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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 <br />�GL <br />this day of��' <br />Green Demolition ntract n rporated <br />ame Organizatia <br />By <br />Michael Brough, Presw�_t�_ <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF�`� ) <br />) ss <br />COUNTY OFFS') <br />!—/ <br />Before me, a Notary Public, personally appeared the above -named /AA L (A e_ [Jroffl k and <br />swore that the statements contained in the foregoing document are <br />true and correct. <br />Subscribed and sworn to before me thisday of <br />ivotaAdpubric <br />My Commission Expires: <br />County of Residence: Gf.tl'� NOTARY PLIBLIC �� <br />t,3te of iracl,' :i Lcz} oil:., Co€.ir7ty <br />�'ry ornrr�i ,i� x?irccy C?c«3cr <br />