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9 <br /> <br /> Affidavit of Non-Collusion <br /> <br /> <br />State of Indiana ) <br /> ) SS: <br />County of St. Joseph ) <br /> <br />The undersigned, being first fully sworn, deposes and says that: <br /> <br />1. He/she is: owner,  partner,  officer,  representative,  agent, of <br /> <br /> (applicant); <br /> <br />2. He/she is fully informed respecting the preparation and contents of the attached offer and <br />of all pertinent circumstances respecting such offer; <br /> <br />3. Such offer is genuine and not a collusive or sham offer; <br /> <br />4. Neither said Applicant nor any of its officers, partners, owner’s agents, representatives, <br />employees, or parties in interest, including this affiant, has in any way colluded, <br />conspired, connived, or agreed directly or indirectly, with any other Applicant, firm or <br />person to submit a collusive or sham offer in connection with the Contract for which the <br />attached offer has been submitted or to refrain from making an offer in connection with <br />such Contract, or has in any manner, directly or indirectly, sought by agreement or <br />collusion or communication or conference with any other Applicant, firm or person to fix <br />the price or prices in the attached offer, or of any other Applicant, or to fix any overhead, <br />profit, or cost element of the offering price of any other Applicant, or to secure through <br />any collusion, conspiracy, connivance or unlawful agreement any advantage against the <br />City of South Bend and/or its Department of Community Investment and/or the South <br />Bend Redevelopment Commission person interested in the proposed Contact; and <br /> <br />5. The price or prices quoted in the attached offer are fair and proper and are not tainted by <br />any collusion, conspiracy, connivance, or unlawful agreement on the part of the Applicant <br />or any of its agents, representatives, owners, employees or parties in interest, including <br />this affiant. <br /> <br /> <br /> Affiant <br /> <br /> Signature <br /> <br /> Title <br /> <br />Before me, the undersigned, a Notary Public, _________________________________ subscribed and swore to this Affidavit of <br /> <br />Non-Collusion on this _______________ day of _______________, ___________. <br /> <br /> <br />(Seal) <br /> Notary Public <br /> <br />A resident of ____________________________, County, _________________.