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Page | 16 <br /> <br /> <br />ATTACHMENT C <br /> <br />Affidavit and Information Required of RFP Submitters <br /> <br />Affidavit of Non-Collusion <br /> <br />I hereby swear (or affirm) under the penalty of perjury: <br /> <br />A. That I am the proposer (if the proposer is an individual), a partner with the proposer (if the proposer <br />is a partnership), or an officer or employee of the proposing corporation having authority to sign on <br />its behalf (if the proposer is a corporation); <br /> <br />B. That the attached proposal or proposals have been arrived at by the proposer, independently, and have <br />been submitted without collusion with, and without any agreement, understanding, or planned common <br />course of action with any other vendor of materials, supplies, equipment or services described in the <br />Request for Proposals, designed to limit independent proposing or competition; <br /> <br />C. That the contents of the proposal or proposals have not been communicated by the proposer or its employees <br />or agents to any person not an employee or agent of the proposer or its surety on any bond furnished with <br />the proposal or official reviewing the proposal or proposals; and <br /> <br />D. That I have fully informed myself regarding the accuracy of the statements made in this <br />affidavit. <br /> <br />Signature Date <br /> <br />Print Name Firm Name <br /> <br />Subscribed and sworn to before me this <br /> day of _, 2019 <br /> <br /> <br />Signature, Notary Public My commission expires , 20 <br /> <br /> <br />