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ICITY OF EVERETT SPECIAL PROVISIONS <br /> INON-COLLUSION AFFIDAVIT <br /> I STATE OF WASHINGTON <br /> NON-COLLUSION <br /> AFFIDAVIT <br /> I <br /> COUNTY OF SNOHOMISH ))ss <br /> I VIAbv( ' <br /> being first duly <br /> sworn, on his oath says that the Bid above submitted is a genuine and not a sham of collusive <br /> bid, or made in the interest or on behalf of any person not therein named; and he further says that <br /> I the Bidder has not directly or indirectly induced or solicited any Bidder on the above Work or <br /> supplies to put in a sham bid, or any person or corporation to refrain from bidding; and that said <br /> Bidder has not in any manner sought by collusion to secure an advantage over any other Bidder <br /> Ior Bidders. <br /> INOTICE TO ALL BIDDERS <br /> ITo report bid rigging activities call: <br /> 1-800-424-9071 <br /> I The U.S. Department of Transportation (USDOT) operates the above toll-free "hotline" Monday <br /> through Friday, 8:00 a.m. to 5:00 p.m., Eastern Time. Anyone with knowledge of possible bid <br /> rigging, bidder collusion, or other fraudulent activities should use the "hotline" to report such <br /> activities. <br /> I <br /> The "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 USDOT <br /> I Inspector General. All information will be treated confidentially and caller anonymity will be <br /> respected. <br /> I kik - <br /> t'abt v COMillk(flOYt 6 rr <br /> Signature i,. CONTRACTOR NAME <br /> I 4-K. <br /> Subscribed and sworn to before this 11 day of i (mint , 20 VT . <br /> I .4.----0 <br /> �.. zoow <br /> I <br /> of,` ice ,?4,.:• I. Notary Public in and for the State of Washington <br /> p� ®� residing at A.P./l./ <br /> � <br /> �),s of <br /> ISewer Regulators R4 and Division P—PROPOSAL May 2017 <br /> R39 Modifications <br /> Work Order No.—UP3633 SP-27 <br /> tovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />