HomeMy WebLinkAboutNon-Collusion AffidavitCITY OF MARGATE
NON -COLLUSION AFFIDAVIT
This affidavit is to be filled in and executed by the bidder, if the bid is made by a
Corporation, then by its Chief Officer. This document must be submitted with the bid.
STATE OF
COUNTY OF
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being first duly sworn, deposes and says that k ei' 7.9 FO v L A.O X
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residing at
and
residing at (is/are)
the only person(s) with (him/them) in the delivery of the materials bid upon or the services
performed under these specifications; that the said bid is made without any connection or
common interest in the profits with any other persons making any bid or proposal for the said
work; that the said contract is on (his/their) part in all respects fair and without collusion or
fraud; and also that no head of any department or any employee therein; or any officer of the
City of Margate is directly or indirectly interested min--------- ā
BIDDERS AUTHORIZED SIGNATURE:
Subscribed and sworn to before me this .Z day of PM,' ,2006
BID NO. 2006-004
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