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I <br /> I Section 00 45 19 <br /> Non-Collusion Affidavit <br /> I <br /> NONCOLLUSION AFFIDAVIT <br /> I STATE OF WASHINGTON ) <br /> ) ss. <br /> COUNTY OF ) <br /> I <br /> I .� 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 any <br /> Iperson not therein named;and he further says that the said 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 other <br /> I person or corporation to refrain from bidding;and that said bidder has not in any manner sought by <br /> collusion to secure an advantage over any other bidder or bidders. <br /> 1 . <br /> SN�� -j � CcA-tr'✓mIvor46 <br /> IFirm Name Authorized Signature <br /> ISUBSCRIBED and SWORN to before me this )5 day of_N0✓Gwt LJe4( , W v2" 1 <br /> (i. -11-JII:72 . <br /> V11111Mit -1- OMet5 <br /> NOTARY PUBLIC in and for the State of <br /> Washington,residing at tV14't(Oi t-e 5 WA' <br /> I <br /> Virginia A Tomasko <br /> Notary Public <br /> State of Washington Mycommission expires: '� I �� <br /> My Appointment Expires 04/1612024 p <br /> Commaaon Number 20104865 <br /> i <br /> I! <br /> IRotary Park Renovation 1 of 2 <br /> I <br /> 11 Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />