Fillable Printable Non-Collusion Affidavit Form - Illinois

Non-Collusion Affidavit Form - Illinois

NON-COLLUSION AFFIDAVIT (must be signed, notarized and submitted with bid.)

STATE OF ILLINOIS )

) ss.

COUNTY OF __________ )

The undersigned bidder or agent, being duly sworn, on oath says that he/she has not,

nor has any other member, representative, nor agent of the firm, company, corporation

or partnership represented by him/her, entered into any combination, collusion or

agreement with any person relative to the price to be bid by anyone at such letting, nor

to prevent any person from bidding nor to induce anyone to refrain from bidding, and

that this bid is made without reference to any other bid and without any agreement,

understanding or combination with any other person in reference to such bidding.

He further swears, on oath, that no person or persons, firms or corporation has, have or

will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on

account of such sale.

Bidder or Agent

FOR:

Individual, Firm or Corporation

SUBSCRIBED AND SW ORN to before me

this ______ day of ________________, 20____.

Notary Public

COAL CITY COMMUNITY UNIT NON-COLLUSION AFFIDAVIT

SCH0OL DISTRICT #1