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AFFIDAVIT OF NON -COLLUSION <br />I Hereby swear (or affirm) under the penalty of perjury: <br />1) That I am the BIDDER (if the BIDDER is an individual), a partner in the BIDDER (if the <br />BIDDER is a partnership) or an officer or employee of the BIDDER corporation having authority <br />to sign on its behalf (if the BIDDER is a corporation); <br />2) That the attached Bid or Bids have been arrived at by the BIDDER individually and have been <br />submitted without collusion with, and without any agreement, understanding or planned common <br />course of action with any other vendor of materials, supplies, equipment or services described in <br />the invitation to Bid designed to limit individual bidding or competition; <br />3 <br />4 <br />) <br />) <br />That the contents of the Bid or Bids have not been communicated by the BIDDER or its <br />employees or agents to any person not an employee or agent of the BIDDER or its surety on any <br />bond furnished with the Bid or Bids, and will not be communicated to any such person, prior to <br />any official opening of the Bid or Bids; and <br />That I have fully informed myself regarding the accuracy of the statements made in this affidavit. <br />Subscribed and sworn to before me <br />this day of , 2012 <br />OFFICIAL TITLE: <br />(Bidder) <br />(Firm making Bid or Bids) <br />Bid Form - 6 <br />