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R2004-68 ACCEPTING PROPOSAL
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R2004-68 ACCEPTING PROPOSAL
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Last modified
1/5/2016 4:01:09 PM
Creation date
1/5/2016 4:00:26 PM
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Resolution/Ordinance
Res Ord Num
R2004-68
Res Ord Title
ACCEPTING PROPOSAL ILLINOIS DEPARTMENT OF HUMAN SERVICES DIVISION OF REHABILITATION SERVICES - VENDING MACHINE OPERATOR
Approved Date
4/19/2004
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EXHIBIT B <br /> NON-COLLUSION DISCLOSURE <br /> ` 4 <br /> The �.0 e.c -«..o ,� �L.2C�C-t���� <br /> (name of the contractor <br /> guarantees that the proposal it submitted is not a product of collusion with any other bidder and no <br /> effort has been made to fi�c the proposal price of any bidder or to fu� any overhead,profit or cost <br /> element of any proposal price. <br /> Bidder shall disclose, to the best of his or her knowledge, any employee of City of Decatur or <br /> member of the State legislature, or any relative of any such officer or employee who is an officer <br /> or director of, or has a material interest in, the vendor's business, who is in a position to influence <br /> this contract. <br /> Name Relationshi s <br /> mpany N e: ,_ -- , � � <br /> � <br /> Aut r' d Repr�sen ve: � k � <br /> � <br /> Tit1e: ,/J ` _f� _ � E � <br /> �`t�� 7 <br /> Signature:��� <br /> G�_. <br /> Date: <br /> � L <br /> - 17 - <br />
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