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CITY OF EVERETT SPECIAL PROVISIONS <br /> <br />Water Main Replacement “Y” – Ph 2 Div P – PROPOSAL October 2025 <br />Work Order No. UP 3814 SP-13 <br />Category 2: Sensitive information <br />Category 2: For official use only / disclosure permissible by law. <br /> <br />NON-COLLUSION AFFIDAVIT <br /> STATE OF WASHINGTON ) ) ss COUNTY OF SNOHOMISH ) <br />The Undersigned, being first duly sworn, on oath says that the Bid above submitted is a genuine and not <br />a sham of collusive bid, or made in the interest or on behalf of any person not therein named; and the <br />undersigned further says that the Bidder has not directly or indirectly induced or solicited any Bidder on <br />the above Work or supplies to put in a sham bid, or any person or corporation to refrain from bidding; <br />and that said Bidder has not in any manner sought by collusion to secure an advantage over any other <br />Bidder or Bidders. <br /> <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 <br /> To report bid rigging activities call: 1-800-424-9071 <br /> <br />The U.S. Department of Transportation (USDOT) operates the above toll-free “hotline” Monday through <br />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 <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.