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<br />Lenora Regional SW Facility Division P – Proposal Nov. 2025 <br />Work Order # UP3792 SP - xxxv <br />Category 2: For official use only / disclosure permissible by law. <br />NON-COLLUSION AFFIDAVIT <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 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 /> <br /> <br /> <br /> <br /> Firm Name Authorized Signature <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 /> <br />