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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 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 agreed, directly or <br /> indirectly with any other bidder, firm or person to submit a collusive or sham Bid in connection with the <br /> contract for which the attached bid has been submitted or to refrain from bidding in connection with such <br /> Contract or has in any manner, directly or indirectly, sought by agreement or collusion or communication or <br /> conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other <br /> Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage <br /> against the City/County or any person interested in the 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, <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 <br /> (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 /> Notary (print & sign name) <br /> Commission No. <br /> P-61 Noncollusion Affidavit <br />