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' Failure to return this Declaration as part of the bid proposal package <br /> will make the bid nonresponsive and ineligible for award. <br /> ' NON-COLLUSION DECLARATION <br /> I, by signing the proposal, hereby declare, under penalty of perjury <br /> under the laws of the United States that the following statements are <br /> true and correct: <br /> 1. That the ( <br /> erson undersigned s), firm, association or corporation has (have) not, <br /> g person(s), <br /> either directly or indirectly, entered into any agreement, participated in any <br /> ' collusion, or otherwise taken any action in restraint of free competitive bidding in <br /> connection with the project for which this proposal is submitted. <br /> ' 2. That by signing the signature page of this proposal, I am deemed to <br /> have signed and to have agreed to the provisions of this declaration. <br /> NOTICE TO ALL BIDDERS <br /> To report rigging activities call: <br /> 1 -800-424-9071 <br /> ' The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" <br /> Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern time. Anyone with knowledge of <br /> possible bid rigging, bidder collusion, or other fraudulent activities should use the "hotline" <br /> to report such activities. <br /> The "hotline" is part of USDOT's continuing effort to identify and investigate highway <br /> construction contract fraud and abuse and is operated under the direction of the <br /> USDOT Inspector General. All information will be treated confidentially and caller <br /> anonymity will be respected. <br /> SR <br /> DOT Form 272-0361 EF <br /> ' 07/2011 <br /> TITLE PAGE 9 OF 12 DATE <br /> WORK ORDER# <br /> DIVISION P <br />