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GJN4595 Brown 2009-00023
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GJN4595 Brown 2009-00023
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Entry Properties
Last modified
10/19/2011 11:42:12 AM
Creation date
6/23/2009 9:44:13 AM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
No
External_View
No
GJN
004595
GL_Project_Number
973632
Identification_Number
2009100414
COE_Contract_Number
2009-00023
Retention_Destruction_Date
3/10/2020
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AFFIDAVIT OF NONCOLLUSION <br /> TO: CITY OF EUGENE, A MUNICIPAL CORPORATION OF THE STATE OF OREGON <br /> STATE OF OREGON ) <br /> SS <br /> COUNTY OF LANE ) <br /> (Bidder's Firm Name) <br /> I, the undersigned, as (sole owner) (a artner (officer of the fore oing corporation) (went of the above <br /> bidder ,being first duly sworn on oath, depose and say: <br /> That the attached bid has been arrived at by the bidder, independently, and has been submitted without <br /> collusion with, and without any agreement, understanding or planned course of action with, any other <br /> contractor, bidder, or vendor on materials, supplies, equipment or services, described in the invitation <br /> to bid, designed to limit independent bidding or competition. <br /> The contents of the bid herein presented and made have not been communicated by the bidder or (his) <br /> (their) or (its) employees or agents to any person not an employee or agent of the bidder or its surety <br /> on any bond furnished with the bid, and will not be communicated to any such person prior to the <br /> official opening of the bid. <br /> I have fully informed myself regarding the accuracy of the foregoing statements, and the same are <br /> made by me based on my personal information. <br /> I have read and understood the Book of Contract Documents and the Specifications for the attached <br /> Bid. <br /> Signature ~ <br /> Title ~~~id c,-.., <br /> Subscribed and sworn before me this 3 ~ day of p ~ , 20 Oe' <br /> <br /> My commission expires: (~e3 , <br /> ~ <br /> j s ~p 1 j <br /> No lic or regon <br /> OFFICIAL SEAL <br /> J®~~ R ~9NE®A <br /> NOTARY FU6LIC -OREGON <br /> COr~ti91SSi0N N0.420555 <br /> MY COMtiiISSION EXPfRES AUG. 21, 2011 <br /> <br /> Form #P-07 <br /> <br />
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