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NON -COLLUSION AFFIDAVIT <br />The following Non -Collusion Affidavit shall be executed by the bidder: <br />State Project No. <br />Federal Project No. <br />State of Minnesota ) <br />) ss <br />County of ) <br />I, , do state under penalty of <br />(name of person signing this affidavit) <br />perjury under 28 U.S.C. 1746 of the laws of the United States: <br />(1) that I am the authorized representative of <br />(name of person, partnership or corporation submitting this proposal) <br />and that I have the authority to make this affidavit for and on behalf of said bidder; <br />(2) that, in connection with this proposal, the said bidder has not either directly or <br />indirectly entered into any agreement, participated in any collusion or otherwise taken any <br />action in restraint of free competitive bidding; <br />(3) that, to the best of my knowledge and belief, the contents of this proposal have <br />not been communicated by the bidder or by any of his/her employees or agents to any person <br />who is not an employee or agent of the bidder or of the surety on any bond furnished with the <br />proposal and will not be communicated to any person who is not an employee or agent of the <br />bidder or of said surety prior to the official opening of the proposal, and <br />(4) that I have fully informed myself regarding the accuracy of the statements <br />made in this affidavit. <br />Signed: <br />(bidder or his authorized representative) <br />