Laserfiche WebLink
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial staternent as required <br />by stabiste. shall thereby be rendered. invalid. The financial statement provided herewider to the governing body awarding <br />the contract must be specific criougji in detail so that said governing body can inake a proper deterirnination of the bidder"s <br />capability for completing the project if awarded. <br />S.F'.CTION IV COWRACTOWS NON CO.L.J.,USION AFFIDAV171' <br />The undersigned bidder or agent., being duly sworn on oath, says that he has not, nor has any other member, <br />representative, or agent of the firm, company, corporation or partnership represented by him, entered. into any combination, <br />collusion (.)r agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person <br />from bidding nor to induce anyone to refrain frorn bidding, and that this bid is made without reference to any other bid and <br />without any agreement, understanding or combination, with any other person in reference to such bidding.. <br />lie further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, <br />fee, gift, con-unission or thing of value on account of such sale <br />SECTION V O.A.111 AN]..) AFFIRMATION <br />I HEREBY AFFIRM UNDER'n IE PENALTIES FOR PERAJRY THAT THE FAC'I'S ANDINFORMATION <br />CONTAINED INTI 1E FOREGOING BID 1�10R PRBLIC WORKSARE TRUE AND CORRECT. <br />Dated at ­ South Bend, ------------ ... .................. this — 14 th day of <br />KQ4 <br />CoRPORA 0 Z� <br />to <br />o K <br />STATE OF Indiana <br />ss <br />COUNTY OF St. Joseph . ..... <br />­­­­­­­­­­1 ........... . . ........... ... <br />(Name of Organization) <br />Dustin Hikuy, VP of South Bend Area <br />(Title of Person Signing) <br />Before me, a Notary Public, personally appeared the above -named Dustin Hila,ry and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this ------- - ------ - 10 , day of <br />My Commission Expires: _______June 5, 2022 ­ . . . ............ <br />County of Residence: St. Jo <br />.. . . ........... . . .... . ...... . . ........................... . . . . <br />A lisha Krueger, Notal.--mIolublic <br />AUSH KBUEGER <br />Indiana, <br />Notary Public, State of <br />St. joseph County <br />my Gomratssion FxPill <br />June 2022 <br />