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CITY OF EVERETT SPECIAL PROVISIONS <br /> <br />Water Main Replacement “Y” – Ph 1 Div P – PROPOSAL March 2024 <br />Work Order No. UP 3814 SP-21 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br /> <br /> <br />STATE OF WASHINGTON ) <br /> ) ss <br />COUNTY OF SNOHOMISH ) <br /> <br /> <br />The Undersigned, being first duly sworn, on oath says that the Bid above submitted is a genuine and <br />not a sham of collusive bid, or made in the interest or on behalf of any person not therein named; and <br />the undersigned further says that the Bidder has not directly or indirectly induced or solicited any <br />Bidder on the above Work or supplies to put in a sham bid, or any person or corporation to refrain <br />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 /> <br /> <br /> <br /> <br /> <br />Firm Name Authorized Signature <br /> <br /> <br /> <br />SUBSCRIBED and SWORN to before me this _____ day of ______________, 20_____. <br /> <br /> <br /> <br /> NOTARY PUBLIC in and for the State of <br /> Washington, residing at <br /> <br /> My commission expires: <br /> <br /> <br /> <br /> <br />NOTICE TO ALL BIDDERS <br /> <br />To report bid rigging activities call: <br /> <br />1-800-424-9071 <br /> <br />The U.S. Department of Transportation (USDOT) operates the above toll-free “hotline” Monday <br />through Friday, 8:00 a.m. to 5:00 p.m., Eastern Time. Anyone with knowledge of possible bid rigging, <br />bidder collusion, or other fraudulent activities should use the “hotline” to report such activities. <br /> <br />The “hotline” is part of USDOT’s continuing effort to identify and investigate highway construction <br />contract fraud and abuse and is operated under the direction of the USDOT Inspector General . All <br />information will be treated confidentially and caller anonymity will be respected. <br /> _________________________________ <br /> <br />