Laserfiche WebLink
I <br /> J <br /> NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> State of r -oo'IDA <br /> County of <br /> /� <br /> f'yrtrP TTrt=F(Q,2 - VtCQ t7PSr6>� 1)7 <br /> ( Name/s ) being first duly swam , disposes and says that: <br /> 1 . They are VG2 forp&% dztq of D/1 Tip y nl' , the Bidder that (Title ) <br /> (Name of Company) <br /> has submitted the attached bid ; <br /> 2 . He is fully informed respecting the preparation and contents of the attached bid and of all pertinent circumstances <br /> 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 or parties <br /> in <br /> interest, including this affiant, has in any way colluded , conspired , connived or agreed , directly or <br />indirectly with <br /> any other bidder, firm or person to submit a collusive or sham Bid in connection with the contract <br /> for which the <br /> attached bid has been submitted or to refrain from bidding in connection with such* Contract or has in any manner, <br /> directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm <br /> or person to fix the price or prices in the attached Bid or of any other Bidder, or to secure through <br /> any collusion , <br /> conspiracy, connivance or unlawful agreement any advantage against the County or any person interested in the <br /> proposed Contract; and <br /> 5 . The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion , conspiracy <br />, <br /> connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives <br />, owners , <br /> employees , or parties in interest, including this affiant. <br /> ( Signed ) Wk — VIP <br /> (Title) 1eez) /T <br /> STATE OF FLORIDA } <br /> COUNTY OF Bl I 901 RI SS : <br /> The frlrngoing instrument was acknowledged before me this Gill <br /> (Date) <br /> by who is personally known tome or who has produced <br /> as ide ification and who did (did not a <br /> FAITH HEMRIC <br /> a %p COMMISSION # DD 879160 <br /> EXPIRES: AuguSi 8 Public �d liters <br /> Notary (print $ s " X11 D1 woo <br /> Co ission No . <br /> 00472 <br /> FAPubllc Works\ENGINEERING DIVISION PROJECTS\0845-Old Dixie Hwy Sidewalk US1 _691h (LAP )\Admlm\bid documenls\00472 - <br /> NONCOLLUSION AFFIDAVIT OF PRIME BIDDER .doc <br />