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(TIO.0 23 United States <br />ado SOotlqn,112and <br />Pablio Contract Code Section 7106) <br />TotbaCITY Or SANTA ANADEPARIMENTOMMLIC WOUS <br />In 11CM(lancO with Title b United States Code Sedlon, 112 and Milo Contract Code 7106 the DWI)ER deolaw$ <br />thOtIlld bid Is not Made Who interest of, or on behalf of, any.ndisolosodperson, partnership, wtopway, association, <br />oipattizatlon, or coqxndoo;1bat the bid. is genuine and tact0,flugivs of 611pto; thit the AIDIM has got imbodtly or <br />on, <br />"a"' "0 MAI, and "' no, <br />mo � on 0 to 'J'a a"an' <br />an"' or <br />prion of <br />6 ER or any <br />Blial, or fo fix <br />B DER, a weeoman <br />ea <br />tint all oat <br />say ' ' i <br />0149 r y a I <br />bea* induced <br />in al on woo <br />dt DoM bidding 1 "a" the B <br />Ind niter 11iAARR to Patin fiUse-o- sham MAI, And has not dlifttl Its wy <br />e 13IDDFA shall <br />r In at fit any <br />mon an fix the bid <br />vM OU <br />Ady <br />M 04 element of OR of that against <br />a w Interested 1 464 in <br />ba are <br />di y r dirso <br />........... s not,. di u� omitted <br />tax M6 itutbart that I f raw ON a his or Tier hid prioo or ',any <br />bra own theraot. or 010 ccormimetwthoreof, or divalgod In oartuition or 44 M14 thoieto, 0 Pat <br />pay, <br />any:(4c10 any corporation, partralship, Mlapaoy pasoclailloo, organization, bld depositorydepository stay memberor <br />thereof tw0bottlato it co� sharn bid,llusive a went <br />Nolo; The above Nowoollualon AffidavIt is part of the proppAl"Olong this Proposal On #10 Signature <br />portion thereof' g'hall A"'a <br />. gond into vulture of this Non-colluolon, Affidavit BIDDERS are cautioned that <br />making Sig -- <br />State ofCallitimla <br />County of.QMmL— <br />I eta 2jA <br />SUbsOrlbod slid sworft to (or tOrmed) before roo on this .1 96th day of Marsh h 0 by <br />Tom gonarson proved to mo on the basis of satisfactmy Aaiw—e to be the appeared <br />betbre <br />JULUXAMS <br />otary —Public Notary Publio Seal WAVY Oublic-ca mimis <br />OrangeCsxmty <br />City oI Santa Ana RFP <br />Page AM <br />25E-187 <br />