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