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TAIT & Associates, Ing,
<br />On -Call Cnginepring Services
<br />Certifications
<br />Q
<br />I bS?N�,04 Ltal NAFp1�7AV1'I'
<br />(T1023 Voltod Slotas Cade Section 119 and
<br />1414110 (Jaalmoi bode 900don 710 Qi
<br />To the CITY OF SAMA ANA VITIPARTMW OF PUBLIC WORIfS
<br />In 11DOWnaCe D'Ith Title 2) United ShI08 Coda 00001111 112 And Pallia (Ralmet Code I 10 Ilia 111DDER
<br />filet lho bid is list mielo In Ilia lowland ox, or oil bolmltor Dow Undisclosed pneon, parinomhip, omnpnny, on
<br />orgilmllon, or curpamdoYg flint ilia bid Is ganulno slid list 00119slvo or 0111113; that 1110191MMIIR 1108 not dl
<br />11160011y Induced or 0oildtod aw other DIDIM to pat In n thing of shlln bid, and Ilse not directly or l
<br />colluded, oo nlYlred, connived or agmnl with ceyI1U1D1bR all nnyune else to pill In 0 sham bid, or that any;
<br />rofrAln acm bidding; that ilio 13100311. has net In any minor dimully or Indirectly, wool[ by og
<br />aenununtonllan, of eoli bronoo with unyone to as he bid pdan a('tha SiDDYlli or any IdbI)Iift, or to
<br />overhead, proffl, argent olommnl orthe bid price, m' GHDR ereny olhor DIDDIIN orb tweal oily edmilog
<br />ilia i n ilio body rowdlug Ilia ennr0n IA NY0ll0 Interested in the p Opo0oll weeniah And all etntomroNe Con
<br />, Ilio bid uY'o ball and, iiniholf Ilett ilia I316MVIt has fall directly or ledhoody, albmilted his nr bar bid nrle
<br />y aww"; cpgm,e,w,glm,wumenhwmpnny n]awunlun, urgan@nao11, Dig agpoalnOY'. or to elly IDOMM.' or agent
<br />flaleorto otreatunto A collaalro or soil bid.
<br />j Nolo; The abova No l-volluxion Apo l ' k pat of Iha Prapoonl, Signhg this pYhpnsnl on ala eflfufuro
<br />porlion lli cor0hnll also Dealt Dig Y lu milds NOn•onlinnlon A1. 110111 ItIDDBRS nye, a Redound lirnl
<br />moll sa ccodil tied ml yaub • conular to orhuinal prumoou0on,
<br />signed
<br />and ham to (or of irmod) beRbro ilio on this ,_„ <bry or , 20
<br />proved to ma on ilia hauls or snfefNetory arhloma to be Ilio pmaan(a)"who npponral
<br />NotnryPu�'�Glin SlgnAnuo Notary Public 6Dni
<br />N�,M1,,,y�, ';I��1t, �Il `Yl���'. }��J3'Yy y"pi�`1 v. ,l Su•�:lg:rl,t��y , , � vl Y
<br />Y� e� vA , ,. a:.rr•,:4:a.,{ti>x I.4`�r4�r�?�`7��',?�tln',rkfa:bYl'^'A;�'��tikf�?��v���1�`�'�.i.,!��d
<br />Cllyo `nae -MA-AWE
<br />Pago AS•I
<br />Appendix I page 24
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