7.1. SR 08-09-1999 - Laserfiche WebLink

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. . ~- .; ~.... . Affidavit. and information r~quired of bidder~ Affidavit .ofnon collusion 1 hereby swear (or affirm) under the penalty of perjury: 1) That I am the bidder (ifthe bidd~r is an individual) a parlner in the bidder (if the bidder i~ a partnership), or an officer or employee of the bidder corporation having authority to sign on behalf (if the bidder is a corporation); 2) That the attached bid or bids have been arrived at the bidder independently, and have been submitted without collusion with, and without any agreement, understanding, or planned common course of action with, any other vendor of materials, supplies} equipment or services described in the invitation to bid, desisned to limit independent bidding or competition; ., . 3) That the Contents of the bid or bids have not been communicated by the bidder or its employees or agentS to any person not an employee or agent of the bidder or its surely on any bond furnished with the bid Of bids., and will Rot be communicated. to any such person prior to the official opening of the bid or bids; and 4) That I have fullyinfonned myself regarding the accuracy of the statements made in this v[!;. _ rf\ . Signed: ~_ Finn Name: EARL F. ANDERSEN, INC. SUbS~ and sworn to before me this 27TH ~-o~~ t../.. ~; Notary lie. . ~ My commission expires. ()o:-v, I... (UA1 3J / day of AUGUST 1999 . Year .iJ..~ Bidder's RI. Number (Number used on Employer's Quarterly Federal Tax Return, U.S. Treasu Department Form 941): 41-1265810 Fair Trade Items; HE H. MARTZ ~ J~"" NOTARY PUBLIC . MINNESOTA \~I " HENNEPIN COUNTY ~..... My Comm. EXllues Jan. 31.2000 List belowea.ch item upon which bi..i is made, the price of which i~ affected by a resale price maintenance or "fair trade" contract between the bidder and the person or firm supplying the item to the bidder. (Use reverse side if neces.~ary). NONE TO THE BEST OF OUR KNOWLEDGE