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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, 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, Im this 1 2th day of June —, 2018 <br />Rieth-Riley Construction Co., Inc. <br />(Name ofOrganize 6on) <br />B <br />Joshua A. I °S'a es eager <br />(77tre of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />)ss <br />,COUNTY OF St. Joseph -1 <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: 4118/23 <br />County of Residence!:- LaPorte <br />day of June <br />c <br />Dawn E. Armstrong ubfi <br />DA W N 1_ A R �A 0 NC 3 <br />Nlulmy Pukpltc " M:Oo 0 f <br />665596 <br />PdVY t dIUVOVyYss h-1 n E <br />