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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 corpor'tAon has, have or will receive directly or <br />indirectly, any rebate, fee, gift, commission or thing of value on account of such sate. <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 />u <br />o Sth Bend, In..._._ . this w� 9th day of �A r .. <br />Dated at South �........W..,2019� <br />Rieth-Riie Construction.Co.l, Inc. <br />�� ��grraefrz�x��rrr�J�....m.�_.�.. <br />Syr . <br />Ruben Alvarado, Engineer/Estimator _.. <br />,00 of Person N r ra <br />ACKNOWLEDGEMENT <br />STATE OF Indiana <br />ss <br />COUNTY OF St. Jos"'I....... a <br />Alva and <br />Before me, a Notary Public, personally appeared the above -named uben�..,_,_... ymm� <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this 9th day�of iftl 2019 , <br />My Commission Expires: 4 ... 8 /23 <br />County of Residence; LaPorte <br />AWN E A 11 fin*t St I" ( N <br />r tl14 'If fy PgsN<. StWo r �ttWc, <br />+dfiti iw taftse Oount�v <br />