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City of Everett 00 4519 - 1 <br /> <br /> <br />Non-Collusion Affidavit <br />004519-1 202082-10 May 2024 <br />pw://Carollo/Documents/WA/Everett/202082-100000/04 Design/04 Specs/Carollo/004519 (FS-100) <br /> <br />SECTION 00 4519 - NON-COLLUSION AFFIDAVIT <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br /> <br /> <br /> <br />STATE OF WASHINGTON ) <br /> ) ss. <br />COUNTY OF ________________ _ ) <br /> <br /> <br /> <br />The undersigned, being duly sworn, on oath says that the bid submitted is a genuine and not a <br />sham or collusive bid, or made in the interest or on behalf of any person not therein named; and <br />the undersigned further says that the said bidder has not directly or indirectly induced or <br />solicited any bidder on the above work or supplies to put in a sham bid, or any other person or <br />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 /> <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 />END OF SECTION 00 4519