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SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT <br />The under r'signed bidder or agent„ being duly sworn cart oatli, says that he has not, Dior has any other <br />men,0)ur, representative, or agenl of the firm, company, corporalion or partnership represented by him, entcro(j <br />into af)Y GMIINIUAM, collusion or agreement wplh any person ri I Itiv(� tra tfws price to be bid by anyone at sects <br />lettirrip nt)r to prevont any person from bidding nor to include �,Vnyrrne to refrain from bk1ding, and thFa 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 Plymouth Indiana this 8th da of October 2019 <br />Michiana Contracting Inc <br />or Organization) <br />Scott Kir9patrick, President <br />..................................... - titla..of Person -Signing-) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana ._ ......_ _,,....aw �....a� ro...�� <br />COUNTY OF Marshall ss <br />Scott <br />Before me, a Notary Public, personally appeared the above -named Kirkpatrick and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this t <br />..u. day of,- October 2019 <br />Notary Public <br />My Commission ExpiresO,� 1? Z! <br />County of Residence:, Marshall <br />