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.AFFIDAVIT OF NONCULLUSION <br /> TO: CITY OF EUGENE, A MUNICIPAL CORPORATION OF THE STATE OF OREGON <br /> STATE OF OREGON) <br /> SS <br /> COUNTY OF LANE ) <br /> _ ~ /Y~- <br /> ' (Bidd 's Firm Name) <br /> I, the undersigned, as (sole owner) a artner) officer of the foresoin~ ccorpo-~___ <br /> ratidn) (agent of the. above <br /> ' bidder ,being first duly sworn on oath, depose an sa . - ' <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 /> <br /> . made by me based on xny personal information. <br /> I have read and understood the Book of Contract Documents and the Specifications for the attached <br /> Bid. <br /> Signature ~ <br /> ~ <br /> Title ~',~4~~~e~~--f <br /> Subscribed and sworn before me this ~ 7 day of ~Gcti 20~.` . <br /> My commission expires: - - Gj <br /> Notary Public for Oregon <br /> ~ 8 . • OIFFICiAL S~AI. <br /> NOTre~ ~ C~~O~ ANN ttEER <br /> CfJ€1Ahi3 s ``st> 3~'~'IAf~V` t'4J€§LIC OREGON <br /> MY COMheflS~R%~N ~'~;'~~4i_., ~.L -~9 _ COE,h~~iiw~S;ON'NO.400112. <br /> °~,M FJiY CO~ltvliSSi~i~ ~XPT~rES DEC. 4, 2009 <br /> Form #P-a7` <br /> <br />