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I , . <br /> I CITY OF EVERETT PUBLIC WORKS DOCUMENT 00 45 19 <br /> SPECIAL PROVISIONS NONCOLLUSION AFFIDAVIT <br /> IDOCUMENT 00 45 19—NON COLLUSION AFFIDAVIT <br /> I <br /> 1.1 GENERAL <br /> IA. Bidder shall fill out affidavit below, notarize,and include with Bid. <br /> ISTATE OF WASHINGTON ) <br /> ) ss. <br /> COUNTY OF Snohomish ) <br /> 1 <br /> IILes McClure ,being first duly sworn, on his/her oath says that the Bid <br /> above submitted is a genuine and not a sham of collusive bid, or made in the interest or on behalf of <br /> any person not therein named; and he further says that the Bidder has not directly or indirectly induced <br /> or solicited any Bidder on the above Work or supplies to put in a sham bid,or any person or <br /> I <br /> corporation to refrain from bidding;and that said Bidder has not in any manner sought by collusion to <br /> secure an advantage over any other Bidder or Bidders. <br /> I k10 j <br /> McClure and Sons, Inc. <br /> IFirm Name / 1 Authorized Signature <br /> ISUBSCRIBED and SWORN to before me this 14th day of June ,2016. <br /> Cmc . <br /> IN R PUBLIC in and for the State of Washington,residing at Mill Creek, WA. <br /> My commission expires: 5/10/20 <br /> I <br /> ``�,1{111111/1g,4 <br /> END OF DOCUMENT 00 45 19 `,,`� `.Jp�t MCCLt,R$'/t,,e,'1' <br /> It . ; NOTARY PUBLIC• <br /> • <br /> COMM.EXPIRES <br /> rz •• MAY 10,2020 <br /> • <br /> '. • <br /> •! .: <br /> �"7 OFiiiim'W ASH`� G ``s`` <br /> I <br /> PSO6 REROUTE 004519- 1 <br /> IWO NO.—UP3583 MAY 2016 <br />