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 combinaton 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, INDIANA this 11'" <br />STATE OF INDIANA ) <br />COUNTY OF <br />ST.JOSEPH <br />By <br />day of February_, <br />MILESTOONNEWNTRACTORS L.P. BY <br />ACTOR I D. INC -GENERAL PARTNER <br />,,-�NajP6 of anization) <br />DUSTIN P. HILARY, DIRECTOR OF ESTIMATING <br />(Title of Person Signing) <br />ACKNOWLEDGMENT <br />)ss: <br />Before me, a Notary Public, personally appeared the above -named Dustin P. Hilary and swore that the <br />statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 11th day of February, 2025. <br />9R;L "ez—e- ho� <br />Notary Public <br />ALISHA KRUEGER <br />My Commission Expires: JUNE 5, 2030 <br />opv'a�B., ALISHAKRUEGER <br />County of Residence: LAPORTE <br />My Commission Expires <br />*: SEAL*: June 5, 2030 <br />N9 Commission Number NP0653544 <br />FOF �N�,• La Porte County <br />2025 <br />