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2+ON COLLUSIDbTt�LT1D_ VAT <br />iTiUc 23 LLnitcc] Scatca CC& SeN;Lu7n 112 ;md <br />Public L'rmtra,tC.ndc S" r b ei 71 (K,) <br />I o Lhe CITY OF MANTA AN nKPARMLENT OF Pi BUC WORKS <br />In a:;L"LIMI21t1Le with TAIc 23 iJniLetl cAnk-N {'odd, S"licn3 1 Q and Irublie Contfacc L'cadc'7106 the SIDDER <br />declaRs Chat th,e bill isl THA Trualo iti lTir in L;rML i11, ur im buluilr qr, any undinlowd pormu, park omEp, <br />company, a3so£'iatioa, Uf;galliratiL7a, QJ Laa1jxiJ,llkIJ3; Lbut LIX bid ix gerwim, o-ind rhUL -UT Sham; Chill <br />hc•, TRD)DElt has not dirc>etly or indiructiy induced or sodcited aliy other BIDDER to put it, a fulmt ut tihum <br />hid, wxl hw;'.101 diw,Ily or indircedy oelluded, cDuspircd, camlived or agraed with my BIDD.ER {Il- ul.yutie <br />elHff LLs put in a sham bid. jr ftt onyonc shall refrait: fLnm biddinL #hat tLe 13IDDIk has a of iu ally <br />luwimr, dimuly or irxii=tly, will iht by agtc--mcTl, u m-fr iiniculion, ur conFrm-nu. wish auynno w fix the <br />bid prioa of ihp- B].L31 EI' or anv I IDDER, or to (ix uny c Pvurhe u&L. pmfiL: car (!4ML ulcmunt o F t1Tc bid pric-a, <br />o: of that of any othzz ]31DDELL or to scow-c my adi.-ancape a aitis;l the public hcxly awarding; Lhe ccmtnwA <br />oi` anYLMQ inl-amLud In alu piUpmcd cmt a t} tl at aU 3ratcLriem COLlii3.1112d in the bid ai%- aue; ur!d, turtlker, <br />thal Lhc ATT]DER haL Tu FL, dii-cudv c,r in�iircctly. subIlxtt- cd 1318 or her bid pricc or any biml dk7wjl thereof; or <br />the; WILLww, L11erWI': ur divulsgrd in.eln-ndion or &iw T-Qlotivr, tbmvto, or paid, and will not pay, any to <br />mywfpwution, [3WLnuml&l, uilriliuliy a;r�iciaJLM, Dr'VinifuLion, NO Ll-�pmiLtwy, cT Lei any mmibz or aggmt <br />tl=of to c xtuatc a echusive or sham bid- <br />Noto: the above Non coilm on eLffidavit is putt Of dle PrcIposul. Signia4 LNa Pnaj"Ml an, le <br />sijjmuLure pcwLieln Lburcof shall also caa7ostitxz signaturc oftEs Non-collilsLon , i&-tvic. 1iiUDEWq <br />arc caution:d that Inak'Lrl a -alses c:crtiikudan TTTay subject Lhn t e rlilirr iei criminal pms�L,'uticu. <br />5imcd <br />SLaLc of t, <br />C-lunLy of <br />,L sLmbud earl murn Lu (Lr dC_Tn & befmr nTe In riia day of / 2a} , by <br />{'i5 �I E .. . 4.-.1 'Cc Lo TI1C ULI Lhe hmis *f Ratisfa kTr aui&-Lce to he the persiar s) v,hn mppearA <br />btfure,ram. <br />�,Ffl JIyP4 _. C�fTb <br />u „,Ira�Ry�l4- <br />NOLUY public Si mature o'a'oe Ea-u4? E <br />C3mall Hen#; 2&!4 <br />51v =arm. up�ee Ad j 21. 2031 <br />C Hy rsf Serer Ana WP 22-IO2 <br />Pago A3-1 <br />