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� NON-COLLUSION AFFIDAVIT <br /> i � ' RF,Ti1RN WiTH RTD <br /> � � <br /> STATE OF ��1 �✓u` `v` ) <br /> ' ) ss <br /> COUNTY OF ��c�-CC.</� ) <br /> I � <br />���� � �_ r <br /> �c��--�� (__���� , being first duly sworn, <br />'�, � deposes and says that they re ' ;-e5; �- (sole owner, partner, president, <br /> secretary, etc.) of -�-v���--���Ct�c=-- ` -�<� C-- , the party making the <br /> foregoing bid; that such bid is not made in the interest or�on behalf of any undiscloscd person, <br /> � partnership, company, association, organization or corporation; that such bid is genuine and not <br /> collusive or sham; that said bidder has not directly or indirectly induced or solicited any other <br /> bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, <br /> � connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall <br /> refrain from bidding; that said bidder has not in any manner, directly or indirectly, sought by <br /> agreement, communication or conference with anyone to fix the bid price of said bidder or of <br /> � any other bidder, or to fix any overhead, profit or cost element of such bid price, or of that o�any <br /> other bidder, or to secure any advantage against the public body awarding the contract or anyone <br /> interested in the proposed contract; that all statements contained in such bid are true; and, <br /> � further, that said bidder has not, directly or indirectly, submitted their bid price or any breakdown <br /> thereof, or the contents thereof, or divulged information or data relative thereto, or paid and will <br /> not pay any fee in connection therewith to any corporation, partnership, company, association, <br /> � organization, bid depository, or to any member or ag�ent thereof, or to any other individual except <br /> to such person or persons as have a partnership or other financial interest with said bidder in their <br /> general business. <br /> � <br /> � Signed: 1 <br /> --P �,��-`^..� <br /> � Title <br /> � Subscribed and sworn to before me this�day of�_ , 2016. <br /> "OFFICIAL SEAL" <br /> (SEAL) �u►REN s ROHM�N (�,l.Q.��J � ��.(�-'���1 <br /> � NOTARY PUBUC,STATE Of ILLINOIS Notary Public <br /> MY COMMISSION EXPIREE 06•15•4017 <br /> *The Owner reserves t e right, before any award of contract is made, to require of any bidder to <br /> � whom it may make an award of the Contract, a duly executed non-collusion affidavit in the farm <br /> designated above. <br /> � <br /> � 24 <br />