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<br />COLORADO DEPARTNEP(1"OF iRANSPOR7ATIDH •apf r-rw .~..r•-~•~.
<br />IN-0iC4-1(35
<br />ANTI-COLLUSION AFFIDAVIT ~•~~
<br /> Ellxrt Ccirt)'
<br />
<br />I hsraby atlecl Thal I tvn the parooa reapprmaNe xlgtln my arm td the 11net deelelon ea to the prlce(t) and aosounl of thls
<br />Y not, shat I have wdnvn aualodzatlon, ardos¢d herewith, Iran that pvrcon to main the alelemant5 set pla lela,v on
<br />btl or
<br />.
<br />hk or ha; behap erd on behaq of my firm.
<br />I further ¢tlas::hat:
<br />1. Tile Frke(sl arxY amount o' !hk bltl ha+e been arfved et indepentlonAy, wialcul cansuMallon, communicarlan or
<br />egreaneN for the ourp~sv or wiT Ih• ollCCl of rosl•kYir®xmpellllOn wllh m/ other IYrn a perebn x4G k B 6lddef
<br />~ or pctard6l prime bHisr.
<br />7A. Neahar the pdw(s) nor me amount d thla bb hew bson disclosol so aay olhergml or person who Is a bidtler o'
<br />' pctvnll al p'yne bHder cn d',IS prajecl, and wAl not 6o ao rgsclnsed prior to bid opaing.
<br />2b. Neahar the prkes nor Iha amcunl of the bid o1 eny other lion a person x•h,o Is a bdder o• poteTllel arYne 6ldder on
<br />thlc pra(acl have been d"odoaed to me or my I nn.
<br />3A. iJa at(enp! has been made to scltll, cause a 1'rdtce any arm ar parson who Is a bMdar of potential pAma bbcer IC
<br />ra'raln liem blddng cr Ihb prolwl, or to autann a bid higher Than the dd of ln4 Ilan, or any nl¢n1~.onaly Nqh or non
<br />mmpaiil ~+. bll ar other larrn cl conplemenlery Gil,
<br />3fi. No ag raerrra ll has boon piomisedv eelldletl for arty other tlmt or person nano is abWderapolertlel pdme bfddar
<br />an ih6 proper q auomit an h1aM!•naly hlsY, noncornpegrWe Cr other loan el corrpbmenlery bitl on Ihg proletl.
<br />4. the lid cl my flan Is made ii good fetal and n>: punuanl to any coraul;el on, cormur kallon, aproarnenl or
<br />dlswaalon Mgt, cr I~ox>are•m or aciioh¢tior~ M or rrcm any fym a F•roon to eutmtl any Inlem anely h191r, non:om~
<br />peths,e or Mher corm cl cortplsmenla ry btd.
<br />5. Mr limn Irk nr oflerjtl or a.Yared Inb a subcontract er agroament ra(<ardng the pdohass or Sala of maeerals or
<br />aerrces from eny II ~m or oa•son, or ollervd, prorNsad or geld cash ar any:h'atg of w{ue to anyltml a psrsort.
<br />wh•tl+er la conn•cllun w:ln 1%ia o. any olhe• project. in cana~eralfon for an agraemeN dpromLse by ¢ry Ibm or
<br />person b relrayl Irom tiddvg or to euhmll any INen;lonAly/hlph. nonoompelhlve or ofna form of mmpbm•nlety~ 6.d
<br />ar a6resing or prorridng b do ao on thla pmnol,
<br />E. M/ Ilnn Ira• no; acoeptad ar been prambed any sutgcnlracl or agreement rvgarding Ih• ael• cl nalarlala or
<br />serves to eny Ilan cr po2cn, and has net been prcmleod ar geld eesA pr anything of va~~s by any f.rr m peraor,
<br />wllelher It connedlan Wkll tNs or ary other oro~act. In conaldarellan for my I;rtnk eubmapnq arty Imenllonally hl~l,
<br />norlmnpalAlve or bth er loon GI oorfGlelnentary bid, of egreaing or prondsing to do so, cn fhk prone:.
<br />~. I hsva made ¢ dli6enl yqulry d all members, oltlcan, anplayavs. and agaves of my Ilrmwtn re6?or5m911oc ro(minp
<br />to Ihs prepare) lpn, epprwal or auhrcisaien of my firm's hyi on Ills pretest end have been adlsed by eai, of Them
<br />that he or she has rlol pad{cpafed In any op rcrnUntcalbn, conwhatba, dtscusslo•n. earearnenl, ccl usbn, or other
<br />CDM.cI Inw fs 51eN xilh arty o' the statements and represantello.Te rrede In Ihls aifklevit.
<br />q. I r~rce island and my Ilnn undeulentls lost ary mksta;emenf M Ws affidavit Is end shall 6e treated es a laudulenl
<br />concealment Irom the Colaretlo Daparimert of Transpb~llor~, of tt¢ Ilue taps relatin~7lc submisslon d bids ter this
<br />coNtact.
<br />I D CLAaE ~'N~JER PENAL'Y OF PERJURY 1N THE SECOND DEGREE, MD ANV OTHER APPLICABLE STATE OR
<br />FEDERAL LAVJS THAI T-~[ STATEMENi51AADE ON THS DOCUh1FNT ARE TFUE AND CCAIPLETE TO THE BEST
<br />OF IRV Kp(OWLE D3E. -
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