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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 St. Joseph County <br />STATE OF IN <br />COUNTY OF LaPorte <br />Green <br />this 13 th day of December <br />Molition qa! tTgtor"eafiporated LLC <br />of Organization) <br />Michael Brough, Presdient <br />} <br />) ss <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />2022 <br />Before me, a Notary Public, personally appeared the above-named Michael Brough 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 December 2022 <br />My Commission Expires: 10/26/2030 <br />County of Residence: LaPorte <br />Notary Public <br />KELLY A LANG <br />S,.SFKY.pG� <br />4`y„' � <br />a <br />Notary Public, State of Indiana <br />LaPorte County <br />SEAL ] = <br />€ <br />Commission Number 659743 <br />My Commission Expires <br />3':�+Vpq`Nro <br />October 26, 2030 <br />