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J � . �. <br /> ATTACHMENT D <br /> NON-COLLUSION DISCLOSURE <br /> The bidder shall disclose, to the best of his/her knowledge, any employee of the City of Decatur <br /> or member of the State legislature, or ar.y relative of any such officer or employee, who is aa <br /> officer or director of, or has a inaterial interest ir�, the bidder's business, and who is in a position <br /> to influence this procurement. <br /> Name Relationshi s <br /> Date: �//� � C�� - <br /> '`7 <br /> Company Name: /� /' -7'— <br /> �C�°L 4'1 G ''1 G ✓1 C� O✓✓�✓✓�li� + <u.;' i G�I S i- ✓f c <br /> Authorized Representative: ._-----'—' <br /> � l/ /I � �/E r-- <br /> Title: <br /> s� �� � �� <br /> Signature: -'""� <br /> / G <br /> Decatur Public Transit Syslem <br /> Attachment D -D2- Non-Collusion Disclosurc <br />