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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 Ashley, Indiana this <br />30th <br />day of March , 2021 <br />Klink Trucking Inc <br />"-, I (Name ofi Organ4tion) <br />13 <br />Vice -President <br />(Title of person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />) ss <br />COUNTY OF Steuben <br />Before me, a Notary Public, personally appeared the above -named Anthony Winters and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 9th day of April 2021 <br />My Commission Expires: 11/1/2024 <br />County of Residence: DeKalb <br />Notary PubAc <br />Klmbarly SmIth <br />Notary Public, State of Indiana <br />SEAL �q a31 I <br />County of DeKalb <br />My Commission Expires: }, _pk-a4 <br />