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AFFADAVIT AND INFORMATION REQUIRED OF BIDDERS <br />(RFP SUBMITTERS) <br />Affidavit of Non-Collusion <br />I hereby swear (or affirm) under the penalty of perjury: <br />(1)That I am the proposer (if the proposer is an individual), a partner with the <br />proposer (if the proposer is a partnership), or an officer or employee of the <br />proposing corporation having authority to sign on its behalf (if the proposer <br />is a corporation); <br />(2)That the attached proposal or proposals have been arrived at by the proposer, <br />independently, and have been submitted without collusion with, and without <br />any agreement, understanding, or planned common course of action with, <br />any other vendor of materials, supplies, equipment or services described in <br />the request for proposals, designed to limit independent proposing or <br />competition; <br />(3)That the contents of the proposal or proposals have not been communicated <br />by the proposer or its employees or agents to any person not an employee or <br />agent of the proposer or its surety on any bond furnished with the proposal <br />or official reviewing the proposal or proposals; and <br />(4)ThatI have fully informed myself regarding the accuracy of the statements <br />made in this affidavit. <br />Signed: <br />Firm Name: <br />Subscribed and sworn to before me this <br />day of , 2013 <br />Notary Public <br />My Commission expires , 20 <br />2 <br /> <br />