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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 1 <br />0'n ~ Co <br />Firm Name) <br />I, the undersigned, as (sole owner) (q <br />-partner) (officer of the foregoing corporation) (agent 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 />OFFICIAL SEAL Signature <br />KRIS OMEN <br />E NOTARY PUBLIC - OREGON <br />COIIMMISION NO. 4`14219 Title" S e ere, a-fi~ <br />MY COASION EXPIRES MARCH 2011 , <br />Subscribed and sworn before me this day of 20 1 <br />My commission expires: <br />Notary Public for Oregon <br />Form #P-07 <br />