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CITY OF ,SANTA ANA <br />PROPOSAL <br />PROJECT NO; 21-6457 <br />VALLEY ADAMS NEIGHBORHOOD WATERMAIN IMPROVEMENTS PRASE 2 <br />0_N CQ1,LUSI0_X AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />1n conformance with"Titic 23 United States Code Section L12 and Public Contract Code 7,1066 the <br />BIDDER declares that the bid is not made',m 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 nr hidire."ctly induced or solicited <br />any other BIDDER to put in a false or sham bid, and has not directly or indirectly oblluded, <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 BIDDERhas not;n any manner, directly or indirectly,_ <br />sought by agreement, communication, or conference with anyone to fix the bid price of 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 BIbbER has not, directly or indirectly, submitted his or her bid price <br />or any breakdown thereof, or the contents thereof, or ,divulged information or Bata relative <br />thereto, or paid, andwill not pay, any fee to any corporation, partnership, company association; <br />:organization, bid depository, or to any member or agent there <br />:bid. - <br />of to effectuate a collusive or sham <br />Note, The above Non -collusion Affidavit is part o£ the ,Proposal. BIDDERS are <br />_ cautioned that making a so certification may subject the certifier to criminal <br />ptose ' <br />-Pablo Viramontes 1 Vim President <br />°;§fate of California <br />County-tfl.os Anqeles <br />Subscribed and sworn to (or affirmed) before me on this, ;22 day of October, 2020, by <br />Pablo ViramontesW; proved to me on the basis of satisfactory evidence to be the <br />person(s) who appeared before me <br />otary a 'c r ature <br />-Sylvia Sifu rites I Notary Public <br />Notary Public Seal <br />SYLVIA V, SIrUtNTEs <br />i Notary Public • California <br />los Angeles County <br />Commission# 2257818 <br />MY Comm.; Expires Oct 8, 2022 <br />P-12 of P-18 <br />