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BELCO ELECTRIC, INC.
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Last modified
7/31/2019 8:54:30 AM
Creation date
6/27/2018 3:53:38 PM
Metadata
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Contracts
Company Name
BELCO ELECTRIC, INC.
Contract #
17-6893
Agency
Public Works
Council Approval Date
4/3/2018
Document Relationships
23A - TRAFFIC SIGNAL MODIFICATION
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2018\04/03/2018
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NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br />BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genuine <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited <br />any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, <br />conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that <br />anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, <br />sought by agreement, communication, or conference with anyone to fix the bid price of the <br />BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, <br />or of that of any other BIDDER, or to secure any advantage against the public body awarding the <br />contract of anyone interested in the proposed contract; that all statements contained in the bid are <br />true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price <br />or any breakdown thereof, or the contents thereof, or divulged information or data relative <br />thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, <br />organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham <br />bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are <br />cautioned that making a false certification may subject the certifier to criminal <br />Signed <br />State of <br />County <br />Su sc ibled an,ds���orn to (or affirmed) before me on this �w'" day of AWN 20� by <br />, UtYY proved to me on the basis of satisfactory evidence to be the <br />person(s) who app ared before me OIL ViA CHEA <br />_ r-, a ; <br />t Commission No.2107474 n <br />4 r >f NOTARY PUBLIC-CALIFORNIA n <br />",%el SAN BERNARDINO COUNTY <br />{.......� My Comm. Expires APRIL 18, 2019 <br />Notary Public Signature otary u tc <br />A notary public or other officer completing <br />this certificate veriFles only the Identity of <br />the individual who signed the document to <br />which this certificate is attached, and not <br />the truthfulness, accuracy, or validity of <br />that document. <br />REBID Project 17-6893 - December 20, 2017 <br />
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