ATTACHMENT 9R-ANTI/NON-COLLUSION AFFIDAVIT.pdf

Page 1 of 2 Attachment 9R

ANTI/NON-COLLUSION AFFIDAVIT

The following Affidavit is submitted by the Offeror, or Offeror's Authorized Agent:

The undersigned of lawful age, being first duly sworn on oath, affirms and says:

1. The undersigned is the Offeror or the duly authorized agent of the Offeror submitting this competitive Proposal and as the lawful authority to execute this Affidavit and the attached Proposal.

For the purpose of certifying the facts pertaining to the existence of collusion among Offerors and between Offerors and Federal Aviation Administration (FAA) officials or employees, as well as facts pertaining to the giving or offering of things of value to government personnel in return for special consideration in the letting of any contract pursuant to the Proposal to which this statement is attached:

2. The undersigned is fully aware of the facts and circumstances surrounding the making of the

Proposal to which this statement is attached and has been personally and directly involved in the proceedings leading to the submission of such Proposal; and

3. Neither the Offeror nor anyone subject to the Offeror's direction or control has been a party:

a. to any collusion among Offerors in restraint of freedom of competition by agreement to Proposal at a fixed price or to refrain from proposing;

b. to any collusion with any FAA official, agent or employee as to quantity, quality or price in the prospective contract, or as to any other terms of such prospective contract; nor

c. in any discussion between Offerors and any FAA official, agent or employee concerning exchange of money or other thing of value for special consideration in the letting of a contract.

4. The undersigned certifies, if awarded this contract, whether competitively proposed or not, neither the Offeror nor anyone subject to Offeror’s direction or control has paid, given, or donated or agreed to pay, give or donate to any officer or employee of the FAA any money or other thing of value, either directly or indirectly, in procuring this contract.

This Proposal will not be considered unless this form has been fully completed and signed and certified by the Offeror.

Name of Individual, Partnership, Limited Liability Company, or Corporation herein called Offeror

Signature of Authorized Agent

Title of person who signed above

This Affidavit required for Public Improvement Projects by 61 Okla. Stat. 2011 § 115.

Page 2 of 2 Attachment 9R

NOTARY STATEMENT

STATE OF )

) ss.

COUNTY OF )

I, , Notary Public in and for said County and State, do hereby certify that on this day of , 20 , , personally known to me to be the same person and official who executed the above and foregoing instrument as appeared before me in person and acknowledged that, as such official, he/she executed the above instrument as his/her free and voluntary act on behalf of pursuant to authority conferred and for the uses and purposes therein set forth.

IN WITNESS THEREOF, I have hereunto set my hand and seal the day and year last above written.

Notary Public

My Commission expires:

My Commission number: