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' CITY OF EVERETT SPECIAL PROVISIONS <br /> NON-COLLUSION AFFIDAVIT <br /> 1 • <br /> STATE OF WASHINGTON ) NON-COLLUSION AFFIDAVIT <br /> )ss <br /> COUNTY OF SNOHOMISH ) <br /> n. Al ( , being first duly sworn, on <br /> his oath says that the Bid above submitted is a genuine and not a sham of collusive bid, or made in the <br /> ' interest or on behalf of any person not therein named; and he further says that the Bidder has not directly or <br /> indirectly induced or solicited any Bidder on the above Work or supplies to put in a sham bid, or any person <br /> or 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 /> NOTICE TO ALL BIDDERS <br /> ' To report bid rigging activities call: <br /> 1-800-424-9071 <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 contract <br /> fraud and abuse and is operated under the direction of the USDOT Inspector General. All information will <br /> ' be treat fidentiall and caller anonymity will be respected. <br /> "\Ch\�e'r C nAc*1(►1 <br /> Signat e CONTRACTOR NAME <br /> ' Subscribed and sworn to before this L • day of Aft , 20 . <br /> �,;y�0 14%� ` Notary Public in and for the State of Washington <br /> O�pxR Y s+. 1 residing at 1 D <br /> I to <br /> ' \‘�7E OF`I'I�= <br /> Water Main Replacement"Q" Division P- PROPOSAL July 8, 2016 <br /> Broadway <br /> 111WO No.-UP3612 SP-21 <br />