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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 atSouthBend,. In. this 26th dayof November 2019 <br />I teth-RIIey_ onstruction q Inc. <br />ell <br />Be <br />y� <br />Drew D. Snodderl, Engineer/Estimator <br />f r1j'e &7p0-p6 ra lajr hq) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF St. JoSeph ss <br />,y personalty pP <br />Before me, a Note Public, ersona! appeared the above -Warned Drew D. Snodderly and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this _ 26th <br />d y'b ovenn 2019 <br />�W�r�� Dawn E. Arm tf ng �r"��� <br />My Commission Expires:_4/18/23 <br />„ -pp <br />yy <br />I),�4JV N, li A R 0A S 161' 0 G4(3, <br />County of Residence. LaPorte <br />., vNtgttu �r w°u6559 <br />MV fcon'a Vn"96w,ssk A F"XpGfas E <br />�'daa. 'Aio-pp Oka ra�r AprIll I 202 i <br />amarurxdvaA�ualw�91N'�W:Nl�wtl�.w»VNuli uANV>Dd�����t'+�romrmUnv�ivymswvr�mms+w �µ,� ve ��rmuri^ <br />