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SECTION IV CONTRACTORS NON — COLLUSIONI 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 South Bend', In. this 1 Oth day of JU <br />Rieth-Riley Construction Co., Inc. <br />Organization) <br />B <br />X"n <br />Josh'ui" i' :Manager <br />(Title of Person Signing) <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />COUNTY OF St. Joseph <br />.2018 <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 I Oth <br />My Commission Expires: 4/18/23 <br />County of Residence: LaPorte <br />L NotP ary ubho, <br />Dawn E. Armstrong 21 <br />.... .. .... <br />toPoof, <br />Soo <br />