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SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required <br />by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding <br />the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's <br />capability for completing the project if awarded. <br />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 member, <br />representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, <br />collusion or 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 from 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 />He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, <br />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 PRBLIC WORKS ARE TRUE AND CORRECT. <br />Dated at South_Bend-.-..- this . 281n day of Jul , 2020, <br />walh & Kelly.,_Inc. .... <br />-------------------------------- -------------- <br />(Nape Organization) <br />i <br />,.w John M. Peisker. President m <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indana <br />ss <br />COUNTY OF St. Joseph ........... ...... __ ............................... <br />Pe sk Before me, a Notary Public, personally appeared the above-named..........................John ................1VL er and <br />.."..i_................................ <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this----.-.----_28th__......................... .............. ......... .............. <br />day of July, 2020. <br />............... <br />Alisha Krueger, Notary Puf• c <br />My Commission Expires: June 5„ 2022 <br />611Ilt[l�tf Atµ6e`b Y0Y'@ C`+.6 b V'EGf��..6M1 <br />County of Residence: St. Josel2h 0 "``�'- <br />rA,1gr , Public, state °t pc�dsana <br />jr"x; eph Co" My <br />�" <br />Fxpires <br />G� r4•"" <br />G ' <br />,.� if n "" 0 -12 <br />fl✓X u','dAkM'7i lei U"iY�Jz' <br />4Aww„5 ;:�. .Xrll .wi': �f„ <br />