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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 biddex 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 FOR PERJURY THAT THE FACTS AND INFORMATION <br />CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT. <br />Dated at South Bend this 13"` A day of June 2017. <br />*`,1►4{tilifd11I'd &61 <br />W S KeIZI,1� <br />1 N/: /� e ame of tion) <br />OAPORA <br />�+Y P S A � <br />•� E L f r <br />• Dustin Hilga, Area Manager <br />0 <br />o�i ••�''••......••'•� eo` (Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />) ss <br />COUNTY OF St. Joseph _ ) <br />Before me, a Notary Public, personally appeared the above -named Dustin Hil_aryand <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 13' day of June 2, 017. _L <br />Aa Krueger, Notary Publi <br />My Commission Expires: June S 2022 <br />ALISHA RVr�O��w <br />RUEGEFt <br />,`�15�14EHIf�i�/A�r��� <br />�Y"�(.�c'` Notary Public, State of Indiana <br />County of Residence: St. Joseph �a� <br />""SEAL" "= <br />St. Joseph County <br />•, �..,�• <br />My CommissionExplrax <br />June 05, 2022 <br />