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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, In. this 22nd day of Janua 2019 <br />Rieth-Rile :Construction Co., Inc. <br />(Name of 0rganfkePloji) <br />By <br />Josh McCor ales Manager <br />(�J�'e rafPerson 1"gra�r��� <br />ACKNOWLEDGEMENT <br />STATE OF Indiana ) <br />) ss <br />COUNTY OF St. _Jose h <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 22nd <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />Janua - 2019 <br />Dawn E. Astrong Notary <br />t �� <br />DAWN , p1�1SIRONG, <br />'01551111h!:h <br />, 2II2: 3 <br />