Non-collusion Affidavit 1 - Free Download
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NON-COLLUSION AFFIDAVIT
State of New Jersey ________________
ยง:
County of ________________________
I, _________________________ of the City of_______________________ in the
County of ____________________ and the State of ____________________ of full age,
being duly sworn to law on my oath depose and say that I am ______________________
of the firm of _____________________________________________, the bidder making
the proposal for the above named project, and that I executed the said proposal with full authority to do
so and 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 bid and in this affidavit are true and
correct and made with full knowledge that The Brick Township Municipal Utilities Authority relies
upon the truth of the statements contained in said bid and in the statements contained in this affidavit in
awarding the contract for 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 established commercial or selling agencies maintained by
__________________________________________ (N.J.S.A 52:3415).
(Name of bidder )
By: ________________________________
_________________________________
(Typed Name and Title)
Subscribed and sworn to before me
this _______ day of ______________ 20 ___
__________________________________
(Notary Public of ______________)
