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N -N-Q=SIQN at um r T i'litis 23 United States Code Section 112 and Public Contract Code Section 7106) TO the CITY OF SANTA ANADEPARTM$NTOF PUBLIC WORKS In acoordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the DIDDER deolares that the bid Is not made in the interest of, or on behalfof, any undlselosed person, partnership, company, association, oxganlzation trr corporation, that the bld 1s genuine and not collusive or sham; that the BIDDER fres not directly or indlroctly induced or solicit«i any ether BIDDER to put in a false or sham bid, and has not directly or indlreody colluded, as ked' corrmvod or agreed with any BIDDER or anyone else to put In a sham bid, or that anyone shall rofmin thorn biddhtg; drat #]te BIDDER has ntrt in any manner, directly ox Indirectly, sought by agreement uommunicatlon, or aonferanae with anyone to Hx the bld price of the BIDDER or any BIDDER, or to tlx any overhead profit, or Dost elaraont oftke bid price, or ofthat of any other BIDDER or to sticture any advantage against the public body awarding the contract of anyone hrtexestad In the proposed contract, that all statements contained in fire bid are true, and, OW "o mat the BIDDER has .not; directly or Indirectly, submitted his or her bid price or any tmeakddwn thereof, a the contents thereof croft ulgod information or data relative thereto, or paid, end will not pay, rany to to any ycorporation, partnership company association, organization, bid depository, or to any member or agent Note: The above Non-collusibn Affidavit is part of the proposal. Signing this Proposal on the signature pomi rtion t ter also constitute signature of this Non collusion Aiiidavit. BIDDERS are cautioned that. rac 'on m s bioct the cerdHer to criminal prosecution. Signed County of. Subscribed and sworn to 'Or- ffirmed) before me on this day of 200 by proved to n the basis of satisfactory evidence to be the person(s) who appeared Points, rnc. SeeA tieched Notary Public Document Notary Public Signature Notary Public Seat City b Santa Ana RFP Page AM