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I <br /> Failure to return this Declaration as part of the bid proposal package <br /> Iwill make the bid nonresponsive and ineligible for award. <br /> I NON-COLLUSION DECLARATION <br /> I I, by signing the proposal, hereby declare, under penalty of <br /> perjury under the laws of the United States that the following <br /> statements are true and correct: <br /> I1. That the undersigned person(s), firm, association or corporation has <br /> (have) not, either directly or indirectly, entered into any agreement, <br /> I <br /> participated in any collusion, or otherwise taken any action in restraint of <br /> free competitive bidding in connection with the project for which this <br /> I 2. proposal is submitted. <br /> That by signing the signature page of this proposal, I am <br /> deemed to have signed and to have agreed to the provisions <br /> Iof this declaration. <br /> I NOTICE TO ALL BIDDERS <br /> ITo report rigging activities call: <br /> I 1-800-424-9071 <br /> The U.S. Department of Transportation (USDOT) operates the above toll-free <br /> I "hotline" Monday through Friday, 8:00 a.m. to 5:00 p.m., eastern time. Anyone <br /> with knowledge of possible bid rigging, bidder collusion, or other fraudulent <br /> Iactivities should use the "hotline" to report such activities. <br /> The "hotline" is part of USDOT's continuing effort to identify and investigate <br /> I highway construction contract fraud and abuse and is operated under the <br /> direction of the USDOT Inspector General. All information will be treated <br /> confidentially and caller anonymity will be respected. <br /> I <br /> I <br /> I <br /> SR <br /> DOT Form 272-0361 EF <br /> I07!2011 <br /> 162 Non-Collusion Declaration <br /> oovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com-Always Verify Scale <br />