NON-COLLUSION AFFIDAVIT SANITARY SEWER REHABILITATION Solicitation #: 18-15 Solicitation Name: FOR ZEKIAH & BRYANS ROAD Bidder/Offeror/Quoter: I do solemnly declare and affirm, under the penalties of perjury, the following: 1. That neither I, nor the best of my knowledge, information and belief, the Bidder/Offeror/Quoter, nor any officer, director, partner, member, associate or employee of the Bidder/Offeror/Quoter, nor any person in his behalf, has in any way agreed, connived or colluded with any one for and on behalf of the Bidder/Offeror/Quoter, to obtain information that would give the Bidder/Offeror/Quoter an unfair advantage over others, nor gain any favoritism in the award of this contract, nor in any way to produce a deceptive show of competition in the matter of bidding or award of this contract. 2. That neither I, nor the best of my knowledge, information and belief, the Bidder/Offeror/Quoter, nor any officer, director, partner, member, associate of the Bidder/Offeror/Quoter, nor any of its employees directly involved in obtaining contracts with the State of Maryland or any County or any subdivision of the State has been convicted of bribery, attempted bribery or conspiracy to bribe under the laws of any State or Federal Government of acts or omissions committed after July 1, 1977, except as noted below: All pursuant to Article 78A, Section 16D of the Annotated Code of Maryland. Signature Name and Title of Signer Company Date Subscribed to and sworn to before me, a Notary Public of the State of County or City of this year and date first written above. Notary Public My Commission Expire
NON-COLLUSION AFFIDAVIT Solicitation #: 18-15 Solicitation Name: SANITARY SEWER REHABILITATION FOR ZEKIAH & BRYANS ROAD Bidder/Offeror/Quoter: I do solemnly declare and affirm, under the penalties of perjury, the following: 1. That neither I, nor the best of my knowledge, information and belief, the Bidder/Offeror/Quoter, nor any officer, director, partner, member, associate or employee of the Bidder/Offeror/Quoter, nor any person in his behalf, has in any way agreed, connived or colluded with any one for and on behalf of the Bidder/Offeror/Quoter, to obtain information that would give the Bidder/Offeror/Quoter an unfair advantage over others, nor gain any favoritism in the award of this contract, nor in any way to produce a deceptive show of competition in the matter of bidding or award of this contract. 2. That neither I, nor the best of my knowledge, information and belief, the Bidder/Offeror/Quoter, nor any officer, director, partner, member, associate of the Bidder/Offeror/Quoter, nor any of its employees directly involved in obtaining contracts with the State of Maryland or any County or any subdivision of the State has been convicted of bribery, attempted bribery or conspiracy to bribe under the laws of any State or Federal Government of acts or omissions committed after July 1, 1977, except as noted below: All pursuant to Article 78A, Section 16D of the Annotated Code of Maryland. Signature Name and Title of Signer Company Date Subscribed to and sworn to before me, a Notary Public of the State of County or City of this year and date first written above. Notary Public My Commission Expire
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