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J SECTION 00477 e NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> I <br /> State oft L VZG } <br /> County of i' �o� I Ak,it~ } <br /> being first duly sworn, disposes and says that: <br /> (Name <br /> /s) - 5 " Title <br /> n L �j the Bidder that ( ) <br /> 1. They are Lea Ir e� d4U 1 _of <br /> (Name of Company) <br /> ® has submitted the attached bid; <br /> fully informed respecting the preparation and contents of the attached bid and of all pertinent circumstances <br /> 2. He is Y <br /> respecting such Bid; <br /> 3. Such Bid is g enuine and is not a collusive or sham Bid; ees or parties in <br /> ents, representatives, employ <br /> 4. <br /> Neither the said Bidder nor any of its officers, partners, owners, ag Por <br /> ith <br /> including this affiant, has in any way colluded, conspired, <br /> in connectionnivedn therconitractiforirwhi hectly vthe <br /> interest, r person to submit a collusive or such Contract or has in any manner, <br /> any other bidder, firm o p <br /> attached bid has been submitted or to refrain from bidding in connection with or to secure through any collusion, <br /> r indirectly, sought by agreement or collusion or communication or conference with any other Bidder,firm <br /> It directly or prices in the y y erson interested in the <br /> or person to fix the priceounlawful agreement any advantage against <br /> Bthe Count or an p <br /> conspiracy, connivance <br /> proposed Contract; and <br /> ice or rices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, <br /> 5. The pr pent on art of the Bidder or any of its agents, representatives, owners, <br /> connivance or unlawful iinterest,est ncluding this affiant. <br /> employees, or parties <br /> (Signed) <br /> (Title) P`es C <br /> STATE OF FLORIDA } <br /> COUNTY OF INDIAN RIVER)SS: ' 1` <br /> The foregoing instrument was acknowledged before me this (Date) <br /> who is personally known to me or who has produced <br /> by: <br /> as identification and who did (did not)take an oath. <br /> ? &sign name) <br /> Notary c� <br /> Commission No. <br /> MY C'i*M.." •f-;..� ;.3u3C4 <br /> E uvtw:Ochi xs u3,2Qi9 <br /> oraQ'' 1l.Ibeg4G�x <br /> 00472 <br /> F:\Publi Works\ENG <br /> INEERING DIVISION PROJECTS\08456-Old Dixie Hwy Sidewalk(38th Ln-45th St)\Admim\bid documents\LAP <br /> Dcoumements\00472-NONCOLLUSION AFFIDAVIT OF PRIME BIDDER.doc <br />