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SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT <br />The undersigned bidder or agent, being duly swom 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 Baru In,..........._this 14th day of,.May �p 2019 <br />Nietl��Rale�Construotion Com lnc. <br />B <br />es Manager <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF St. Joseph l ss <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 swum to before me this 14th day o kY_ 20 <br />� <br />Dawn E. Ar—n rong <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />D rr \V N EIZ h1 N I 0 N G <br />uti��nu <br />H�� punu,june,, gnu Ile kA Md aniiii:i <br />�,�arr��po- <br />�.�ull"a*uua �,Mia�uumtl� <br />Wu"itlla i <br />P',y CcimlyflIsOcin 8 realer <br />�"� �* WIIIIN 23�um�uo�uim�!wmi.� <br />u u�mwu�mmouuw�ma �oi����� 2 <br />