NON-COLLUSION AFFIDAVIT

I, of the of. In the County of and the State of New Jersey, of full age, being duly sworn according to the law on my oath depose and say that:

I am

of the firm of

making the submission for the above named Company, and that I executed the said submission with the full authority to do so; the Company has not, directly or indirectly entered into any agreements, participated in any collusion or otherwise taken any action in restraint of fair and open competition in connection with the Company; and that all statements contained in said submission and in this affidavit are true and correct, and made to the full knowledge that the Borough of Somerville relies upon the truth of the statements contained in said submission an in the statements contained in this affidavit in awarding the contract for said service.

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 the commission, percentage, brokerage or contingent fee.