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CITY OF SANTA ANA ADD NDUM O ONE <br />PROPOSAL <br />PROTECT NO,: 20-7535 <br />LOCAL STREET CURB RAMP IMPROVEMENTS (PHASE I1) <br />NO-_C0LLUjONAFFID&VIT" <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance with Title 21 United States Code Section 112 and Public Contract Code 7106 the <br />BIDDER declares that the bail 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 <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited <br />any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, <br />conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that <br />anyone shall refrain from bidding; that the BIDDER has not li any manner, directly or indirectly; <br />sought by agreement, communication, or conference with anyone to fix the bid price or the <br />BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, <br />or of that of any other BIDDER, or to secure any advantage against the public body awarding the <br />contract of anyone interested in the proposed contract; that all,statements contained in the bid are <br />true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price <br />or any breakdown thereof, or the contents thereof, or divulged information or data relative <br />thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, <br />organization, bid depository; or to any member or agent thereof to effectuate a collusive or sham <br />bid. <br />Note: The above Non-eollusion Affidavit is part of the Proposal. BIDDERS are <br />cau�oned,that snaking a false certification may subject the certifier to criminal <br />MWJINM <br />State of California <br />County of <br />Subscribed and sworn to (or affirmed) before me on this day of , 20_ by <br />proved to me on the basis of satisfactory evidence to be "the <br />person(s) who appeared before me <br />_# <br />Notary Public Signature Notary Public Seal <br />P40 of P-I 6 <br />