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NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> State of � � } <br /> g County of ALa #i e1V O,VL�) } <br /> ` y 0 - , being first duly sworn , disposes and says that: <br /> ( Name/s) <br /> 1 . They are �LL a2yl of l 1 Se , ,, 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 indirectly <br /> with <br /> any other bidder, firm or person to submit a collusive or sham Bid in connection with the contract for which <br /> 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 /> s 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 /> 3. <br /> (Signed) _ <br /> (Title) �1�L2-� Un 2.vU� - <br /> STATE OF FLORIDA } <br /> COUNTY OF INDIAN RIVER}SS : <br /> The foregoing instrument was acknowledged before me this <br /> (Date) <br /> by: t VVI, D S4e- who is personally known to me or who has produced <br /> 01A aside tificatio o di7ino take an oath . <br /> No ry ( print & g ame) <br /> Commission No. <br /> �- <br /> $.�'*" VICKIE LEE WRIGHT <br /> * * Notary I)Wk So of l4ailla <br /> ** My Commission Exp. MMA 11 , 2016 <br /> - r <br /> 00472 so Commission No. EE 111452 <br /> zF; P,ubljc Works\ENGINEERING DIVISION PROJECTS\1102-Old Dixie Hwy Swk 8th St to SR 60-LAP\Admim\bid documentslLAP Documents\00472 - <br /> QNCOLLUSION AFFIDAVIT OF PRIME BIDDER.doc <br />