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CITY OF SANTA ANA RE -BID <br />PROPOSAL <br />PROJECT NO.: 17-6876 <br />CROSSWALK UPGRADES PHASE II <br />FEDERAL PROJECT NO: HSIPL 5063(186) <br />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 and <br />not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other <br />BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, <br />connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall <br />refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by <br />agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any <br />other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other BIDDER, or to secure any advantage against the public body awarding the contract of anyone <br />interested in the proposed contract; that all statements contained in the bid are true; and, further, <br />that the BTDDF.R has not, directly or indirectly, submitted his or her bid price or any breakdown <br />thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will <br />not pay, any fee to any corporation, partnership, company association, organization, bid <br />depository, or to any member or agent thereof to effectuate a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned <br />il—1 makipg a false certification may subject the certifier to criminal prosecution. <br />Signed <br />State of Calif is <br />County of Lao tpd ty a <br />Subscribed and sworn to (or affirmed) before me on this 541, day of iebf+ua 20_76 by <br />)ehr, rvoan , proved to me on the basis of satisfactory evidence to be Me persort(s) <br />who appeared before me <br />C/ I­+l,s"W" Ltrn <br />Notary Public Signature <br />A notary public or other olficer completing <br />this cortlficate vedfles 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 />Notary Public Seal <br />ELISA BETH LIM� <br />Commission No. 2281937 <br />!� NOTARY PUBLIC-OALIFORNIA <br />SAN BER14ARDINO COUNTY <br />My Comm Expires MARCH 21, 2020 <br />16Af 28 <br />