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NON-COLLUSION AFFIDAVIT OF PRI�iE BIDDER <br /> STATE OF ) <br /> � ) SS. <br /> COITi�T�' OF ) <br /> , BENG FIRST DULY <br /> SWORN, says that: � <br /> 1) He is (Owner, Partner, Officer, Representative, or Agent) of <br /> , the Bidder that has submitted the <br /> attached bid; <br /> � 2) He is fully informed respecting the preparation and contents of the attached bid and <br /> of all pertinent circumstances respecting such bid; <br /> 3) Such bid is jenuine and is not a collusive or sham bid; <br /> 4) Neittier the said bidder nor any of its officers, partners, owners, agents, <br /> representatives, employees or parties in interest, including this a�ant, has in any way colluded, <br /> conspired, connived or a�reed, directly or indirectly, with any other bidder, firm or person to <br /> submit a collusive or sham bid in connection �vith the contract for which the attached bid has <br /> been submitted or to refrain from biddin� in connection with such contract, or has in any manner, <br /> directly or indirectly, souaht by a�reement, or collusion or communication or conference with <br /> any other bidder, firm or person to fi:c 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 a�ainst the City of Decatur, Illinois, or any person interested in the proposed contract; <br /> and <br /> �) The price or prices quoted in the attached bid aze fair and proper and are not tainted <br /> by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or any <br /> of its ajents, representatives, owners, employees, or parties in intzrest, including this affiant. <br /> Title <br /> Subscribed and sworn to before me this day of <br /> 2004. <br /> Notarv Public <br /> Title <br /> My Commission expires <br />