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STATE OF <br />ss <br />COUNTY OF 1 -Uj <br />AFFIDAVIT OF NON -COLLUSION <br />I hereby swear (or affirm) under penalty of perjury: <br />1. I am the proposer (if the proposer is an individual), a partner in the proposer (if they proposer is a <br />partnership), or an officer or employee of the proposer corporation having authority to sign on its <br />behalf (if the proposer is a corporation): <br />2. The attached proposal or proposals have been arrived at by the proposer individually and have been <br />submitted without collusion with, and without any agreement, understanding or planned common <br />course of action with any other vendor of material, supplies, equipment or services described in the <br />invitation to proposal designed to limit individual proposals or competition: <br />3. The contents of the proposal or proposals have not been communicated by the proposer or its <br />employees or agents to any person not an employee or agent of the proposer or its surety on any <br />bond furnished with the proposal or proposals, and will not be communicated to any such person, <br />prior to any official opening of the proposal or proposals; and <br />4. I have informed myself regarding the accuracy of the statements made in this affidavit. <br />Subscribed and sworn to before me <br />Proposer <br />This day of > 20-LI. <br />(Firm making proposal) <br />Official Title <br />5 <br />