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SECTION 00472 <br /> NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> State of VALID } <br /> County of <br /> being first duly sworn, disposes and says that: <br /> (Name/so <br /> 7. They ar ., l.cc - of � � <br /> the Bidder that (Title) <br /> e of <br /> (NamCompany) <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) <br /> iv <br /> (Title) <br /> STATE OF FLORIDA } <br /> COUNTY OF INDIAN RIVER}SS: <br /> The foregoing instrument was acknowledged before me this <br /> y (Date) <br /> b : � � � � who is,�ersopallylcno�wn to me or who has produced <br /> as identification and who did(did not)take an oath." <br /> rrae�rat�� � Wt+�tk�0 <br /> >'Y F� <br /> ��. DEB® WEST otary(print& sign name) <br /> L MY COMMISSION#FF904578 Commission No.-CI <br /> o rXp1YES.October 03,2019 <br /> ��OF FLOP <br /> lR.fl+r�+ft�'iS'43t!`c.YfyfF3�.h5'�;, I, <br /> 00472-1 <br /> F•\Public Works\ENGINEERING DIVISION PROJECTS\1123 43rd Ave Sidewalk Improvements 26th St.to Airport Dr West\Admim\bid <br /> documents\Master Contract Documents\00472-NONCOLLUSION AFFIDAVIT OF PRIME BIDDER.doc <br />