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23A - PROJ - STREET CURB RAMP IMPROVEMENTS
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07/16/2019
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23A - PROJ - STREET CURB RAMP IMPROVEMENTS
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Last modified
7/11/2019 5:30:27 PM
Creation date
7/11/2019 5:24:01 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/16/2019
Destruction Year
2024
Document Relationships
VIDO SAMARZICH, INC.
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Path:
\Contracts / Agreements\ PROJECTS
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EXHIBIT 15 <br />NONCOLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />'1'o the City of SAN•rr4 A jA <br />DEPARTMENT OF MBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Pllbl is Contract Code 7106, the bidder declares <br />that the bid is not made in the interest of, or, on behalf of; any undisclosed person, partnership, conpiny, <br />association, organization, or corporation, that the bid is genuine and not collusive or sham; that the bidder has not <br />directly o indirectly induced or sol icited any other bidder to put in a false or sham bid, and Ills not directly or <br />indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that <br />anyone shall refrain front bidding; that the bidder has not in any manner, directly or indirectly, sought by <br />agreement, comnxmieation, or conference will' anyone to fix the bid price of the bidder or any other bidder, or to <br />fix any overhead, profit, or cost element of'tl'c bid price, or of that of any other bidder, or to secure any advantage <br />against the public body awarding the contract of anyone interested in the proposed contract; that all statements <br />contained in tite bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or ber bid <br />Price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, <br />and will not pay, any fae to any corporation, partnership, company association, organization, bid depository; or to <br />any member or agent thereof to effectuate a collusive or sham bid. <br />FMCS1PROPSVCSVIlJDFORMS%MBU§004AM0 Sedion3SpncsOOC <br />Name of Contractor <br />Adddressdress /,v65 Tr4RC.F W9,tlG G mfttw4 T o0 ( <br />VSig4nattue1 itle <br />9/_z tz 'Eats <br />Date <br />23A-47 <br />
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