Laserfiche WebLink
. 4 • <br /> 5.3 AFFIDAVIT OF NON-COLLUSION <br /> i hereby swear (or affirm) under penalty of perjury: <br /> 1. That I am the proposer (if the proposer is an individual), a partner of the <br /> proposer (if the proposer is a partnership) or an officer or employee of the <br /> proposing corporation, having authority to assign on its behalf (if the proposer is � <br /> a corporation); <br /> 2. That the attached proposal or proposais have been arrived at by the proposer <br /> independently, and have been submitted without collusion with, and without any <br /> agreement, understanding or planned common course of action with any other <br /> vendor of material, supplies, equipment or services described in the invitation to <br /> propose, designed to limit independent bidding or competition; <br /> 3: That the contents of the proposal or proposals have not�6een communicated <br /> by the proposer or its employees or agents to any person not an employee or <br /> agent of the proposer or its surety on any bond furnished with the proposal or <br /> proposals, and will not be communicated to any such person prior to the officials <br /> opening of the proposal or proposals; and <br /> 4. That I hereby certify that I or my company is/is not (underscore one) included <br /> on the United States Comptroller General's consolidated list of persons or firms <br /> currently debarred for violations of various public contracts incorporated labor <br /> standards provisions. <br /> 5. That I have fully informed myself regarding the accuracy of the`statements <br /> made in this affidavit. <br /> Authorized Signature <br /> Firm Name �, <br /> Subscribed and sworn to before me II <br /> this day of , �g <br /> Notary Public <br /> My Commission expires <br /> , <br /> Proposer's FEIN <br /> -15- <br />