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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 23rd day of JUIy 2019 <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF, St. Joseph 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 swom to before me this 23rd da Jules 019 <br />awn E, Ar strong, <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />WZf' 1' O�bIWW Nyfli�my+"W/roe,. <br />l uum 4ltltltlW V <br />ICU <br />CII�Po� -0^P .� <br />4YF V <br />ICJ <br />665506 <br />° k <br />Nn'mJIFMIY/�MN�rin a'r'MN <br />p�'fldMinitlllMlMifi'P.y,rtu-;wN+ImWWM. W <br />