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<br /> <br />00300 - 21/26 <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br /> <br />STATE OF ) <br /> ) SS: <br />COUNTY OF ) <br /> <br /> <br /> being first duly sworn, deposes and says that: <br /> <br />(1) He/she is the, (Owner, Partner, Officer, Representative or Agent) of <br /> <br /> the Bidder that has submitted the attached Bid; <br /> <br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all <br />pertinent circumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees <br />or parties in interest, including this affidavit, have in any way colluded, conspired, connived or <br />agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid <br />in connection with the Work for which the attached Bid has been submitted; or to refrain from <br />bidding in connection with such Work; or have in any manner, directly or indirectly, sought by <br />agreement or collusion, or communication, or conference with any Bidder, firm, or person to fix the <br />price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost <br />elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, <br />conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person <br />interested in the proposed Work; <br /> <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any <br />collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of <br />its agents, representatives, owners, employees or parties in interest, including this affidavit.