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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 4:00 PM <br />this 21st <br />day of May 2018 <br />Slatile FVoofing and Sheet Metal Co., Inc. <br />Gerald Longerot, President <br />(Titre of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />Elkhart ) ss <br />COUNTY OF } <br />Before me, a Notary Public, personally appeared the above -named Gerald Longerot and <br />urrrrr�//i <br />swore that the stat0VV;ontained/V. the foregoing document are true and correct. <br />Subscribed and vsworn to betze m'eIa.�_ 21 St day of May 2018 <br />''//// rj C � �$ACXNotary Public for the State of IN <br />�rNI1��11L1J21 County of Residence- Eikhart <br />My Commission Expires: Expires8/1/2021 <br />County of Residence, Elkhart <br />