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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 this <br />Milestone <br />Itit+%" ACKNOWLEDGEMENT <br />'I <br />♦♦000�o�ti�actors <br />r <br />e <br />FpORAT,6 � <br />o • <br />LO r <br />i• <br />'vy lLJ <br />eeeee,' <br />N <br />.I <br />STATE OF Indiana ) <br />COUNTY OF St. Joseph ss <br />) <br />22nd --day of November , 2022 <br />t North, Inc. <br />(Name of Organization) <br />n P. Hilary, Director of Estimati <br />(Title of Person Signing) <br />Before me, a Notary Public, personally appeared the above-named Dustin P. Hi <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 22nd day of November 2022 <br />My Commission Expires: June 5, 2030 <br />County of Residence: LaPorte <br />b � <br />Notary Public h <br />and <br />•; <br />ALISHAKRUEGER <br />Cmntission Expires <br />SEAL *: <br />"q? ov <br />June 5, 2030 <br />COmmissbn Number NPU653W <br />Le Porta Coungr <br />