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CITY OF MOIINUS VIEW <br />2401 Highway ID <br />Mounds View, Minnesota <br />AFFIDAVIT AND INFORMA"I'ION REOUiRED OF BIDDERS <br />Affidavit of Non-C'oilusion: <br />1 hereby swear (or affirm) under fhe, penalty for <br />pe,3ury: <br />(1) That I am the hidder (it the bidder is an indi- <br />vidual), a partner in the bidder (if the bidder <br />is a partnership), or an officer or employee of <br />the bidding corporation having authority to sign <br />nn behalf (it the bidder is a corporation). <br />(2) That the attached bid or bids have been arrived at <br />by the bidder independently, and have been <br />submitted without rnllus uin with, and without .any <br />agreement, understanding, or planned common course <br />of action with, any other vendor of materials, <br />supplies, equipment or services described in the <br />invitation to bid, designed to limit independent <br />bidding or competition: <br />(3) That the contents of the bid or bids have not been <br />communicated by the bidder or its employees or <br />agents to any person not an employee or agent <br />of the bidder or its surety on any oond furninhed <br />with he bid or bids, and will not be communicated <br />to any such person prior to the official opening <br />of the bid or bids: and <br />(/) That I have fully informed myself regarding the <br />accurecy of the statements made in this affidavit. <br />Firm <br />Subscribed and sworn to before me this <br />day of <br />ly <br />Notary Public <br />My commission expires <br />STATEMENT OF CUMPLIANCF. <br />"The undersigned hereby states that (he/she) fully intends <br />to comply with the standards of equal employment and anti- <br />discrimination as cited in the Civil Rights Act of 196/ as <br />amended in 1972 by the Equal Employment opportunity Act. <br />Dated _— ---- ----- ---------- --- <br />