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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, corporatbon or priOnership 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 />Bend„ In, ip this 26th day of <br />Dated at So t...��.�._.�.._..�.-- --- .._November 2019 <br />Co,,,tetliiNo nInc. <br />Constructio, of Organization) <br />By <br />I"� ot°"� , e Manager <br />1"r700 of <br />ACKNOWLEDGEMENT <br />STATE OF Indiana ) <br />COUNTY OF St. Joseph ss <br />I <br />Before me, a Notary Public, personally appeared the above -named �Jo .hua A. McCormick, and <br />swore that the statements contained In the foregoing document are true and correct. <br />d <br />Subscribed and sworn to before ma this 26th diovembe 2019 _ � V <br />1Vote a �mubb _..... <br />.., <br />Dawn E. A St��zrtg <br />My Commission Expires, 4/18/23 <br />y LaPorte <br />Count o Residence;_��IT <br />r.+ <br />PoN'V phi drib �1 <br />G <br />94 DpVdp � <br />.�h <br />Vk6P�y,UV b° P tB�W}VN, ..;w�V �dt.+ gye� �P-U4,&4 Y"4t,d <br />�,V <br /># a <br />^tlAiMnursyq,�615k <br />0 u� � <br />��i��i nuPra�nrraq,�i,�;rmo✓ i��� vl i H, � wwu�i,. � <br />