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APPENDIX <br />ATTACHMENT 6: CERTIFICATION <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 <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any <br />other 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 <br />anyone interested in the proposed contract; that all statements contained in the bid are true; and, <br />further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or <br />paid, and Will not pay, any fee to any corporation, partnership, company association, organization, <br />bid 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 />that making a false certification may subject the certifier to criminal prosecution. <br />Signed: Melinda Furnas fixd/ yJ4 1--u/A4O <br />State of California <br />County of San Bernardino <br />Subscribed and sworn to (or affirmed) before me on this 2 day of jE42(,, 20;Q by <br />MaIMVM , proved to me on the basis of satisfactory evidence to be the <br />person(a) who appeared before me JASPREET KAUR <br />COMM. #2250547 <br />-- NOTARY PUBLIC - CALIFORNIA rv'n <br />- SAPI BERNAROINO COUNTY <br />My Corm. Expires Aug 16, 2012 <br />Notaryublic Signature Notary Public Seal <br />Page 17 City of Santa Ma - RFP 20-014 <br />Water Quality Sampling & Testing Services Page I of I <br />