ࡱ> ACB!` bjbj\\ 4(>>  D>>>>>>4JHJJJJJJ$h|nf>>ffn>>f>>HfH>2 U-0$fffffffnn fffffff$ $  STANDARD BID DOCUMENT REFERENCEReference: VII-H Name of Form:NONCOLLUSION AFFIDAVITStatutory Reference:No specific statutory reference State Statutory Reference N.J.S.A. 52:34-15Instructions Reference:Statutory and Other Requirements VII-HDescription:The Owners use of this form is optional. It is used to ensure that the bidder has not participated in any collusion with any other bidder or Owner representative or otherwise taken any action in restraint of free and competitive bidding. NONCOLLUSION AFFIDAVIT ǿ޴ýapp County of _________________ ss: I, ________________________________ residing in ___________________________________ (name of affiant) (name of municipality) in the County of _______________________________ and State of _____________________of full age, being duly sworn according to law on my oath depose and say that: I am _____________________________________ of the firm of _________________________ (title or position) (name of firm) _____________________________________ the bidder making this Proposal for the bid entitled ______________________________, and that I executed the said proposal with (title of bid proposal) full authority to do so that said bidder has not, directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and in this affidavit are true and correct, and made with full knowledge that the ______________ _________________________relies upon the truth of the statements contained in said Proposal (name of contracting unit) and in the statements contained in this affidavit in awarding the contract for the said project. I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by _________________________________________________. Subscribed and sworn to before me this day _____________________________ Signature ________________, 2____ ___________________________________ (Type or print name of affiant under signature) _____________________________ Notary public of My Commission expires _______________ (Seal) "345BCZ\p  =n򻴻ڪhd5 hCJ h5CJ hCJhOJQJ^JaJ hCJ h5CJ hCJh5CJ\h5CJ\ hCJ h5CJ# !"34s $Ifgd $Ifgdakd$$Ifl4`''0'4 laf4yt$ $Ifa$gd45C[v  $Ifgd $Ifgdrkd$$Ifl40D`' 0'4 laf4yt[\qtt  $Ifgd $Ifgdtkd0$$Ifl40 `'Xt0'4 laf4ytt ~$Ifgd $Ifgdtkd$$Ifl40 `'Xt0'4 laf4yt $Ifgdtkd$$Ifl40 `'Xt0'4 laf4yt   - w x y ypg gd gd $ a$gdgdtkd($$Ifl40 `'Xt0'4 laf4yt . / 1 2 /0 <gd  gdgd gd 7gd 7gd 9gd gdn h gd gd gd21h:p/ =!"#$% $$If!vh5'#v':V l40',5'4f4yt$$If!vh55 #v#v :V l40'55 4f4yt$$If!vh5X5t#vX#vt:V l40',5X5t4f4yt$$If!vh5X5t#vX#vt:V l40',5X5t4f4yt$$If!vh5X5t#vX#vt:V l40',5X5t4f4yt$$If!vh5X5t#vX#vt:V l40',5X5t4f4yt4`4 Normal OJQJ_HDA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No ListH`H  Balloon TextCJOJQJ^JaJ ( j00Q@0j00Q04@0 00 !"345C[\q -wxy./12/0 n 0 0 0 00 0 0 0 0 0 00 0 0 0 0 0 0 0 00000000000000000000000000000000000000 !"345C[\q -wxy./12/0 n @0 @0@0 @0@0 @0@0 @0 @0@0 @0@0 @0@0 @0 @0@0 @0 @0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0 00  4[   S5_no S7_affrontS9_2843orporate_28corporateS0_as3A&S3_28no3D_28sea3D_28ad3D_28as3D_28do3D OP1_MYkY9U6y  "35BCZ\pq  wz./12/0 = ? n "25BCZ\pq  ,-vz-/02.0 m n  d5 !"45C[\q  @h@{ `@UnknownG: Times New Roman5Symbol3& : Arial5& zaTahoma"hFF1 1 !r4 2QHP)?2STANDARD BID DOCUMENT REFERENCEnreidnreidOh+'0   @ L Xdlt| STANDARD BID DOCUMENT REFERENCEnreidNormalnreid1Microsoft Office Word@F#@\ >@a1 ՜.+,00 hp  ,New Jersey Department of Community Affairs \  STANDARD BID DOCUMENT REFERENCE Title  !"#$%&'()*+-./012356789:;>Root Entry F/@Data 1TableWordDocument4(SummaryInformation(,DocumentSummaryInformation84CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89qRoot Entry F@#F@Data 1TableWordDocument4(  !"#$%&'()*+-./0123ED $, SummaryInformation(,DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q՜.+,D՜.+,t0 hp  ,New Jersey Department of Community Affairs \  STANDARD BID DOCUMENT REFERENCE Title4