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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 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 FOR PERJURY THAT THE FACTS AND INFORMATION <br />CONTAINED IN THE FOREGOING BID FOR PRBLIC WORKS ARE TRUE AND CORRECT. <br />Dated at Southawd_ this <br />LY, .01 <br />C. <br />�, <br />'0°°°►�i i i 0� <br />ACKNOW <br />STATE OF Indiana 1 <br />ss <br />COUNTY OF St. Joseph 1 <br />EMENT <br />of June, 2017. <br />of <br />r S <br />Dustin Hilary, Area Manager <br />,. „ <br />(Title of Person Signing) <br />Before me, a Notary Public, personally appeared the above -named Dustin Hilaa -and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 271h day of .Tune, 2017. <br />.1 <br />Alish eger, Notary Public <br />My Commission Expires: June 5, 2022 <br />��`tPvky P&f ALISHA KRUEGER <br />County of Residence: St. Joseph o, . , Notary Putyllc, state of Indiana <br />-2;SEAL..0 St,JaaephCaunty <br />a* r k <br />My Commission Expires <br />June Q6, 2 322 <br />