Laserfiche WebLink
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 />sx, tr a cttoi <br />� (0 ......... rS2 0i <br />2 : p <br />(' TF <br />r� SEAT. <br />to f <br />of March , 2023 <br />Milestone Cal ck� North, Inc. <br />By <br />STATE OF Indiana ) <br />St. Joseph ) ss <br />COUNTY OF P ) <br />(Name of Organization) <br />P. Hilary, Director of Estimating <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />Before me, a Notary Public, personally appeared the above -named Dustin P. Hila <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 28th day of March � 2023 <br />My Commission Expires: June 5, 2030 <br />County of Residence: LaPorte <br />Notary Public <br />4003 OWd el <br />H65£S90dN RqwnNeu <br />IV3900Z*j <br />sgdx3 uass!uau00 NN <br />2l3�J3n2�1 VHSnV <br />and <br />