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AFFWAVrr OF NONCOLLUSION <br />TO: CITY OF EUGENE, A MUNICIPAL CORPORATION OF THE STATE OF OREGON <br />McKenzie Excavating Inc. <br />STATE OF OREGON) 28568 Bodenhamer Road <br />) SS Eugene, OR 97402 <br />COUNW OF LANE ) (541) 689-3085 <br />(Bidder's Firm Name) <br />I, the undersigned, as (sole owner) a artner (officer of the foregoing 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 .9 i7" ecdl~/ <br />Title s C, --c <br />Subscribed and sworn before me this day VNoPublic , 20 17 <br />My commission expires m ° <br />egon <br />OFFICIAL SEAL <br />KATHY S. COON <br />NOTARY PUBLIC-OREGON <br />COMMISSION NO. 436990 <br />OW COMMISSION EXPIRES FEB. 27 <br />Form #P-07 <br />