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2012_0109_amended packet
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2012_0109_amended packet
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II <br /> CITY OF ROSEVILLE <br /> 2660 Civic Center Drive <br /> Roseville, Minnesota 55113 <br /> Affidavit of Non-Collusion: <br /> I hereby swear(or a Finn)under the penalty of per-ury: <br /> i. That I any 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 bidding corporation having authority to sign on <br /> its behalf(if the bidder is a corporation); <br /> 2. That the attached bid or bids have been arrived at by the bidder independently,and have been <br /> submitted without collusion with and without any agreement, understanding, or planned <br /> common course of action with any ether vendor of materials,supplies,equipment or services <br /> described in the invitation to bid, designed to limit independent bidding or competition; <br /> 3. That the contents of the hid or bids have not been co a numcated by the bidder or its <br /> employees or agents to any person not an employee or agent of the bidder or its surety on any <br /> bond firnished with the bid or bids,and will not be cornrnunicated to any such person prior <br /> to the official opening of the bid or bids; and <br /> 4. That I have fully informed myself regarding the accuracy of the statements made in this <br /> affidavit. <br /> r# <br /> Sig tore <br /> Firm fame <br /> Subscribed and sworn to before me t his day of w 0 <br /> r <br /> i <br /> NogijPublic <br /> My commission expires <br /> NOTARY SEA <br /> NOTARY PUBLIC <br /> MINNESOTA <br /> ��#� <br /> *,r,*,!;, way Cam mission EXPJ=JAM 31 <br />
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