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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 />1 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 />(Title) <br />STATE OF FLORIDA } <br />COUNTY OF INDIAN RIVER)SS: <br />The foregoing instrument was acknowledged before me this \ .. 2.,i % `7 <br />(Date) <br />by: 6 who is personal _ oma= rr,=P or who has produced <br />as identification and who did (did not) take an oath. <br />I, <br />ary ( <br />6print & sign name) <br />Commission No. <br />DEBORAH WEST <br />MY COMMISSION # FF904578 <br />11� e' EXPIRES: octoba 03, 2019 <br />00472-1 <br />F:\PubIicW0Tks\ENGINEERING DIVISION PROJECTS\1415-IR Blvd Sidewalk -37th St to 53rd St\1-Admin\bld documents\LAP Documents\00472 - <br />NON -COLLUSION AFFIDAVIT OF PRIME BIDDER.doc <br />