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um <br />NC)N~CQLLUS/[)NAFF|DAV|T <br />State of North Carolina <br />County nfOrange Proposal Request No. 51S1 <br />beiOg first duly,swn0. deposes and says that: <br />(H ejShe is the of the proposer that <br />has submitted the attached proposal; <br />2. He/8h8 is fully informed respecting the preparation and contents 0fthe attached prOpV88| and <br />of all pertinent circumstances respecting such proposal; <br />1 Such proposal iS genuine and iG not 8 collusive 0[ sham proposal; <br />4^ Neither the said proposer nor any of its officers, partners, 0wnens, agents, representatives, <br />employees or parties in interest, including this affiant, has in any way colluded, conspired, <br />connived or agreed, directly or indirectly, with any other proposer firm or Person to submit <br />collusive OF sham proposal |O connection with the contract for which the attached proposal has <br />been submitted or to refrain from proposing in oVnneo(jOn with such contract, or has in any <br />rnonD8r, directly or indirectly sought by agreement Or collusion Of cQn0[n4DiCadUn or <br />conference with any other p[op0se[, firm or person to fix the. price or prices in the attached <br />proposal or of any other proposers, or to fix any overhead, profit or cost element Of the <br />proposal price of the proposal 0f any other proposer o[t0 secure through collusion, conspiracy, <br />connivance or unlawful agreement any advantage against the County 0f Orange Or any person <br />interested in the proposed contract; and <br />The price or prices quoted in the attached proposal are fair and proper and are not tainted by <br />any collusion, conspiracy, COmliV@nce or UD|@vYfU| 8g[eeDl8Cd on the part, Ofthe proposer or <br />any of its agents, representatives, {nmn8rS, employees, or parties in interest, including this <br />affiant. <br />Title I <br />Subscribed and Sworn t0 Before Me, <br />Notary Public `3 <br />My COrnnias0n Expires: <br />Pagel 1of11 �~�r <br />