Non-Collusion Affidavit Form Page 2

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City of Havre de Grace
Sewer Project - 500 Warren Street
Project #09-1232-9054
I state that ______________________________________ understands and acknowledges that
(NAME OF BIDDER’S FIRM)
the above representations are material and important, and will be relied on by the City of Havre
de Grace in awarding the Contract(s) for which this Bid is submitted. I understand and my firm
understands that any misstatement in this affidavit is and shall be treated as fraudulent
concealment from the City of Havre de Grace of the true facts relative to the submission of bids
for the Contract.
__________________________________________
(NAME OF BIDDER)
SWORN TO AND SUBSCRIBED BEFORE ME THIS _____________________ DAY
OF _______________________________.
__________________________________
(NOTARY PUBLIC)
__________________________________
(MY COMMISSION EXPIRES)
NON-COLLUSION AFFADAVIT
Page NC-2

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