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SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT <br />The undersigned bidder or agent, being duly swom 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 this <br />Milestone <br />day of March <br />forth, Inc. <br />(Name qj�Qrganlzatlon) <br />Director of Estimating <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />Before me, a Notary Public, personally appeared the above-named Dustin P. Hilary <br />swore that the statements contained in the foregoing document are true and correct. <br />2022 <br />— and <br />Subscribed and sworn to before me this 22nd day of March 2022 <br />— NotaryAubrc Alisha Krueger <br />My Commission Expires: 6/5/22 <br />ALISHAKRUEGER <br />County of Residence: _ . St_J.oseph — ;=°Nc. ` ; LaporleCaunty <br />My Commission Expires <br />mrd <br />June 5, 2022 <br />'('tr a c t ps4��i <br />By <br />yo? <br />�`,,���•LpRPORgTF <br />SEAL./.n; <br />bNb'I <br />iniUM1110� <br />STATE OF <br />} <br />) ss <br />COUNTY OF St. Joseph_ _ _ <br />day of March <br />forth, Inc. <br />(Name qj�Qrganlzatlon) <br />Director of Estimating <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />Before me, a Notary Public, personally appeared the above-named Dustin P. Hilary <br />swore that the statements contained in the foregoing document are true and correct. <br />2022 <br />— and <br />Subscribed and sworn to before me this 22nd day of March 2022 <br />— NotaryAubrc Alisha Krueger <br />My Commission Expires: 6/5/22 <br />ALISHAKRUEGER <br />County of Residence: _ . St_J.oseph — ;=°Nc. ` ; LaporleCaunty <br />My Commission Expires <br />mrd <br />June 5, 2022 <br />