ , being first duly sworn,
<br /> ' deposes and says that they are IC,t P '' � ,� (sole owner,partner, president,
<br /> secretary, etc.) of � 0 l.?.?aJL. (�bh t�IJIJ ('� �.���1 , the party making the
<br /> foregoing bid; that such id is not made in the interest of or on b half 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 /> refram from bidding; that said bidder has not m any manner, directly or mdirectly, sought by ,,
<br /> agreement, communication or conference with anyone to fix the bid price of said bidder or of I
<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 /> ' Signe�
<br /> �
<br /> �
<br /> ' ��, Title VI�c. (�S/ 7
<br /> ' Subscribed and sworn to before me this 2 ay f /,li1 '� , 2015.
<br /> ' (SEAL) +�p�RICIAL 8EAL
<br /> 71ffANY C CRAW
<br /> ,r otary lic
<br /> NOtA1tY'UrLIC�iTAtB OF ILLIMOIi
<br /> *The Cit �COMMI��ION lX�IRtt OMZ�1•Z0/!
<br /> ' , n a ard of contract is made, to equire 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.
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