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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 at South Bend, IN this 13th <br />day of April , 2021 <br />Rieth-Riley Con�,q- o., Inc. <br />of Oi <br />Eric E�king, Regional Vice President Northern Indiana <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF INDIANA <br />COUNTY OF St. Joseph ss <br />} <br />Before me, a Notary Public, personally appeared the above -named <br />J. Eric Engleking and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 13th day of April 2021 <br />Notary Pubric <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />®! o <br />♦ `gATEd�°°s DAWN E. ARMSTRONC <br />NorAR�: :Notary Public, State of Indiana <br />LaPorte <br />ate. ;*c <br />�. SEAL ,. = <br />County <br />Commission # 665596 <br />MY Commission Expires <br />April 18, 2023 <br />