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 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 <br />STATE OF <br />COUNTY OF <br />tF�fge�y��g�� <br />wy �V p � ,e� `•°�B � Apt. <br />F ° <br />e� <br />® ° ° ArKNOWLEDGEMENT <br />Indiana <br />) ss <br />St. Joseph <br />day of December, 2017. <br />(Title of Person Signing) <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 I9th day of December, 2017. <br />f <br />Alisha Krueger, Notary Public <br />My Commission Expires: June 5, 2022 r•d. <br />RU'p'"i., Ai.l S I-1 A KR U C G t: Fd <br />County of Residence: St. Joseph Notary Public, S,a18 of i �aiana <br />AI.:�'= sc.Joseph Counly <br />Np" p1p�.`� My Commission Expir6s <br />, <br />,,4"0 au3" Junefl5 2022 �- <br />