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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 lies any other <br />member, representative, or agent of the hn°n, rrnpany, 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 />ietting nor to prevent any person from bidding, nor to include anyone to refrain from: bidding„ and that Ibis bid I,, - <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 tr(d In, m,this10th —day of December 2019 <br />Rich-NiIe Construction Co.,, Inc. <br />(Nome of <br />B efn* <br />e-sua A. McCs Manager <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF St. Joseph ss <br />Before me, a Notary Public, personally appeared the above -named Joshua A. McCormick and <br />swore that the statements contained In the foregoing document are true and correct. <br />Subscribed and sworn to before me this 10th dayof . De,�,ember 2019 <br />ADawn. Arltna r° Not""' P06fn <br />My Commission Expire 4/18/23 <br />County of Residence: LaPorte <br />art;4',WY IN/i l4 rrcmr w',P�I <br />1,. uip� pR4�,u, <br />1111 lN.� w."ml�/ . <br />�,ryry� @@ qq y,Iry i,�., <br />l��'�O ��4A <br />4 l p <br />,p q M p y� I'�p <br />V lW' PiC l� ern i @�u'4 <br />,w <br />'nwr����rn��a°eeueeon� <br />'�Y'�my�!+y'!�4nPrprUY���mllNm <br />i^ M I 7GY � t <br />wAll%WS��'a61�MmUa�gdiYUfu <br />nll'rp9,yl6o��m;�^';' <br />Aaor�v��„il➢YefpyljJJYynry `l <br />