Laserfiche WebLink
Springfield Free Public Library/Township of Springfield <br />NON - COLLUSION AFFIDAVIT <br />State of New Jersey <br />County of <br />I , <br />(name of affiant) <br />residing in <br />in the County of and State of — <br />age, being duly sworn according to law on my oath depose and say that: <br />I am <br />(title or position) <br />entitled <br />and that I executed the said proposal with <br />(title of bid proposal) <br />full authority to do so that said bidder has not, directly or indirectly entered into any agreement, <br />participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding <br />in connection with the above named project; and that all statements contained in said proposal and in <br />this affidavit are true and correct, and made with full knowledge that the <br />relies upon the truth of the statements contained in said Proposal <br />(name of contracting unit) <br />and in the statements contained in this affidavit in awarding the contract for the said project. <br />I further warrant that no person or selling agency has been employed or retained to solicit or secure <br />such contract upon an agreement or understanding for a commission, percentage, brokerage, or <br />contingent fee, except bona fide employees or bona fide established commercial or selling agencies <br />maintained by <br />(Signature) <br />(Print name and title) <br />Subscribed and sworn to before me <br />this day of 2 <br />Signature <br />Notary public of <br />My Commission expires <br />(Seal) <br />C:\Program FileslNeevia.COrn0ocurnent Converter\ temp\PDFConvert.3395. 1. Springfield Free ILS RFP March <br />2010. doc 10 Attachment number 2 <br />of the firm of <br />ss: <br />(name of municipality) <br />of full <br />(name of firm) <br />the bidder making this Proposal for the bid <br />It <br />It <br />F -12 Page 169 <br />