318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf

AFFIDAVIT OF NON-COLLUSION ‘The undersigned bidder of full age, being duly sworn according to law depose and hereby specifically certifies that: A. _ to the best of the bidder's knowledge and belief, the annexed bid proposal for this project has not been prepared in collusion with any other bidder of like item or services and the prices, discounts, terms and conditions thereof have not been directly ot indirectly communicated by or on behalf of the bidder to any person other than the recipient of the bid and will not be communicated to any person prior to the official opening of the bid. B. the bidder fully understands that no premiums, rebates, or gratuities are permitted cither with, prior to, o after signing of contract. Any violation will result in cancellation and removal ftom the bid list. C. _ the bidder further certifies that the undersigned has the necessary authority, to sign this stipulation stating that the bidder has not entered into any agreement, or otherwise taken any action in restraint of free competitive bidding in connection with this bid. All references to the bidder are understood to include the undersigned and all principals, partners and officers of the bidder. Dated: Signa) CF Sheer Lure [Fai of, t (Name and Title) (Company Name\__€2 72777 & # aL) Lh, ELT? . LL oC. (Address, FD -2L y Leen AL EL B ia WA / (Ci, Si 2 Cod hu, wile AL 2775] (Corporate Seal) Subscribed and sworn to before me this —§$ A 7 ayo __/Voventser 20a Notary Public of the State of New Jersey eo My Commission expires 6%-g4- 900+ StoteR NT Cons of Morne.