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B.Non-Collusion Affidavit Bidder Name: Enter Bidder Name Enter Bidder Name Street Address: Enter Bidder Name City, State Zip: State of New Jersey County ofInsert County name I, Insert name here. of the Insert name of City in the County of Insert name of County, State of Insert name of State of full age, being duly sworn according to law on my oath depose and say that: I am the Insert name of job title.of the firm of Insert company name. the Bidder making the Proposal for the goods, services or public work specified under the Harrison Township Board of Education attached proposal, and that I executed the said proposal with full authority to do so; that said Respondent has not directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above proposal, and that all statements contained in said bid proposal and in this affidavit are true and correct, and made with full knowledge that the Harrison Township Board of Education relies upon the truth of the statements contained in said bid proposal and in the statements contained in this affidavit in awarding the contract for the said goods, services or public work. I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by Authorized signature: Insert job title here. Job Title: Subscribed and sworn before me this ______ day of ______________, 20____ __________________________________________ Notary Public of New Jersey My commission expires , 20____ SEAL Page | 35