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SECTION 00472 - NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> State of <br /> County of 1NIAJ( } <br /> `TWW'� SSC_ being first duly swom, disposes and says that: <br /> (Nam&i) <br /> 1. They areTm-irtc6A of 11 �Ld �the Bidder that (Title) <br /> (Name of Company) UlJ <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 in <br /> interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with <br /> any other bidder, firm or person to submit a collusive or sham Bid in connection with the contract 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 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 /> connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, <br /> employees, or parties in interest, including this affiant <br /> (Signed) a <br /> (Title) <br /> STATE OF FLORIDA } <br /> COUNTY OF INDIAN RIVER}SS: <br /> The foregoing instrument was acknowledged before me this Q t k.AU <br /> �. � (Date) <br /> who is personally know❑ to me or who has produced <br /> as identification and who did (did not)take an oath. <br /> ��ao rah �CS� <br /> Notary (print&sign name) <br /> Cbmmission No. M.S.k9 <br /> �t„pY P(- DEBORAH WEST <br /> My COMMISSION#FF9045n <br /> FFIRES:Occoba 03,2019 <br /> OF <br /> 00472 <br /> F:\PublicWorkskENGINEERING DIVISION PROJECTS\1049_8th St Sidewalk Improvements(58th Ave to 21st Court)\Admim\bid documents\LAP <br /> E <br /> Documents\00472-NONCOLLUSION AFFIDAVIT OF PRIMBIDDER.doc <br />