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<br />State of <br /> <br />NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br />;: / D." i do.... ) <br /> <br />County of Po..1 Wl Be.4.d\ ) <br /> <br />j( e;- Ul A. () I rv c:; ( , being first duly swom, deposes and says that: <br /> <br />1. He is Get1vaJ.. (l1 a.~u.~ u of U:'lc-t. ~ ~1Il L4/tJ SC4(Jij\J (o"'f; <br />(Title) (Name of Corporation r Firm) <br />the bidder that has submitted the attached bid: <br /> <br />2. He is fully infonned respecting the preparation and contents of the attached proposal and of <br />all pertinent circumstances respecting such proposal; <br /> <br />3. Said bid is genuine and is not a collusive or sham bid; <br /> <br />4. Further, the said bidder nor any of its officers, partners, owners, agents, representatives, <br />employees or parties in interest, including this affiant, has in any way colluded, conspired, <br />connived or agreed, directly or indirectly with any other proposer, firm or person to submit a <br />collusive or sham proposal in connection with the Contract for which the attached bid has <br />been submitted. or to refrain from bidding in connection with such Contract, or has in any <br />manner, directly or indirectly, sought by agreement or. collusion or communications or <br />conference with any other bidder, firm or person to fix the price or prices in the attached bid <br />or of any other bidder, or to fix any overhead, profit or cost element of the proposal price or <br />the proposal price of any other bidder, or to secure through any collusion, conspiracy, <br />connivance or unlawful agreement any advantage against the <br />r. ~l' /l;,,~ (Local Public Agency) or any person interested in the <br />pro osed Contract; and <br /> <br /> <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 of <br />its agents, representatives, owners, employees, or parties in interest, including this affiant. <br /> <br />Subscribed and sworn to before me <br /> <br />. ;//)~'\I 1/ <br />(SIgned) /~ -5::f'--?-f(:JK,!..>A/ <br />(Title) ,. e.;,.;~tA-II'1~~o/Jt..- <br /> <br />This 1 fY \ of:/Z; /'-1 <br />I v ';1- t, ;....-- <br />My con Issrnn expires <br /> <br />,20" i <br /> <br />/:' ~ Angel~ Wasson <br />. ~ 'My Commiuion DD1710:J6 <br />\ 0,7 Expire~ DeCl:l/'l1lllM' ", 200Ei <br /> <br />87 <br />THIS PACE TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER FOR <br />BiD PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE <br /> <br />vliET 3!:)\;;Id <br /> <br />\;;I8SGN\;;Il NOS GN\;;I \;;IlIA <br /> <br />5L8E95LT'39 <br /> <br />19:'3T L00l/v0/lT <br />