Laserfiche WebLink
BID NAME Morris Performing Arts Center Theater Lighting <br />FOR BIDS DUE September 131, 2022 by 9:00am EST to bpwbids@southbendin.gov <br />Date: Bidder (Firm): fm ' _rAeS . //VC <br />Address: .; IJ yftcotx, dTWdr RA_I6! o <br />City/State/Zip: &w ( Telephone Number: ( HO) f/s y(9/ <br />y /�r <br />Agent of Bidder (if Applicable): <br />When the prospecdve Contractor is unable to certify to any of the statements below, it shall attach an explanation to this A Navit <br />CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, <br />CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT <br />ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND <br />CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY <br />PRODUCTS <br />(Must be completed for all quotes and bids. Please type or print) <br />STATE OF AM491AM✓ ) <br />) SS: <br />994LOA W COUNTY ) <br />The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury <br />that: <br />1. Contractor has not, nor has any other member, representative, or agent of the firm, <br />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 <br />letting nor to prevent any person from bidding nor to induce anyone to refrain from <br />bidding, and that this bid is made without reference to any other bid and without any <br />agreement, understanding or combination with any other person in reference to such <br />bidding. Contractor further says that no person or persons, firms, or corporation has, have <br />or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on <br />account of such sale; and <br />