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�1 OF SANTA ANA <br />depcsitsd wiEl the Un ted pagal SeMce properly addressed to the prqpc7sor wt, thQ oorrect <br />pQstage affixed thareto- <br />ppowr fi YLhi2r gees that upon deli (as defir+e, above) of " a Abed a$teen�L t L,e'sK& %4I furn6wl`L <br />City an required bonds and owifficate of 1i$bIILty insLwmm w&hiirt ten (101 days (exduding $eturiJays, <br />Sundays and Cites Igal holid ), or the funds, rt�`e<jc. draft. Pr prop s tend substitulad In lieu Herod <br />2K=mpanying his pavposal sttie become the propertti+ of the City end shad be ax%sLdered on +payr:terk Of <br />darnaages due to &a delay ar,d air Oause5 Sufr -ed by City bLL:ke of thn failure to iamksh the rwKassary <br />bands and bewLma it is diBti } agreed ti A the pruo� 9� damages lq+ suffered hY City is &Pl UNt ID <br />arscorlain: othjaxwise mid funds, check draf,.s- or prof rs bid 5ubstthlttJ in rkM th =AIL be retuMad <br />to the undmrsigned. <br />Proposer undersitands that s proposal is resin for the erdra w rk, 'that the ostimaEW quantibes Sit fflr-tli <br />in the RFp edule are salety forttie purpose of c;orr+Fwing propos4s. and that final compunnalion under <br />this oxuaet YdI be based uqn tine actual gLLwi ties of work satisfactonly mrnMeted- <br />All tems coptain d it tha sp$c�rjcoUnr3s, the cer#ficatk3n of n4n&wmrnir by coptm tt and tha <br />required insurance certil1=tms are tg b& 1necrp•xsted by referenc8 Into this a9mament and ate made <br />.spectFi-,3Fty0$ Fart cf this RP!P. <br />F� 'A _ - <br />Signed and minted Name: <br />KI _ <br />i <br />i rwls r-ORM MUST RE EOAPLEiEa. AND INCLUDED Y4 " THE PROPOSAL <br />ATTACHMENT D <br />NoN -,QLLUSION AFFl1DAVlT <br />RC),pALS THAT Do NOT C,QWALM T pS FORM WFLL BE CONSIDERED <br />ti rFl;a 23 Uni'ted Stalss CoDde `eotiori 112 and Publiic CPqVaGZ Code SOCtion 71 � <br />To the CfTY OF SANTA ANA <br />I n a3 acdance with Tibe 23 Unt�d Slates C�a 5ectian 112 arLd Public Contract Onda 7 :08 Rhe proposer <br />deGlaras that the proposal ir, riot made in the intent 6f. or on behalf of. any undisclosed person, <br />partnership. oomwny, associati�n, organi tinn, or c rp mf an-, the Mo properi+al it genuine and not <br />catilusiva r5r sham; 1hot the propQw has not -i�iracdy or indlmady Induces or solic#ed any aUmT prOPOsA�Ir <br />opj-CALL fmSTALLi77oN- &fAj&r EMANCEAND REPAIR FOR FENC1 AND GATES: M <br />