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GJN4602 KSH Construction 2009-00029
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GJN4602 KSH Construction 2009-00029
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Last modified
10/19/2011 12:04:21 PM
Creation date
7/6/2009 12:18:00 PM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
No
External_View
No
GJN
004602
GL_Project_Number
995814
COE_Contract_Number
2009-00029
Retention_Destruction_Date
1/13/2020
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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 /> K~ <br /> (Bidder's Firm Name) <br /> I, the undersigned, as (sole owner) (a partner) (officer of the foregoin 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 \ <br /> Subscribed and sworn before me this day of ~ _ 20. <br /> My commission expires: ~~c2.., <br /> Notary Public for regon <br /> OFFICIAL SEAL <br /> SAMANTHA ANN ROSS <br /> NOTARY PUBLIC -OREGON <br /> COMMISSION N0.433904 . <br /> MY COMMISSION EXPIRES OCTOBER 30, 2012 <br /> <br /> Form #P-07 <br /> <br />
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