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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 Perm, 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 26th — day of November 2019 <br />Rieth-Rill d�Construction Co., Inc. <br />���ae asf C��°g�rrd��da�w,p <br />B' <br />ua, Sales Manager <br />(ride, of Person Sdgnf rg�� <br />ACKNOWLEDGEMENT <br />STATE OF, Indiana_ <br />ss <br />COUNTY OF St. Jos 'h._ .) <br />Before me, a Notary Public, personally appeared the above -named Joshua A' McCormick, and <br />�_. <br />swore that the statements contained In the foregoing document are true and correct.. <br />Subscribed and sworn to before me this 26th <br />da o� ber 2019 <br />Dawn ong dv411111'd� dd� <br />4Arr <br />My Commission Expires: 4 8123 <br />�� <br />u�R"�,W' <br />� <br />ARM if)hi7" <br />County of Residence: LaPorte <br />� ��:,�n��� d`fla7D�uuvU'adq„Nk�&a�r� nrir�uu,vuoau�y <br />i, <br />"Fn;1 u,AVWIhWb4„u4d,Nup , E^A <br />,N690,k <br />mms:imw. ,��,mraax+om�w,..d <br />