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DocuSign Envelope ID:826509CF-ED5F-4F89-AE19-18F10AF97036 <br /> 0 <br /> Affidavit T.A. Loving <br /> NON-COLLUSION AFFIDAVIT <br /> State of North Carolina <br /> County of Orange Proposal Request No. 5218 <br /> (QA-- l Y , being first duly sworn, deposes and says that: <br /> I. He/She is the V` 1"(C4t of ►•A- 1---pitV cop-ea- , the proposer that <br /> has submitted the attached proposal; <br /> 2. He/She is fully informed respecting the preparation and contents of the attached proposal and <br /> of all pertinent circumstances respecting such proposal; <br /> 3, Such proposal is genuine and is not a collusive or sham proposal; <br /> 4. Neither the said proposer nor any of its officers, partners, owners, 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 a <br /> collusive or sham proposal in connection with the contract for which the attached proposal has <br /> been submitted or to refrain from proposing in connection with such contract, or has in any <br /> manner, directly or indirectly sought by agreement or collusion of communication or <br /> conference with any other proposer, 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 of any other proposer or to secure through collusion,conspiracy, <br /> connivance or unlawful agreement any advantage against the County of Orange or any person <br /> interested in the proposed contract;and <br /> 5. The price or prices quoted in the attached proposal are fair and proper and are not tainted by <br /> any collusion, conspiracy, connivance or unlawful agreement on the part of the proposer or <br /> any of its agents, representatives, owners, employees, or parties in interest, including this <br /> affiant. <br /> jafgAlair <br /> Si,, <br /> T'e t <br /> Subscribed and Sworrt.to Before Me, <br /> This /// day of / _ ,20/6 <br /> Notary Public -1 I • • <br /> My Commission Expires: `�" //J� �D <br /> Page 19 of 20 <br /> 23 <br />