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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 bid 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, commiission, or thing, of value on account of such sale. <br />SECTION V OATH AND AFFIRMATION <br />11 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 />this 27th <br />C & E Excavaling, Inc. <br />day of February 2018 <br />(Name of Organization) <br />By <br />Thad Bessinger, President <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF Elkhart )SS <br />Before me, a Notary Public, personally appeared the above -named Thad Bessinger - and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 27th day of February 2018 <br />(N�ta Public <br />'-) I pt� <br />My Commission Expires: eq.. 120�5 <br />-- <br />EL 0 <br />CRISTOL MAELODY VALDEZ <br />A DE Z <br />y V L <br />X <br />Notary Public, State of Indiana <br />Indiana <br />of I n '. <br />County of Residence: Elkhart <br />toy <br />-.SEAL: 5 <br />Eikhfirt County <br />Commission 0 696906 <br />My Commission Expires <br />rily <br />a 0,20 6 <br />February 20, 2026 <br />