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<br />" . <br /> <br />State of . <br /> <br />County of <br /> <br />" <br />NONCOLLUSION AFFIDAVIT OF PRIME BIDDER <br /> <br />) <br />) ss. <br /> <br />',---.- <br /> <br />, being first duly sworn, deposes and says <br /> <br />that: <br /> <br />(1) He is of <br />the Bidder that has submitted the attached Bid; <br /> <br />(2) He is fully infonned respecting the preparation and contents of. <br />the attached Bid and of all pertinent circumstances respecting such <br />Bid; <br /> <br />~. <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />(4) Neither the sald Bidder nor any of its officers, partners, owners, <br />agents, representatives, employees or parties in interest, including <br />this affiant, has in any way colluded, conspired, connived or agreed, <br />directly or indirectly with another Bidder, finn or person to submit <br />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 <br />with such Contract. or has in any manner, directly or indirectly, sought <br />by agreement or collusion or communication or conference with any other <br />Bidder, firm or person to fix the price or prices in the attached Bid <br />or of any other Bidder, or to fix an overhead, profit or cost element <br />of the Bid price or the Bid price of any other Bidder, or to secure <br />through any collusion, conspiracy. connivance or unlawful agreement <br />any advantage against the (Local Public Agency) <br />or any person interested in the proposed Contract; and <br /> <br />(5) The price or prices quoted in the attached Bid are fair and proper <br />and are not tainted by any collusion, conspiracy, connivance or unlawful <br />agreement on the part of the Bidder or any of its agents, representatives, <br />owners, employees. or parties in interest. including this affiant. <br /> <br />(Signed) <br /> <br />Title <br /> <br />Subscribed and sworn to me this <br />day of , 19_0 <br /> <br />By: <br /> <br />Notary Pub 1i c <br /> <br />My commission expires <br /> <br />VIlI-K-3 <br />