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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 proposer (if the <br />proposer is a partnership), or an officer or employee of the proposing corporation having <br />authority to sign on its behalf (if the proposer is a corporation); <br />(2) That the attached proposal or proposals have been arrived at by the proposer, independently, and <br />have been submitted without collusion with, and without any agreement, understanding, or <br />planned common course of action with, any other vendor of materials, supplies, equipment or <br />services described in 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 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 official reviewing the proposal or proposals; and <br />(4) That I have fully informed myself regarding the accuracy of the statements made in this affidavit. <br />Signed: <br />Firm Name: <br />Subscribed and sworn to before me this <br />day of <br />120 <br />Notary Public <br />My Commission expires 20 <br />61 <br />