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Mn/DOT 21297 (1-77) <br />NON-COLUSION AFFIDAVIT <br />State Project No. 6284 (35W 394) 901 '90-d56 E% 11-12 7 <br />Federal Project No. <br />STATE OF MINNESOTA ) ea <br />Comm OF _ ) <br />being <br />(Name of person signing <br />first duly sworn, do depose and say: <br />(1) that I am the authorized representative of <br />(Name of individual, partnership or corporation Submitting this propcsar) <br />and that I h:vc the authority to make this affidavit for and an beF,alf of said <br />bidder; , <br />(2) that, in connection with this proposal, the sa{d bidder has not either <br />i <br />directly or indirectly entered into any agreement, participated in any collusion <br />or otherwise taken any action in restraint of free competitive bidding; <br />(3) that, to the beat of my knowledge and belief, the ctntents of this <br />proposal have not been communicated by the bidder or by any of his employees or <br />agents to any person who is not an employee or age, <br />t of the bidder or of the surety <br />on any bond furnished with the proposal, and will not be communicated to any peraor. <br />vino is not an employee or agent of the bidder or of the said surety prior to the <br />official opening of the proposal, and <br />(4) that, I have fully informed myself regarding the accuracy of the state - <br />meats made in this affidavit. <br />Signed: <br />Bidder or his authorized representative <br />Supscribed and sworn to before me <br />this day of 19 .— <br />Notary Public <br />My commission expires 19 — <br />