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I <br /> CITY OF EVERETT SPECIAL PROVISIONS <br /> NON-COLLUSION AFFIDAVIT <br /> I <br /> STATE OF WA.SHINGTON ) <br /> I <br /> ) ss <br /> COUNTY OFSNOHOM ISH ) <br /> I The Undersigned, being first duly sworn, on oath says that the Bid above submitted is a genuine and not a <br /> sham of collusive bid,or made in the interest or on behalf of any person not therein named;and the undersigned <br /> further says that the.Bidder has not directly or indirectly induced or solicited any Bidder on the:above Work <br /> I or supplies to put in a sham hid,or any person or corporation to refrain from bidding; and that said Bidder has <br /> not in any manner sought by collusion to secure an advantage over any other Bidder or Bidders. <br /> 1 . <br /> OtA r I Cella EXOat/al-ion, -J-na <br /> IFinn Name Auth ,ed Signature <br /> 1 SUBSCRIBED and SWORN to before me this SY'b day of 20 22 <br /> \\`1,1101Oi r 1u,,,,,Ji <br /> `�`�5 .c0 o 2 4,'.•.p ; PU ILIC in and for the State of <br /> �'ofioy �N•. Washington,residing at SA-o- uxad t k <br /> ��� WARY : = <br /> PUB\-\� ,):Z;_ My commission expires: 414 'Ob —ZoZZ <br /> '',-9 SeNumbg •'�C�� <br /> 111 /�'"//�0F�WAS S�\`�. <br /> INOTICE TO ALL BIDDERS <br /> To report hid rigging activities call: <br /> II1-800-424-9071 <br /> The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" Monday through <br /> I 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 /> I fraud and abuse and is operated under the direction of the IJSDOT inspector General, All information will <br /> be treated confidentially and caller anonymity will be respected, <br /> I <br /> 1 Water Main Replacement"W" Division P-PROPOSAL April, 2022 <br /> WO No.-UP3766 SP-23 <br /> I <br />