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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 />uth BeIthis 28th day flfWMa�tl„W µ 2019 <br />Dated at So nd m.�. m.n n. ....w <br />5,ie,th-Rfley Construction Co., Inc. <br />ormick, Sales Manager <br />ACKNOWLEDGEMENT <br />STATE OF Indiana I <br />) ss <br />COUNTY OF St. Joseph l <br />Before me, a Notary Public, personally appeared the above -named McCormickand <br />Joshua.._.:..._.- <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 28th r,9ny�f a 01" . <br />_...... �......� � . <br />121"Pl1f) <br />Dawn E. Armstrong No PubAc <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />I)AWN f , APM81' N <br />oh'uV Pula9k�%,Sf (, or an w WMY <br />ApW1II 02 <br />�1pm-mw�,rfgw,� mm�r�a,�wmm��1Ww��w��oum�uuwr.. <br />