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<br />AFFADA VIT AND INFORMATION REQUIRED OF BIDDERS <br />(RFP SUBMITTERS) <br /> <br />Affidavit of Non-Collusion <br /> <br />I hereby swear (or affirm) under the penalty of perjury: <br /> <br />(1) That I am the bidder (if the bidder is an individual), a partner in the bidder <br />(if the bidder is a partnership), or an officer or employee of the bidding <br />corporation having authority to sign on its behalf (if the bidder is a <br />corporation); <br /> <br />(2) That the attached proposal or proposals have been arrived at by the bidder, <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 invitation to bid, designed to limit independent bidding or competition; <br /> <br />(3) That the contents of the proposal or proposals have not been communicated <br />by the bidder or its employees or agents to any person not an employee or <br />agent of the bidder or its surety on any bond furnished with the proposal or <br />official opening the proposal or proposals; and <br /> <br />(4) That I have fully informed myself regarding the accuracy of the statements <br />made in this affidavit. <br /> <br />Signed: <br /> <br />Firm Name: <br /> <br />Subscribed and sworn to before me this <br />day of , 2002 <br /> <br />Notary Public <br />My Commission expires <br /> <br />,20_ <br /> <br />6 <br />