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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, Ire. _ this 27th day of August 2019 <br />fieth-RileyConstruction Co Inc. <br />of ^rrxizrrJ <br />By <br />JG McCor anager <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF St. Joseph j ss) <br />Before me, a Notary Public, personally appeared the above -named Jgshu and <br />a A. cCrmic .._. w. <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this _ 27th da ,j._Aug ust 2 19 <br />Dawn E. An *ong <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />r� uNWM�N 64 ��R �,IIIWwuuZN7UryWl�wu fhFl UI MfNppYU:pp��NI4G$NiP u�iq�qryry7�1'r dtiViWD;N;µµ. N!Gilrfi Nfu1{VPb MP10 mJV9Xrar. <br />4�9�V 9' 0' <br />4 d� <br />y <br />f Pr;°,14uui M p frvV:,rviltl 41a1 a , e* 0A , M1°urdl. <br />�p01 <br />�aVl,�uaru4 rd�'� 66,5596 <br />lwd M r r;ur° uui!s;witi:rourEq')VTIDS <br />uwm,�wuw��m+,rr�i�u�.mru�ux�nrmvr�mwrr�iim 'noWm��� r„w�%migmn�ut�vmu�r�,mmmn�r�w��m,�„ <br />