FORM OF NON COLLUSIVE AFFIDAVIT SAMPLE AFFIDAVIT State of___

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FORM OF NON-COLLUSIVE AFFIDAVIT (SAMPLE) AFFIDAVIT State of_____________________ ) s. s. County of____________________) _____________________________________, being first duly sworn deposes and says: That he/she is________________________________________________________________(a partner or officer of the firm of, etc.) the party making the foregoing bid, that such bid is genuine and not collusive or sham; that said bidder has not colluded, conspired, connived or agreed directly or indirectly, with any bidder or person, to put in a sham bid or to refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference, with any person, to fix the bid price of affiant or of any other bidder, or to fix any overhead, profit or cost element of said price, or of that of any other bidder, or to secure any advantage against the Housing Authority of the County of Contra Costa or any person interested in the proposed contract; and that all statements in said bid are true. By ______________________________ Title:_____________________________ (Affix Corporate Seal if required) Subscribed and sworn to before me this_____day of ____________________________2008.

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