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✓A <br />Affidavit of Non - Collusion <br />State of Indiana ) <br />SS: <br />County of St. Joseph ) <br />The undersigned, being first fully sworn, deposes and says that: <br />1. He /she is: ❑ owner, 0 partner, ❑ officer, ❑ representative, ❑ agent, of <br />O/.. ✓W P /ow % a L. ?r (applicant); <br />2. He /she is fully informed respecting the preparation and contents of the attached offer <br />. and of all pertinent circumstances respecting such offer; <br />3. Such offer is genuine and not a collusive or sham offer; <br />4. Neither said Applicant nor any of its officers, partners, owner's agents, <br />representatives, employees, or parties in interest, including this affiant, has in any <br />way colluded, conspired, connived, or agreed directly or indirectly, with any other <br />Applicant, firm or person to submit a collusive or sham offer in connection with the <br />Contract for which the attached offer has been submitted or to refrain from making an <br />offer in connection with such Contract, or has in any manner, directly or indirectly, <br />sought by agreement or collusion or communication or conference with any other <br />Applicant, firm or person to fix the price or prices in the attached offer, or of any other <br />Applicant, or to fix any overhead, profit, or cost element of the offering price of any <br />other Applicant, or to secure through any collusion, conspiracy, connivance or <br />unlawful agreement any advantage against the City of South Bend and /or its <br />Department of Redevelopment and /or the South Bend Redevelopment Commission <br />person interested in the proposed Contact; and <br />5. The price or prices quoted in the attached offer are fair and proper and are not tainted <br />by any collusion, conspiracy, connivance, or unlawful agreement on the part of the <br />Applicant or any of its agents, representatives, owners, employees or parties in <br />interest, Including this affiant. <br />1^ <br />Affiant <br />Signature <br />a <br />Title <br />Before me, the undersigned, a Notary Public, 766 T. AaC r subscribed and swore to this <br />Affidavit of Non - Collusion on this 1 S day of e.1 9,011 <br />TAIL <br />CAROL L. BENSCOTER, NotMPWio <br />1 A Resident of Elkhart County, IN cak- a 4(11 � (ZLI <br />My Commission E*res: 11-14-012 Notary Public <br />A resident of County, y�a^_k_ <br />49 <br />