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DocuSign Envelope ID:60890E67-61`1D-486F-913D4-7E57F52CDE30 <br /> The person executing the proposal,on behalf of the vendor,being first duly sworn,deposes and says <br /> that- <br /> (1) He or she rs fully informed regarding the preparation and contents of the attached Proposal and <br /> of all pertinent mcurnstances regarding such Proposal; <br /> (2) Neither he./she.,nor any official,agent or employee of the vendor has entered Into any <br /> agreement,participated In any collusion,or otherwise taken any action which Is in restraint of <br /> free competition in connection with this proposal;and <br /> SIGNATURE OF PROPOSER <br /> (Print full name of corporation) <br /> (Address-County-State-Zip Code) <br /> Attest <br /> (Secretary/Assistant Secretary) <br /> By: <br /> PresrdentJVice PresrdentJAssistant Vice President) <br /> Printed- <br /> Title: <br /> CORPORATE SEAL: <br /> Federal ID.or Social Security Number_ <br /> NOTE-I{FF1 DA WT MUST BE NOTARIZED <br /> Subscribed and sworn to before we this day of 2016 <br /> My Commrssion Expires <br /> Title <br />