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2.6. ERMUSR 03-15-2016
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2.6. ERMUSR 03-15-2016
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3/15/2016 10:19:25 AM
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3/15/2016 10:19:23 AM
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City Government
type
ERMUSR
date
3/15/2016
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DOCUMENT 00 46 19 <br /> AFFIDAVIT OF NON-COLLUSION <br /> STATE OF t./k%I 4. & <br /> COUNTY OF <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 bidder is a <br /> partnership)or an officer or employee of the bidder corporation having authority to sign on its behalf <br /> (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 submitted <br /> without collusion with,and without any agreement, understanding or planned common course of <br /> action with any other vendor of materials,supplies,equipment or services described in the invitation <br /> to bid designed to limit individual bidding or competition; <br /> 3) That the contents of the bid or bids have not been communicated by the bidder or Its employees or <br /> agents to any person not an employee or agent of the bidder or its surety on any bond furnished with <br /> the bid or bids,and will not be communicated to any such person,prior to any official opening of the <br /> bid or bids;and <br /> 4) That I have fully Informed myself regarding the accuracy of the state- s ',ade in this affidavit. <br /> Subscribed and sworn to before me this � " AK 1, , `sz*--►` <br /> Bid,- I. :,, at re <br /> 1.1? <br /> : .�day of __.Y.-----1 ,20 r t r <br /> Notary , ` Title <br /> Lh •CAEUMIETNME' a Company <br /> 1, ; Notify Pubic <br /> Minnesota <br /> �,.II . , , _..1,._u 31 s1 7 <br /> Error)Reference source not found. <br /> ELKMU 134310 00 4519-1 <br /> 94 <br />
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