Orange County NC Website
DocuSign Envelope ID:5FA4B1AC-B897-4C32-A1E4-4B4A8885A341 <br /> Non-Collusion Affidavit <br /> Proposal Request No.XXXXX <br /> State of Nvrt+rEareli= Alabama <br /> ©ram County Mobile County <br /> John Ramsay _(name of individual),being first duly sworn, deposes and says that: <br /> 1. He/She is the President& CEO (title)of CrowderGulf, LLC (company <br /> name),the proposer that has submitted the attached proposal; <br /> 2. He/She is fully informed respecting the preparation and contents of the attached proposal and of all pertinent <br /> 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,employees or parties in <br /> interest,including this affiant,has in any way colluded,conspired,connived or agreed,directly or indirectly,with <br /> any other proposer firm or Person to submit a collusive or sham proposal in connection with the contract for <br /> which the attached proposal has been submitted or to refrain from proposing in connection with such contract,or <br /> has in any manner, directly or indirectly sought by agreement or collusion of communication or conference with <br /> any other proposer, firm or person to fix the price or prices in the attached proposal or of any other proposers,or <br /> to fix any overhead,profit or cost element of the proposal price of the proposal of any other proposer or to secure <br /> through collusion,conspiracy, connivance or unlawful agreement any advantage against the Town 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 any collusion, <br /> conspiracy, connivance or unlawful agreement on the part of the proposer or any of its agents, representatives, <br /> owners,employees,-or parties in interest, including ' affia <br /> ature <br /> Seal <br /> John Ramsay, President&CEO if <br /> Title Ger-pm- n <br /> �Lk— <br /> Date: 8/13/19 <br /> This form must be notarized <br /> SUBSCRIBED AND SWORN TO BEFORE MLA, <br /> This 13th day of August 19 <br /> ' <br /> e- <br /> Notary Pub - <br /> My Commission Expires: 01 <br /> Disaster Debris Clearance and Removal Services <br /> Bid: 5266, Orange County,North Carolina <br /> July 29,2019 Page 40 <br />