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ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT - CONTINUED <br />CALIFORNIA JURAT <br />GOVERNMENT CODE § 8202 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed <br />the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />Countyof OIL <br />M NIOWELL <br />silo California <br />E Oran oe Counry £_ <br />Commiss ME363]IS <br />,na Camm. Evpires OCI N, 3031 <br />Place Notary Seal nobler Stamp Above <br />Subscribed and sworn to (or affirmed) before me on <br />this Zed` day of 20 Z-0 , by <br />Date Month Year <br />(1) '4w& t TC_) C W'r%® <br />(and <br />Name(s) of Slgneris) <br />proved to me on the basis of satisfactory evidence to <br />be the person(s) who appeared before me. <br />Signature 2. SignatureSignature of Notary Public <br />norfnr.Enl <br />Completing this information con deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />02019 National Notary Association <br />Number of Pages: <br />RFP No. 19-118 1 On -Call Water Resources Construction l'25F-159 Services I City of Santa Ana PSOMAS <br />