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19 n1Sf'�*1 jy(Y'1DAVIT <br />(Titio211ki¢a151ues Cada Section 112 mid <br />public contract Coda section 7106) <br />TO the Cl Ty Or SAM ANA DBPAR'P1a#MTOp PLMLIC WORKS <br />1n u,cardaet<with Tifie 29 Unlicd Slides Code Stedoa 112 and Public on <br />Contract Code 4106 the BIDDER deWares <br />that 1h, bid is rot math in duo interactaQoronbehatfoGany undisclosed person, :parinersid,caupi "assnetali, <br />orgmtization, of corporation; that the bid is gamahe And not caliusis�a of Sham; that the DID p or has II directly or <br />Indirectly Induecd of solicited any other BIDDER to put in a fah, ar short bid, and has not directly oniralircetty <br />cafinded, cTnspired, ca trived Or agreed with any BIDDER of anyone also to put in a duan bid, or that arlvtma dna4 <br />whin Rom blddhW that the BIMMt has not In Any tnanncr, directlyy or IndhoCtiy, Sought by agrcemon6 <br />commmtiemion, or conference with prom to fix do' bid PdCe of the BADDER Of any BIDDER, or to fix ally <br />Overhand, profit, or Cost olcmmdof the bid prpo,"Ofthm Of any Other BIDDER, or to seetax any ndvamagengatnst <br />the public body awarding tial contract of anyone i runcered in the pmpwrad Cnntmo; stmt Ail stAh mems contained in <br />flit bid aro true; and, Rather, that the 13IDDE has mfdirectly or indireCdy, subnl;jff his or her bid prke or any <br />breakdown tiercaf, or the contents tier,ag or divulged infomrmton or data ralotve than;ta, or paid, and will not pay, <br />SAY fee to anycorporation,A Coll patlnership, bid. IV orrodialory esgannlwtion, hid depositary, Or to any man iororsplit <br />lhercafto effxatlmtoacnllnsiva or bid. <br />Note: 'I1w above Non•coilusio, Affidavit is part of taw praposai. Signing tills NOSol on dra sig�falure. <br />potion thereof Shelf elsecanafitute si{anattrA oftlds-9"n oliushm Affidavit. BIDDERS are cautioned that <br />74FIS' <br />� to ortmiad prosermion.Signed <br />State orcatirornia <br />County of ^-—` <br />Sabscfibed and MID to (ar ntfiruted) befom one on this 15" day of M__ _+'a9 , 2ota by <br />provad to Inc on the basis of satisfactory avirkree to be the persot(s3 aha appeared <br />before Inc. <br />-- <br />rinnantt loaez- <br />_ L'mnmFsulon p Et"a4t:4 <br />e '�i V Golarp PgAlic-nalitarnla <br />�y :rtl; `n <br />'N rrrao�maesnirescnulzu,sata� <br />Nohvy public Signe}u, Nanny public Seal <br />25E-457 <br />