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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) That I 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 />