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SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT <br />The undersigned bidder or agent, being duly swom 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 Band, In. this 13th day of August 2019 <br />Rr�ti�-RileConstruction Co., Inc <br />. <br />yd� <br />Bye <br />Josh —A-VN" ormio �leg-Manager <br />ACKNOWLEDGEMENT <br />STATE OF Indiana ) <br />) ss <br />COUNTY OF St. Joseph ) <br />Before me, a Notary Public, personally appeared the above -named Jos ua A- McCormick and <br />swore that the statements contained In the foregoing document are true and correct. <br />Subscribed and swom to before me this 13th <br />day o „ AM List � 2 <br />Dawn E. Annsto°ong <br />My Commission Expires: 4/18/23 <br />i)AWN i ARM57k110N <br />County of Residence: LaPorte <br />yn, ��a�kWrc�s� fR�jhdh+ SR'M1'e c,fllnrduq,vaa:p <br />�I .• " " y., dYICwn4 !Aoi4h # 66g59 N <br />ryII4kw�m4uzV��9�41�bR�11�P�S"a <br />'4111 a, 2023 <br />,'aMmWWAMW#IUmI�'idVW mi Uddduw'aWYGid�'�G)L1L, {`Nl r06'AA�Y flBlC� �N47fwoir�l�/Q II�P 7 v�Nl�'�rr�Powmia�ilyM�9^. <br />