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NON-COLLUSIVE AFFIDAVIT
State of
County of
Being first duly sworn, deposes and says that:
(65) He/she is of
(Owner, Partner, Officer, Representative or Agent)
the Bidder that has submitted the attached bid;
(Name of Company)
Q) He is fully informed respecting the preparation and contents of the attached bid and
all pertinent circumstances respecting such bid;
(3) Such bid is genuine and is not a collusive sham;
(4) Neither the said Bidder nor any of its officers, partners, owners, agents,
representatives, employees or parties in interest, including this affidavit, has in any way colluded,
conspired, connived, or agreed, directly or indirectly with any other bidder, firm or person to submit
a collusive or sham bid in connection with the contract for which the attached bid has been
submitted or to refrain from bidding in connection with such contract, or has in any manner, directly
or indirectly, sought by unlawful agreement or collusion or communication or conference with any
other bidder, firm or person to fix the price or prices in the bid price or the bid price of any other
bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any
advantage against the Newport News Redevelopment & Housing Authority or any person interested
in the proposed contract; and
(5) The price or prices in the attached bid are fair and proper and are not tainted by any
collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its
agents, representatives, owners, employees, or parties in interest, including this affiant.
(Name)
(Title)
Subscribed and Sworn before me
This day of 20
My Commission Expires
Marshall Courts Phase VIT Demolition ATTACHMENT “EF” Page 1 of 1
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