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I <br /> • <br /> City of Everett 00 4519- 1 <br /> Diversion Dam Road Phase 3 UT 3707&UT 3708 <br /> SECTION 00 4519 - NON-COLLUSION AFFIDAVIT <br /> I <br /> NONCOLLUSION AFFIDAVIT <br /> II <br /> ISTATE OF WASHINGTON ) <br /> ) ss. <br /> COUNTY OF >L-e-T _) <br /> I7 orixe P /.4f The undersigned, being duly sworn, on his oath says that the bid <br /> submitted is a genuine and not a sham or collusive bid, or made in the interest or on behalf of <br /> Iany person not therein named; and (s)he further says that the said bidder has not directly or <br /> indirectly Induced or solicited any bidder on the above work or supplies to put in a sham bid,or <br /> I any other person or corporation to refrain from bidding; and that said bidder has not in any <br /> manner sought by collusion to secure an advantage over any other bidder or bidders. <br /> ,.. _7,--. .-----------;;_,--,.l <br /> I t _/2 .-eiv(Ovt 1I'L4(4i rrvf AAA( <br /> Firm Name , <br /> A orized Signature <br /> I <br /> SUBSCRIBED and SWORN to before me thIsc&Oday of .L/(L ,20/ . <br /> IJO G. OLT I f'ACILI/L <br /> Notary Public NV RY PUBLIC in andjor the State of p� <br /> I State of Washington ..shington, residing at u2G�C�� � <br /> Commission 11 75427 <br /> My Comm. Expires Mar 10, 2023f <br /> My commission expires: /10 ..8 <br /> I END OF SECTION 00 4819 <br /> I . <br /> 00 4519- 1 NON-COLLUSION AFFIDAVIT <br /> Il <br /> Provided to guilders Exchange of S7A, tnc. For usage Conditions Agreement see www.bxwa.com - Always Verify Seal <br />