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SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT <br />The undersigned bidder or went, 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 12th day of June „ 2018 <br />ACKNOWLEDGEMENT <br />STATE OF Indiana I <br />COUNTY OF St. Joseph ) ssU <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 d of .d ine <br />Dawn E. Armstrong NotaryPub rlc <br />M p Vda�tlA' Commission Expires: 4118/28 ,I��� 8I I.' A <br />rF pvv Crielyf¢ AdAuo r J Isdi¢eauok� <br />aPc)r4 Cor cri Y� <br />County of Residence!: LaPorte 6655,Ye, <br />- 4 � �f ,vK ""° �`/Py C:<au Vtltl¢tl Io1Ca V pJ7llu rv; r� <br />APW i 8 2020 <br />t omrrf r�ir +w.m ¢ nr� w� <br />i �xn a �armurvr� <br />