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vvuo ~.aaa ovanitir~ r~~ r.~w ~IUU4/007 <br /> AFFIDAVIT OF NONCOLLUSYON <br /> TO: CITY OF EUGENE, A MUNIG>Q'AL GORPORATTON QF T7ktE STATE OF OREGON <br /> STATE AF OREGON ) <br /> SS <br /> COiTN'~'X OF LANE ) <br /> j' E' ~ i n L' © ~ <br /> idder's PSna Nam <br /> I, the undersigned, as (sole owner) (ofliear of ~f goine aoreorationl (aggtt of the above <br /> binder), being first duly swaa~n oat< oath, depose and say: <br /> That the attached bid has been arrived at by the bidder independently, and has been submittnd without <br /> collusiau with, end vvi~ortt arty agreement; undetstandiag ar plaarted course ofaation with, any other <br /> ~-cmtracior, bidder, or vetlC101' ou materials, supplies, equipnxant or services, described in the imitation <br /> to bid, designed to limit independent bidding ar tian. <br /> The contents of the bid hes'osn presented and made have not been corrrrumicated by the biddex or (his} <br /> (their) or (its) cayployas or ag~cnta to any person not an employee or ageat of the bidder or its surety <br /> on any bond furnished with t'he bid, and will not be ~icated to any such person prior to the <br /> afiYCinl opening of the bid. <br /> I have fully inforntcd rnysclf regm <br /> ding tt~ accuracy of the foregoing statements, anci the same arc <br /> made by me based on my peraaa~slI infarmntion. <br /> i have rid snd understood the Book of Contract Docuttreats $ad the Specifications for the attached <br /> Bid. <br /> Signature f~ <br /> Title ~"lLe1L , <br /> i r~,rrwri.nrr.. <br /> Subscdbea and awom bafare ma this --,;:)U day Of ~ . 20 <br /> fZ.~,,,. <br /> ___1~ <br /> My commission empires: D 51 <br /> Notary Public dr <br /> OFflC1AL SEAL <br /> M!'~ C g-lfAl01R <br /> NOURY ~LX'rORECON <br /> C:OMM~ON N0.3419U <br /> <br /> Form #P-07 MY COMMt5S10N DtPIR6 JMl 11, 2005 <br /> <br />