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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 13th day of ri1 2021. <br />`�����t��i►�r��i M' sto e CVntractors North Inc. <br />optractors/�, a of Organization) <br />�.♦ C : .. <br />O i <br />40 P 0 R,4,�, - - )BB <br />SEAL ustin HiIM, VP of South Bend Area <br />.� (Title of Person Signing) <br />,,���i��� Nbrl aN ����0♦♦• <br />ACKNrWLEDGEMENT <br />STATE OF Indiana } <br />ss <br />COUNTY OF St. Joseph ] <br />Before me, a Notary Public, personally appeared the above -named Dustin Hilary 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 />isha Krueger, Notary Publ c <br />My Commission Expires: June 5. 2022 <br />,••""""'�o <br />Y P <br />ALISHA KRUEGER <br />Countyof Residence: St. Joseph �e ; Notary <br />p -';SEAL "= <br />Public, State of Indiana <br />St. Joseph county <br />My Commission Expires <br />•�• �R'D I PN4J: <br />June 05, 2022 <br />