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TON COLLUSION AFTIDAVIT <br />Mile 23 UAW Sui cs Ccdc Sculiom 112 Lind <br />Public Cortracrf'nde Sacrirn 7106) <br />I o die f'fl'Y OF SA\TA AT.A 171iPAR7[v MY OF PUBLIC 1WORKS <br />In acciiixlance u^.rh -ido 23 United Suit s 0NIc Swim I I ' and Public Contract Code 7106 the BIDDER <br />declares that die bid is nut made in [lit in:ereaL ni; nr un bululf or, any undisclosed pa'son, partnership, <br />company, association, olgimizalion; ut curlmi-aliomy that Ibe bill is genuine and not colhisive or sham; Thal <br />the RTiaTA',Y. has nol directly or indirectly induced or solcited arty other BIDDER In put in a fulne or ahem <br />hid, and hasnot din:o ly cr indirectly oolludod, camphnd, connivad er agreed with any BIDDER or unyone <br />else lu put in a sham bid, Or that anyone shall rcfrair, from bidding; that tLe BIDDER has not in any <br />nuu,nelt directly or irulilully, ,;mutt by ag=rrenl, cun,mlmierrii:m, nr amfi:renra Wid, vui4onc. to floc the <br />bid price of the BIDDEN or any BIDDER. nr n; 11x any overlicea prio-n, rm onset ele,nent of tlx: bid price, <br />O: of that of any other BIDDEdt or to scCnn: any adiwitage kvAinsl the public body uwarllinu mho mntnitt <br />of unyonc intat:sl:;d in Lhe proposed contract; that all statcmenra contained in tha bid are true; ard, further, <br />Thal the BIDDER hoc not, diretdv or indirectly, wbnzitcd a:s or her bid price or any breakdown thereof, or <br />the coulenL\ Ilierenl_ :w d]vLlged in:bma ion ar dnul x1vi3vt thortto, or paid, and wall not pay any fa: t0 <br />alit L1fpfflat.Inn, parinerildn, wirilrwr}• aaMIGinl.i in, urylni�nlii,n, hid deposilmy, or to any mcnibar or agent <br />thercof to tiketuatc a cohusive or sham bid. <br />Note: the above Non collusion Affidavit is part of die Proposal. Signing this Pn,pnxul on die <br />silmulum portion thcrcof shall also roustiotc signature of tEs Non-colitislOn Affidavit. BIDDEM <br />am cantle I that maldo a .else ceitilic,tirm m Y,,ubjecl the certifiLT to criminal pmstuution. <br />Siencd <br />Stile of L':di�0 a <br />Gnunty of (6 <br />'Sa sled l . swum W for JErmecll be.fure me on r,is ZZ,_ day cd �i!/j� 2113- 9 by <br />nsePh L- Doyle , pruaec to n v, a,e I avis of gat sfuctn g eidue ce to he the pc snl at vihn appa red <br />lidum im. <br />_ tlV.My Pgp14 dIHo21: <br />Notary Public Si}maturc 0-4,W Ike, _ <br />:m^1mPn Y2252E2t <br />kw M. Gpro mg 21, zon <br />City rif Santa Ann RFP 22-002 <br />Page A3-1 <br />