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SECTION IV CONTRACTOR'S NON — COLLISION 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 TIME PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION <br />CONTAINED IN THE FOREGOING IBID FOR PUBLIC WORKS ARE1RUE AND CORRECT. <br />Dated at South Bend, In, this 26th day of dune , 2018 <br />Riet.h-Riley Construction Co,, Inc. <br />(Re,Df0 , 1za on) <br />y _ <br />Joshua A. Mc ick, Sales Mpa r <br />w <br />."''fTid"l Verson Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana t <br />p ss <br />COUNTY OF St. Joseph I <br />Before me, a Notary Public, personally appeared the above -named Joshua A. McCormick and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 26th <br />day f--4ne 01 <br />Dawn E Armstrong N°r"yP"��o <br />j rN�., a rrt � n e iu i rr oir air ,dm� <br />r DWA 4 Er MWSMI2(,'eN"3 <br />My Commission Expires:' 4118/23 <br />«Py ��°������� �qr� � Y re�br€h<u�dr <br />County of Residence. LaPorte <br />3 4VOV M ,l b , kr' <br />d�ll� i,,. aatlbti utl f";tiV (i9M P opNB u3,; <br />k1�0d 18, 2023 <br />