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I <br /> I Section 00 4519 <br /> Non-Collusion Affidavit <br /> I <br /> NONCOLLUSION AFFIDAVIT <br /> I <br /> I STATE OF WASHINGTON ) <br /> ss. <br /> COUNTY OF S's\.�`�C)`'�\5 <br /> I <br /> 1 C._ .c\c\Q . \C-L'N- -\--)The undersigned, being duly sworn,on his oath says that the bid <br /> submitted is a genuine and not a sham or collusive bid,or made in the interest or on behalf of any <br /> Iperson not therein named,and he further says that the said bidder has not directly or indirectly <br /> induced or solicited any bidder on the above work or supplies to put in a sham bid,or any other <br /> I person or corporation to refrain from bidding;and that said bidder has not in any manner sought by <br /> collusion to secure an advantage over any other bidder or bidders. <br /> I <br /> 4c ,-,,- ..e c •N� _Gi.me � Q�Gu-"4 — <br /> IFirm Name Authorized Signature <br /> ISUBSCRIBED and SWORN to before me this day of c \ ,19a(D\ -\ <br /> S_,... c_ \ - <br /> \_..,,,, <br /> NOTAR`•, BLIC in and for the State off <br /> Washington, residing at���C\\�-e c1 <br /> ,,illi,,,,i <br /> `%•%,F J ES r/�,I1y commission expires' �'- <br /> illZ 4/ ••ir.�FC 1 2 i <br /> = D :2 (- „,\•-' <br /> II i 0 <br /> 17. • c.v. .2- <br /> I <br /> 1, <br /> Phil Johnson Ballfields Renovation ,,/j;/t!1 t t i:11', 1 of 2 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />