Attachment 5b Non-Collusion Affidavit

OHWarren CountycountyOther
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Attachment 5b Warren County, Ohio 2026 NON-COLLUSION AFFIDAVIT STATE OF ______________________ COUNTY OF ____________________ } SS: ____________________________________________________ _, being first duly sworn, deposes and says that: (Name) 1. He/she is ____________________ of ______________________________, the Proposer that has submitted (Owner, Partner, Officer, Representative, Agent) (Name of Firm) the attached Proposal; 2. He/she is fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal; 3. Such Proposal is genuine and is not a collusive or sham Proposal; 4. Neither the said Proposer nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest, including this Affidavit, has in any way colluded, conspired, connived, or agreed, directly or indirectly with any other Proposer, firm, or person to submit a collusive or sham Proposal in connection with the Contract for which the attached Proposal has been submitted, or to refrain from making a proposal in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement, collusion, communication, or conference with any other Proposer, firm, or person to fix the price or prices in the attached Proposal, or of any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price or Proposal price of any other Proposer, or to secure through collusion, conspiracy, connivance, or unlawful agreement any advantage against the Board of County Commissioners of Warren County, Ohio or any person interested in the proposed Contract; and 5. The price or prices quoted in the attached Proposal are fair and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Proposer or any of its agents, representatives, owners, employees, or parties in interest, including this Affidavit. ___________________________________________ Signature ___________________________________________ Title Subscribed and sworn before me this day of , 20____. ________________________________________ Notary Public My commission expires ______________________ Commented [MJ1]: Same comment as in the other attachment. Year should be changed to "20______" on templates going forward so we don't have to remember to update it each time.

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Added Jul 29, 2026 | ID: 61757015

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