R L Alia Company 5/4/2017 - Laserfiche WebLink

I NON-COLLUSION AFFIDAVIT ISTATE OF WASHINGTON ) NON-COLLUSION AFFIDAVIT I ss COUNTY OF SNOHOMISH )) 1 \\ \7 0 PLA p! , being first duly sworn, on his 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 he further says that I 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. I INOTICE TO ALL BIDDERS To report bid rigging activities call: i1-800-424-9071 The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" Monday I through Friday, 8:00 a.m. to 5:00 p.m., Eastern Time. Anyone with knowledge of possible bid rigging, bidder collusion, or other fraudulent activities should use the "hotline" to report such activities. IThe "hotline" is part of USDOT's continuing effort to identify and investigate highway construction contract fraud and abuse and is operated under the direction of the USDOT Inspector General, All information will he treated confidentially and caller anonymity will be I respected. 1 I -1/: ;I'Sif Signature CONTRACTOR NAME ISubscribed and sworn to before this Iii day of M itl-r ,20 17 00 pANK, ii, O m - ---- Notary Public in and for the State of Washington Tir NOTARY "_�t . PUBLIC ?2 residingat /(144. Cog ..T%'4_ 'OS 'Iitl,41!! HAYES STREET REGULATOR February,2017 I AND CSO CONTROLS (SRO1, SRO2, AND SRO3) WO No- UP3398-31 SP- 17 Ire 25 Non-Collusion Affidavit/Notice to All Bidders ovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com-Always Verify Scale