Laserfiche WebLink
NDNC4L�td$iDN APp1DA.l IT <br />;?rifle 2.gt3i Ited States Dodo gaarion 112 and <br />Pabiie Contract Cade Suellen 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United Status Cade Saatlan 112 end Pnbl4a Contract Code 7106 the BIDDERdaalaras <br />that the bid 3a not made In ilia interest af, or on bohalf og any undisclosed paraou, partnership, arnuitany, association, <br />Organization, or corpohatian; that the bid is genuine and not collusive or sham( that the BIDDER has not directly ar <br />indirectly Induced or solicited any other BIDDER to pot Ina (lira a sham bid, and has not directly or bull ptly, galleried, consphad, coterived or agreed with any BIDDER or Anyone also to put 1n a $been bid, or that nttyona shall iotaht floor bidding; that the BIDDER has not in any monist", directly or Indirectly, sought by egreahne il, <br />Wromemblat e, ui conference with wtyorw to kin tine bid price of the BMWR or arly BIDDER, or to flx any <br />overhead, prouth, or cost otomentof the bid prlac, or of that oCmtir oiherNDDER, ar to sem"paty advantage, against <br />the public body awarding ale contrast of anyone Informed In the proposed oantmot„ tire, aii anucments contained In the bid are true; and, father, lhat Ate BIDDER laps net, directly or indirestly, underlined his or bar bid price or any <br />breakdown tharoof, or tho,aonteurs tbercat; or divolgad information Of data relative thereto, or pttld, mind will nut pay, <br />achy fee td MY mrparatan, partnership, company assaaFatton, ohganiaatimt bid daposlWiy, onto any member or agent <br />theroofto effeotuote, a oaltusivo or sham bid. <br />Nato: The atiova Non+colhodon Affidavit Is part of the Proposal. Sliudng this }§npoo I on the signature <br />Portion titoroot'shnll ciao omheittutu signature rn'thi onwallusian Afl oomitt. BIDDERS arc oautiDned that <br />making thereof <br />shall also hurt igna. ....,�.,_. .. <br />Signed <br />Staite of California <br />County Of t PA <br />Subscribed and sxnm to (or ufrruted) before ma an this IT day of Y1n.zy 201s by <br />before <br />proved to ins on the basis of sn ls.fartoty avtde= to bn the person(s)w}hn 4 peered <br />ma. ree, <br />ttAY in I6"rX <br />_ ! tromnaeslon212,841a <br />Notary fettle calumole <br />yr tic t d !'v Orange County <br />Notary Public Sigrrau. ,wMl't)amm.fr. nos sap 28,yRr9J <br />Nahuy Public goal <br />'�5^� f9i'iat elMcJ �',rrrl-dK <br />