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23A - RES STREET REPAIR PROJECT
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23A - RES STREET REPAIR PROJECT
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Last modified
7/2/2020 4:38:18 PM
Creation date
7/2/2020 4:31:34 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/7/2020
Destruction Year
2025
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To the City of <br />EXHIBIT 15 <br />NONCOLLUSIONAFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />DEPARTMENT OF PUBLIC WORKS <br />hi accordance with Title 23 United States Code Section 112 and Public 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, company, <br />association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not <br />directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has 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 refiain 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 other bidder, or to <br />fix any overhead, profit, or cost element of the 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 the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her 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 fee 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 />All American Asphalt <br />Name of Contractor <br />400 E 6th Street, Corona, CA 92879 <br />Address <br />Ae i.-C— <br />Signature and Title <br />Edward J. Carlson, Vice President <br />Dates <br />F:IDOCSI OPSVCSIHUDFORM MBUS AM-S .i.n35Pec WC 23A-63 <br />
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