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, . , , � "Exhibit C" <br /> � NONCOLLUSIQN AFFIDAVIT � <br /> . S'fATE Of' 1 iMtY�RfM►P: 'Riis a[fidavit mist !x pn�{•�rly <br /> � mrt{�letctf .irt! s��tmi tteci �iN al l hi�l5 <br /> COI�►IY OF __ � <br /> � , bcinq Ei�st duly swrn, depases and says that he [s <br /> (FJ�tcr namc o persa� ing a t avt[) <br /> ( [ec c a+ner , A Pa�tner . Presi nt , o[ o[ r p�oper tit e) <br /> of , the bidder submitting this pcvposal; <br /> cer �ame o irn►1 y rtnershi <br /> that suc3� bid vas rot n�adc in the intecest oE or on bchalf oE an urdisclosed pecson, pa P. <br /> ccnpany, organization, or corp�xa[ion; that sud� bid is genulne and not collusive or shar•�i�an�ddders <br /> sald bidder A�s not b�_en a pacty to any agrcanent or oollusion a�or+g bidders or prosPK <br /> in restraint �E [recdan of conpeticion by �yre�ment to bid a fixecl prioe, or othec�+ise, or to cefrain <br /> fcvm biddinq errl haa not, directly �r inii�ectly, by �9c''rmrn[, eumunicwcicx� or eanfecence yith <br /> pq�ne accenptai to induee actirn pcpju'licial to the interest of tt►e City of Decatur, <br /> 1 I I l f101 S o� �( any hicfJec o� Anya�c cl:,c intcr�stM in the p�o(�'.eci contract. <br /> Su�:�Ktnf:�� nrm :s.�w �to et:rv�+e nf: chiz <br /> (S1t�10CUCC O }k'C!1J�1 M 'L�L l JV lC) <br /> day nt .19 <br /> . f5�c.1 ' <br /> Notary P � ic <br /> R66 (12/81) � <br /> ELIGIBLE 61DDER CERTIFICATE <br /> i� ner�d�y ec�city c1�ac <br /> (FTter name o ccaipany o tcta tnq e cectt tcacion) <br /> � �s Nor tncl�aea o� che • <br /> (Ehcer neme o irn� or wht Cert► cat on Ls n�ade) <br /> U.S. �xrptroller General•s Consolidated �ist of Persons or Fi[ms Orbarrecl F'ran fede�al Co�tracts [or <br /> violacions oE varioLLs public concracts ineocpo�ating labor standards pcovisions. <br /> swsc:kte►:o �r+� �nw �v �+eFoi�e ne cnfa <br /> (s qnawrc o coq>any o icia <br /> day of .�'1 <br /> �bt.ary P��, �c (:FJ�t.1 <br /> NOTf:: Th�s [o�m aust Ae su�mitted vith Aids �nly tor contracts tn be Euncieci by IJ�T!'N1CDT <br /> - a67 (�2/8i) <br /> I <br /> i � <br />