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Non -Collusion Affidavit <br />The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any <br />other member, representative, or agent of the firm, company, corporation or partnership <br />represented by him, entered into any combination, collusion or agreement with any person <br />relative to the price to be bid by anyone at such letter nor to prevent any person from bidding <br />nor to induce anyone to refrain from bidding, and that this bid is made without reference to any <br />other bid and without any agreement, understanding or combination with any other person in <br />reference to such bidding. <br />He further states that no person or persons, firms, or corporations has, have or will receive <br />directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such <br />contract. <br />I affirm under the penalties of perjury that the foregoing facts and information are true and <br />correct to the best of my knowledge and belief. <br />Dated at Lafayette, Indiana this 21't day of October, 2019, <br />D.A. <br />By: <br />State of Indiana <br />ss <br />County of Tippecanoe <br />Stephen A. LeBegue being duly sworn, deposes and says that he is the Vice President of <br />Operations and that the statements contained in the foregoing affidavit are true and correct. <br />Subscribed and sworn before me this 21" day of October, 2019. <br />My Commission Expires: 01-30-21 <br />County of Residence: Tippecanoe ADL�e, Notary <br />,. k•�ws�"� �ti"iw�pc. SCVwpC 6�9 Wd�nw <br />,•�:yw *cur „ 'Tr�wGaa���rbu7n �.aAu�SY <br />°' ��cmon6��"r�urMi�"aa�k@D <br />":w SEAL E�EV �`+gY941"f�Y�5d4m�41�'Y.�df PUPS <br />NorwuaIy 30, 021 <br />�4ApgiWY <br />