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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, IN this 28th day of March 2023 <br />Rieth-Riley Construction Co., Inc. <br />(Name of Oroanization) <br />By <br />acob K. Kwilasii'e <br />ACKNOWLEDGEMENT <br />STATE OF INDIANA ) <br />ss <br />COUNTY OF St. Joseph ) <br />Before me, a Notary Public, personally appeared the above -named <br />Manage <br />e of Person <br />Jacob K. Kwilasz and <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 />')(� <br />Notary Public <br />3-27-2030 KRESTIE A BROOKS <br />My Commission Expires: 2 ��, Mary Public, State of Indiana <br />SEAL St Joseph County <br />Comnission Number NP074M <br />County of Residence: St. Joseph County, Indiana `,NDIANP,; My Commission Bow <br />asf27r2030 <br />