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City of Everett 00 45 19 - 1 <br /> <br /> <br /> <br />00 4519 - 1 NON-COLLUSION AFFIDAVIT <br /> <br /> <br />SECTION 00 45 19 - 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 <br />and not a sham or collusive bid, or made in the interest or on behalf of any person not <br />therein named; and the undersigned further says that the said bidder has not directly or <br />indirectly induced or solicited any bidder on the above work or supplies to put in a sham <br />bid, or any other 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 <br />bidders. <br /> <br /> <br /> <br /> <br />Firm Name Authorized Signature <br /> <br /> <br /> <br />SUBSCRIBED and SWORN to before me this _____ day of ______________, <br />20_____. <br /> <br /> <br /> <br /> NOTARY PUBLIC in and for the State of <br /> Washington, residing at <br /> <br /> My commission expires: <br /> <br />