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4.7 SR 01-03-2022
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4.7 SR 01-03-2022
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2/14/2022 12:57:11 PM
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12/29/2021 3:04:35 PM
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City Government
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1/3/2022
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DOCUMENT 00 45 00 <br />AFFIDAVIT OF NON -COLLUSION <br />STATE OF MINNESOTA <br />COUNTY OF -SC73" <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 partnership) <br />or an officer or employee of the Bidder corporation having authority to sign on its behalf (if the bidder is a <br />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 action <br />designed to limit individual bidding or competition with any other prospective Bidder or vendor of any <br />materials, supplies, equipment or services described in the invitation to bid; <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 the <br />bid or bids, and will not be communicated to any such person, prior to any official opening of the bid or <br />bids; and <br />4. That I have fully informed &Aself!fegar igglhoacS,rfracy of the statements made in this affidavit. <br />Subscribed and sworn to before me' <br />this /3 day of 47 <br />2021. <br />NORTHWEST ASPHALT, INC. <br />14,51 STAGECOACH ROAD <br />H 1d , ls} 537 Off'cial Title <br />LONDON RYAN NOPOLA <br />. .``-ems <br />a� nt Notary Public Cz� <br />;;; Minnesota �� Srb� 'r�S jj(�Z�j <br />My Commission Expires <br />Jan 31, 2025 <br />Affidavit of Non -Collusion <br />00 45 00-1 <br />
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