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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"TRUIE AND CORRECT. <br />Dated at South Bend, IIn. this 24th day of Jul <br />Rieth-Riley Construction Co., Inc. <br />fN0 e ofOrganize6on) <br />By <br />J o s hua--X�MZZ o r m j'qK_ -Sb1tr Manager <br />(Title of Person Signing) <br />�k �, k I , M <br />STATE OF Indiana <br />COUNTY OF St. Joseph )ss <br />RIM <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 24th day of uly-"" 10220, 8 <br />7�— <br />Dawn E. Armstrong orary eumic <br />My Commission Expires: 4/18/23 <br />�0 �no�' <br />m <br />County of Residence: LaPorte " <br />0 f <br />