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CITY OF EVERETT SPECIAL PROVISIONS <br /> <br />3rd Ave Water Quality Facility Division P – PROPOSAL September 20, 2024 <br />Work Order No. – UP 3775 SP – 11 <br />NON-COLLUSION AFFIDAVIT STATE OF WASHINGTON ) ) ss COUNTY OF SNOHOMISH ) The Undersigned, being first duly sworn, on oath says that the Bid above submitted is a genuine and not a sham of collusive bid, or made in the interest or on behalf of any person not therein named; and the undersigned further says that the Bidder has not directly or indirectly induced or solicited any Bidder on the above Work or supplies to put in a sham bid, or any person or corporation to refrain from bidding; and that said Bidder has not in any manner sought by collusion to secure an advantage over any other Bidder or Bidders. <br /> <br />Firm Name Authorized Signature <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 /> NOTICE TO ALL BIDDERS To report bid rigging activities call: 1-800-424-9071 The U.S. Department of Transportation (USDOT) operates the above toll-free “hotline” Monday through Friday, 8:00 a.m. to 5:00 p.m., Eastern Time. Anyone with knowledge of possible bid rigging, bidder collusion, or other fraudulent activities should use the “hotline” to report such activities. The “hotline” is part of USDOT’s continuing effort to identify and investigate highway construction contract fraud and abuse and is operated under the direction of the USDOT Inspector General. All information will be treated confidentially and caller anonymity will be respected. <br /> _________________________________