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• <br /> CITY OF'EVERETT SPECIAL PROVISIONS <br /> NON-COLLUSION AFFIDAVIT <br /> STATE OF WASHINGTON ) NON-COLLUSION AFFIDAVIT <br /> )ss <br /> COUNTY OF SNOHOMISH ) <br /> \`d , being first duly sworn, on <br /> his oath says that the Bid above submitted is a genuine and not a sham of collusive bid, or made in the interest <br /> or on behalf of any person not therein named; and he further says that the Bidder has not directly or indirectly <br /> induced or solicited any Bidder on the above Work or supplies to put in a sham bid,or any person or corporation <br /> to refrain from bidding; and that said Bidder has not in any manner sought by collusion to secure an advantage <br /> over any other Bidder or Bidders. <br /> NOTICE TO ALL BIDDERS <br /> To report bid rigging activities call: <br /> 1-800-424-9071 <br /> The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" Monday through <br /> Friday, 8:00 a.m. to 5:00 p.m., Eastern Time. Anyone with knowledge of possible bid rigging, bidder <br /> collusion, or other fraudulent activities should use the"hotline"to report such activities. <br /> The"hotline"is part of USDOT's continuing effort to identify and investigate highway construction contract <br /> fraud and abuse and is operated under the direction of the USDOT Inspector General. All information will <br /> be treated confidentially and caller anonymity will be respected. <br /> Cam k <br /> Signature CONTRACTOR NAME <br /> Subscribed and sworn to before this /3174 day of 0 c roe i , 20 <br /> PA%%% ��irr <br /> :�-1 F hr/ <br /> �'`.`Sg10N Post <br /> U' M — <br /> 4 0 'p'i t4ry Pu is in and for the State of Washington <br /> '" 46214 a esid$ng at /<1^44 (o vn� <br /> i co '4 AvB�-‘Ca _ / <br /> ''s,e-25-25 ;1 <br /> hrri OEW A9" <br /> Jackson Park Area Stormwater Separation Division P-PROPOSAL September 2020 <br /> Work Order No.-UP3703 SP-24 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />