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� NON-COLLUSION AFFIDAVIT OF PRIME BIDDER <br /> S TATE OT' ����-�*�t�y� _�) <br /> } SS. <br /> COUNTY OF�(;,L�� ) <br /> 1"�`�'��"�'���►��� , B�ING FIRST DULY <br /> SWORI�°, says that: <br /> 1) He is (Owner, Partner, Officer, Representative, or Agen af <br /> ��1�� �`.�, ,.�.,,+nC, . the Bidder that has submit�ed the <br /> attached bid; <br /> 2) He is fully informed respecting the preparation and contents of the attaclzed bid and <br /> of all pertinent circumstances respecting such bid; <br /> 3) Such bid is genuine and is not a collusive or sham bid; <br /> 4} Neither the said bidder nor any of its officers, partners, owners, agents, <br />, representatives, employees or parties in interest, including this affiant, has in any way colluded, <br /> conspired, connived or agreed, directly or indirectly, with any other bidder, f rm or person to <br /> submit a collusive or sham bid in connection with the contract for which the attached bid has <br /> been submitted or to refrain iroxn bi.dding in connection with such contract,or has in any maruler, <br /> directly or indirectly, sought by agreement, or collusion or communication or conference with <br /> any other bidder, finn or person to fix the price or prices in the attached bid or of any other <br /> bidder, or to fix any overhead, profit or cost element of the bid price or the bid price of any other <br /> bidder, or to secure through a collusion, conspiracy, connivance or unlawful agreement any <br /> advanta�e against the City of Decatur, Illinois, or any person interested in the proposed contract; <br /> and <br /> 5) The price or prices quoted iai the attached bid are fair and proper and are not tainted <br /> by any collusion; conspiracy, comlivance or unlawful agreement on the part of the bidder or any <br /> of its agents, representatives, owners, employees, or parties in interest, includii�g tilis affia,nt. <br /> � <br /> Tit <br /> Subscribed and sworn to before me this C��- _day of <br /> , 2U07 <br /> �� �� � <br /> Notarv Public <br /> Title <br /> My Cornmission e�:pires ;`""' OFRCtN.SEAi„ <br /> ; KAREN K SlIiO� �<�'`��' <br /> 'ISOTAf�Y PUBLIC�BTATE 0lr� <br /> � My Commleekot►6tpths 31d4+�l9 <br />