Laserfiche WebLink
SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required <br />by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding <br />the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's <br />capability for completing the project if awarded. <br />SECTION IV CONTRACTOR'S NON -COLLUSION AFFIDAVIT <br />The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, <br />representative, or agent of the firm, company, corporation or partnership represented by him, entered into any <br />combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to <br />prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference <br />to any other bid and without any agreement, understanding or combination with any other person in reference to such <br />bidding. <br />He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, <br />fee, gift, commission or thing of value on account of such sale <br />SECTION V OATH AND AFFIRMATION <br />I HEREBY AFFIRM UNDER THE PENALTIES CONTAINED N THE FOREGOING ID FOR PRBLIC WORKS ARE TRUE AND CORRECTPERJURY THAT THE FACTS AND ORMA ``O\\1&LtKEF4��'e'r <br />V� • . , /ems <br />Dated at South Bend this 28ft' ay of M rch 2017:S��r LORPOR"I tZCt <br />Dustin Hilary, Area Manager <br />(Title of Person Signing) <br />STATE OF Indiana 1 <br />ss <br />COUNTY OF St. Joseph ) <br />Before me, a Notary Public, personally appeared the above -named Dustin Hilary and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 28th day of March, 2017. <br />My Commission Expires: June 5, 2022 <br />Alish rueger, Notary Public <br />PY�p`,,, ALISHA KRUEGER <br />�P•"'••19 s Notary Public, State of Indialo <br />County of Residence: St. Joseph ?afSEAL;0=_ St. Joseph CounIV <br />My Commission Expires 'g <br />•,/,ti o"pNP`` June 05, 2022 1 <br />