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<br />Sale # 139575 <br />Conveyance 2010-0083 <br /> <br />TO BE SOLD BY SEALED BID <br />August 8, 2023 <br />395 John Ireland Blvd. <br />St Paul, MN 55155 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF MINNESOTA ) <br /> )ss. <br />COUNTY OF ) <br /> <br />I, _____________________________________________________________________________, being <br /> (Name of person signing this affidavit) <br /> <br />first duly sworn, do depose and say: <br /> <br />1) that I am the authorized representative of <br />______________________________________________________________________________ <br />(Name of individual, partnership or corporation submitting this proposal) <br /> <br /> and that I have the authority to make this affidavit for and on behalf of said bidder; <br /> <br />2) that, in connection with this proposal, the said bidder has not either directly or indirectly entered <br />into any agreement, participated in any collusion or otherwise taken any action in restraint of free <br />competitive bidding; <br />3) that, to the best of my knowledge and belief, the contents of this proposal have not been <br />communicated by the bidder or by any of his employees or agents to any person who is not an <br />employee or agent of the bidder, and will not be communicated to any person who is not an <br />employee or agent of the bidder prior to the official opening of the proposal, and <br />4) that, I have fully informed myself regarding the accuracy of the statements made in this affidavit. <br />5) Are you a current or former State of Minnesota Government Employee? □ Yes □ No <br />If yes, please add department name and dates of employment. <br />_________________________________________________________________________________ <br /> <br />_________________________________________________________________________________ <br /> <br /> Signed: _________________________________ <br /> (Bidder or authorized representative) <br /> <br /> Subscribed and sworn to before me <br /> <br /> This_________ day of _____________, 20__ <br /> <br /> ____________________________________ <br /> Notary Public <br /> <br /> My commission expires ____________, 20__ <br />140