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CITY OF <br />PROJECT <br />BAKER-GLENWOOD <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 <br />In conformance with Title 23 United States Code! <br />BIDDER declares that the bid is not made in thi <br />person, partnership, company, association, organl <br />and not collusive or sham; that the BIDDER has <br />any other BIDDER to put in a false or sham bii <br />conspired, connived, or agreed with any BIDDEI <br />anyone shall refrain from bidding; that the BIDDE <br />sought by agreement, communication, or confer <br />BIDDER or any other BIDDER, or to fix any ovi <br />or of that of any other BIDDER, or to secure any s <br />contract of anyone interested in the proposed cont <br />true; and, further, that the BIDDER has not, direc <br />or any breakdown thereof, or the contents then <br />thereto, or paid, and will not pay, any fee to any <br />organization, bid depository, or to any member or <br />bid. <br />Note: The above Non -collusion Al <br />cautioned that making a false <br />prosecution. I <br />Signed <br />State of California <br />County of ,e <br />Subscribed and sworn to (or affirmed) before <br />r' ri' ,` proved to me on <br />person ' who appeared before me r.--_ <br />Notary Public Signature <br />ANA <br />21-6446 <br />;R MAIN UPGRADE <br />Public Contract Code Section 7106) <br />ction 112 and Public Contract Code 7106 the <br />interest of, or on behalf of, any undisclosed <br />ition, or corporation; that the bid is genuine <br />iot directly or indirectly induced or solicited <br />and has not directly or indirectly colluded, <br />or anyone else to put in a sham bid, or that <br />. has not in any manner, directly or indirectly, <br />ice with anyone to fix the bid price of the <br />head, profit, or cost element of the bid price, <br />vantage against the public body awarding the <br />et; that all statements contained in the bid are <br />y or indirectly, submitted his or her bid price <br />if, or divulged information or data relative <br />irporation, partricrship, company association, <br />gent thereof to effectuate a collusive or sham <br />is part of the Proposal. BIDDERS are <br />atsgn may subject the certifier to criminal <br />on this (ql"�`day of <br />basis of satisfactory <br />ar <br />Notary Public Seat <br />acizby <br />' by <br />evidence to be the <br />12 <br />