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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 Sam <br />C & E <br />this 10th day of April 1 2018 <br />(Name of Organization) <br />r, <br />ByT/� <br />Thad Bessinger, President <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana ) <br />COUNTY OF Elkhart )Ss <br />) <br />Before me, a Notary Public, personally appeared the above -named Thad Bessinger and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 1 Oth day of April 2018 <br />Notary Public <br />My Commission Expires: ;'P111�,, JEFFREY L BONADIES <br />14'•"'�;�8 , Notary Public, State of Indiana <br />County of Residence: St. Joseph =zSEAL`n= St. Joseph County <br />* � Commission R 709661 <br />r,JJ���rAitp\,s Mycommission <br />Expires <br />2 <br />