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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 <br />member, representative, or agent of the firm, company, corporation or partnership represented by him, entered <br />Into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such. <br />letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is <br />made without reference to any other bld and without any agreement, understanding or combination with any other <br />person in reference to such bidding. <br />He further says that no person or persons, firms, or corporation has, have or will receive directly or <br />indirectly, any rebate, 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 PUBLIC WORkS ARE -TRUE AND CORRECT. <br />Dated at South, Bend, In. this 12th dayof December , 2017 <br />Rieth-Riley Construction Co., Inc. <br />ypwaof rganizetron) <br />By, .° <br />Joshua ormick, les ' ainager <br />„ (Titte of Person Sfgning) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />ss <br />COUNTY OF St. Joseph % <br />Before me, a Notary Public, personally appeared the above -named Joshua A. McCormick and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to, before me this 12th <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />_da of,, ecember„ <br />w 2017 <br />iww <br />1VotaryP�+bFic <br />Dawn E. Armstrong <br />AP <br />��, <br />!fr)� trJ i itN�hr I bP,. r P IrarCo�ivnet <br />kk <br />pe k! 0'�V <br />ti 4rltllCri�, ICAu� t/ 6,5559 <br />y o6� <br />Mr1y 11 <br />i <br />p2 � 0 ! � t� <br />