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SECTION IV CONTRACTORS 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, 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 1 2th day of June -f 2018 <br />Rieth-Riley Construction Co., Inc, <br />jName of Oiganizodon) <br />By <br />Josh u9%7McCopiek-, "8ales Manager <br />(Tide of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <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 day of <br />JuDe <br />Dawn, E. <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />18 <br />EV"N' �'l E. dA A 5 P141 <br />�"Qh�tr/ PuAc' skjk) M )'Indrinn <br />6 5 '„S 9 6 <br />l <br />4Pir1 <br />A �3, 2 C) 2,3 <br />