Laserfiche WebLink
I <br /> 1 Failure to return this Declaration as part of the bid proposal package <br /> will make the bid nonresponsive and ineligible for award. <br /> I 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 /> I <br /> true and correct: <br /> 1. That the undersigned person(s), firm, association or corporation has (have) not, <br /> Ieither directly or indirectly, entered into any agreement, participated in any collusion, <br /> or otherwise taken any action in restraint of free competitive bidding in connection <br /> I <br /> 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 /> I <br /> NOTICE TO ALL BIDDERS <br /> I <br /> To report rigging activities call: <br /> I <br /> 1 -800-424-9071 <br /> IThe U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" <br /> Monday through Friday, 8:00 am, to 5:00 p.m., eastern time. Anyone with knowledge of <br /> I possible bid rigging, bidder collusion, or other fraudulent activities should use the "hotline" <br /> to report such activities. <br /> IThe "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 /> IUSDOT Inspector General. All information will be treated confidentially and caller <br /> anonymity will be respected. <br /> I <br /> I <br /> SR <br /> I <br /> DOT Form07/2011 272-0361 EF <br /> IHOT MIX ASPHALT OVERLAY 2017 Page 8 of 11 MARCH 2017 <br /> WORK ORDER#PW 3642 <br /> DIVISION P <br /> Pided to Builders Exchange of WA, Inc, ForusageConditions Agreement see www.bxwa com-Always Verify Scale <br /> � <br />