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NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> State of } <br /> County of } <br /> being first duly sworn , disposes and says that : <br /> ( Name/s) <br /> 1 . They are <br /> of the Bidder that <br /> (Title ) ( 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 <br /> 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 or <br /> parties in interest, including this affiant , has in any way colluded , conspired , connived or <br /> agreed , <br /> directly or indirectly with any other bidder , firm or person to submit a collusive or sham Bid in <br /> connection with the contract for which the attached bid has been submitted or to refrain from bidding in <br /> connection with such Contract or has in any manner , directly or indirectly , sought by agreement or <br /> collusion or communication or conference with any other Bidder , firm or person to fix the price or prices <br /> in the attached Bid or of any other Bidder, or to secure through any collusion , conspiracy , connivance <br /> or unlawful agreement any advantage against the County or any person interested in the proposed <br /> Contract ; and <br /> 5 . The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion <br />, <br /> conspiracy , connivance or unlawful agreement on the part of the Bidder or any of its agents , <br /> representatives , owners , employees , or parties in interest , including this affiant . <br /> (Signed ) <br /> (Title) <br /> STATE OF FLORIDA } <br /> COUNTY OF INDIAN RIVER }SS : <br /> The foregoing instrument was acknowledged before me this (Date) <br /> by : who is personally known to me or who has produced <br /> as identification and who did (did not) take an oath . <br /> No11 tary ( print & sign name) <br /> Commission No . <br /> . 65 - Noncollusion Affidavit <br /> 1 =2009 2:58:13 PM <br />