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CrrV OF SANTA A NA <br />PROPOSAL <br />L <br />PRCkJKT NO- 22-1201, 21-2750 & -0501 <br />SANI'A ANA CITY HALL - SECOND AND FIFTH FUX)F.-T!~NANT IMPROVEWNTS <br />NQN&qLLUMQN A FFfO <br />(Title 23 Unitpd Slajo Code Scclion 117 and Public Cwtiwl bode 90otiors 7106) <br />In a mfirrnanco wadi Titie 23 l3nhod SWes Cade SW&M 112 and Public C-untrad Cede 7106 the <br />WMER dcC lUM tl�al tie bid is not me& in tbo iinwrat of, OT W behalf 4 ate Undi. <br />pin, parinarehip, company, associafinn, man h l c n, or wrporutionz that fe bid is genuirw and <br />nut corl"Aive of sham: that the BLDDER hay not dimal+y or kidiipc#iy ind iced ar &oii t d any od= <br />BIDDER to put in a fad or 9bW bkL and has nor dkwdY Or ind mr-dY ooyluded. COMI redo <br />cx=l vod, or agreed With any BIDDER or myoue else to pvr in a man bid, oT #hat a yone sball <br />rofrain frm bidding, that the BU)DF PL his nc4 'M "Y M nwr. di ray or odifflctly. W"ght by <br />agreemeok comrnUMQniict, crr conferewe Wilk any(me to Tip the bud pd" of the MEDIDER or any <br />oth-er 13TD33M or w frq any ovarh . pi`01r, or -C� Clement Of d c bi-d price, ar of that of my <br />otter JAIDDE k, ar to seu re uay advaramp aj iftmat the publk body awardi;ug thu cantrad ofugarw <br />ir1ftmntcvJ in the pmpoaed c=tracr; that all Wt mints oomts Bcd Tn the bid arc Ouj;- and, fwtlrar, <br />that aw 8JODER has not, dirty Or indimwtly, submitted his or ber bid price or wry breakdown <br />jhe=f, or the cVnt&nt& therwt or di;vlged informarion or data relutiive 0, w PaK w0d Wili <br />out pay, any fire Co any -cnrp ratioa, parffienihip, mmpauy McGiativa, -niz2r;+,as- bid <br />dalmaiuny. or to any member or aj�crtt thereof Co CifMIUaW s Qollu5 iVm or sham bid. <br />Noty The abase Non-collweiva Affidavit is Fit. of Che Proposal, RIDDag = caufinnc4J <br />that nwking*Wrg gcrtaf[.Gp4m rztay guWgEt the ptrtifier tfj criminal prosecution, <br />SiFed <br />stag of Caiif'orn La <br />county of <br />AT 1 CAI ED CALIF U RAT — <br />Sul rpbcd and bwom to (or a1lirffl0dJ before me cm this _ Jay of . 2Q__, by <br />proved to me ou 1he basis of sati�f-Xoc_ y cvi:&wo to be the p mD*,$) <br />who appeared before me <br />Notary Public Sifgmtufe Nolaiy Public Seal <br />City Council 14 — 17 9/20/2022 <br />