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NON-COLLUSIVE AFFIDAVIT <br /> • <br /> STATE OF r DA— <br /> SS: <br /> COUNTY O' 1. <br /> Zi Aim o J, 4A r being first duly swom,deposes and says that: <br /> (1) a/she is the, (Owner, Partner, Officer, Representative or Agent) of <br /> Vvcfnj0�,c -S the Bidder that has submitted the attached Bid; <br /> (2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all <br /> pertinent circumstances respecting such Bid; <br /> (3) Such Bid is genuine and is not a collusive or sham Bid; <br /> (4) Neither the said Bidder nor any of its officers, partners, owners,agents, representatives, employees <br /> or parties in interest, including this affidavit, have in any way colluded, conspired, connived or <br /> agreed,directly or indirectly,with any other Bidder,firm, or person to submit a collusive or sham Bid <br /> in connection with the Work for which the attached Bid has been submitted; or to refrain from <br /> bidding in connection with such Work; or have in any manner, directly or indirectly, sought by <br /> agreement or collusion, or communication, or conference with any Bidder, firm, or person to fix the <br /> price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost <br /> elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, <br /> conspiracy, connivance, or unlawful agreement any advantage against(Recipient), or any person <br /> interested in the proposed Work; <br /> (5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any <br /> collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of <br /> its agents, representatives, owners, employees or parties in interest, including this affidavit. <br /> 00300-21/26 <br />