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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 />1 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 />12th y November 2019 <br />South Fend, In. a , Dated at _ this �-_.....__, da of . <br />H eth-Riley! Construction Co., Inc <br />B <br />y <br />Ruben Alvarado, Engineer/Estimator (rifl��— <br />— <br />e of r'�l�r� Signing <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />ss <br />COUNTY OF St. Joseph <br />Before me, a Notary Public, personally appeared the above -named Ruben Alvardo and <br />swore that the statements contained In the foregoing document are true and correct. <br />Subscribed and sworn to before me this 12th <br />,� November 2019 <br />a o <br />Dawn E. Xrrr strong Narai Pub - — <br />M Commission Ex iron„ 4/18/23 <br />Y p� <br />N�ht ' A� I <br />��k�uaA�rd���� V".����gP�W'0^i Im l�IJ��EI�0i,iG � <br />--._ <br />w �'ItN rd QED �.�1P��kiN td� VR`YV,G1tl.`HV4li �S <br />County of Residence:—LaP LaPorte <br />„9-rf&�NhN;�U° <br />,° W,"sa" 4 w. �" &nR priVtlh NtiR�% All 6d`�5 d"i�i�r <br />V II1P0y' 47C"&'�o&Np�9r�()4"P'��pkh�u.ws <br />_ <br />�va�i�p(„pfpW�l'�trirlll�v;P'�dl'M% ➢I r�^DIY YAVNd:f➢ !/' n�rduY�. nu; m ,ny, nOPUIY��m!pU�f� <br />