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City of Everett 004519 - 1 <br /> 2021 Biosolids and Backwash Solids Removal UT 3752-1 / 20 <br /> SECTION 00 4519 - NON-COLLUSION AFFIDAVIT <br /> NON-COLLUSION AFFIDAVIT <br /> STATE OF WASNIMGRAI INDIANA ) <br /> ) ss. <br /> COUNTY OF HOWARD ) <br /> DUSTIN SMITH , The undersigned, being duly sworn, on his oath says that <br /> the bid submitted is a genuine and not a sham or collusive bid, or made in the interest <br /> or on behalf of any person not therein named; and (s)he further says that the said <br /> bidder has not directly or indirectly induced or solicited any bidder on the above work or <br /> supplies to put in a sham bid, or any other person or corporation to refrain from bidding; <br /> and that said bidder has not in any manner sought by collusion to secure an advantage <br /> over any other bidder or bidders. <br /> MERRELL BROS., INC. <br /> Firm Name Authorized Signature <br /> SUBSCRIBED and SWORN to before me this rft- day of -IpaMB <br /> 20 b . <br /> LORI JACKSON,,,,,,,,,,,,PUS,, AbAi, <br /> Printed Name of ,t� i8g' Signature o Notary Public <br /> c��O,• pRD co��.ti�' <br /> c v �p <br /> NOTARY PUBLIC NOTARY PUBLIC in and for the State of <br /> Cpmussim Number <br /> �' 1i�§ i��1, residing at HOWARD CO., IN <br /> 6386948‘(0) NOTARY SEAL <br /> cr,.•%1on Exp�es-''� ;' My commission expires: 11.21.2026 <br /> OF <br /> 00 4519 - 1 NON-COLLUSION AFFIDAVIT <br /> -ovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />