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� �� '� t <br /> • " NONCOLLUSION AFF1DAVtT � <br /> SrATE pF ) IMT`f3FtTnNi': Zt+is af f icl�vi[ nusi tt {'+rc�•�Cty <br /> ; � cc,r��(�tctf an! s��++i ccai �ith a!t t�i�fs <br /> COCMY OF ) <br /> � • • , bcinq tirat duly rorn, dcposcs and say� tlsat he [s <br /> (tTtcr narc o persan suxing a i v►t) - <br /> ( cec c wner , � Partrer , pres nt , oc ocner pcoper ti ei <br /> a� , the biddcr s�bnitting t�is pevpvsal; <br /> cer nartc o irn+l <br /> Lnac sud+ bid vu not aade in the interest of x on bchalf oE any �s�disclosed person, partners�+iF. <br /> c�sar+y, ocqanizatian. or cocpocation: tlswt su�Q► bid 'u gcnuine and noc collusive or st+ar+. ar+d tA+t <br /> said bidder has rot b!�en a paRy to ae+y agrea�c`nt or c�llasian arecx+g Didder+ or pcasPective Didders <br /> [n tescrsine of freedorn of es�petitian by aqetaner+t tn bid a Eixed pcioe, oc oct+cr�ise, ot ta c�ftsin <br /> tro„ Ai�Oinq arri ha� not, dic+�etly oe iMir�etly, by �r�en._nt, ecnnunierci�x+ oc �o+ferenee �itl� <br /> p atter�ptai to ir+duct acticn pc+�j�sliciai to the interest oE thr City of Deeatur, <br /> 1 I �015 oc oC �e+y Aiakler oe M+yone wl:.e i.+tet�:steci in tt+e pcopoeaec! evr+erwet_ <br /> 5�s�:�:Kcnf� �r+n wruaa � At:��� �: chi� <br /> (sigwcurs ot }�r_�� wy:� att vacl <br /> dsy o[ .19 . <br /> - (SF1�t.) ' <br /> NpCacy P iC - <br /> R6b (12/81 ? � <br /> ELiGi6LE BtDDER CERTIFICATE. <br /> I. her��t�y �crtiCy Lhst <br /> (II�trr narer o astpany o aua mr+cing tnc erru ieauon) <br /> � is taCi' inelu�ied on the . . <br /> (E�ter naf,e of ic� oc +.e�ic� cc:ti ieaticn ss made) <br /> U.S. cbnptrolle_ Ger+cral's Con.solidated Lfst of Pers�ons oc Firms DebarrM FYa++ Federal Contraeu foe <br /> violations of various public c�r+crac:s inc�r?o�acinq Iabor sLandacds pravisiorLt. - <br /> Su15Ckt8f.t� Ar+O s.r�tua 7U HEFOu� nE th(s <br /> (Sigiocurc � ctsq�any ottici� <br /> __ d�y of .i9 <br /> Not.�ty P�t� tC (:FJli.l . <br /> �(7ff:: �is (oc+e eaast !�e s�s++itted �itt� bids mly [oc eon�rnets to be furxieci !�y l� �, It37T <br /> R67 (12/81 ) <br />