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SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required <br />by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding <br />the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's <br />capability for completing the project if awarded. <br />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 member, <br />representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, <br />collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person <br />from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and <br />without any agreement, understanding or combination with any other 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 indirectly, any rebate, <br />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 PRBLIC WORKS ARE TRUE AND CORRECT. <br />Dated at Soutlt'ggoili" this <br />_��,r• pRAT• •'C� <br />V F o <br />S® D <br />� p <br />r <br />i :•e � ii � � <br />°4oA�c ND 1 <br />22nd <br />Walsh <br />day of September, 2020. <br />/"--TName rganization) <br />Bv: <br />ACKNOWLEDGEMENT <br />STATE OF Indiana } <br />)Ss <br />COUNTY OF St. Joseph } <br />(Title of Person Signing) <br />Before me, a Notary Public, personally appeared the above -named_ Dustin Hilary and <br />swore that the statements contained in the foregoing document are true and correct. <br />Subscribed and sworn to before me this _ 22nd _ day of September,. 2020. <br />My Commission Expires: <br />June 5.2022 <br />County of Residence: St. Joseph <br />Alisha Krueger, Notary 6blic <br />ALISHA KRUEGER <br />PJotary Public, Slate of Indiana <br />EAL, <br />St. Joseph County <br />S ¢ *^ <br />My Commission Expires <br />June 05, 2022 <br />