Laserfiche WebLink
CITY OF SAN7A ANA <br />to put inn a false or share~ propusai, and has not dirediy or irldlnaWODlluded, Wrssplred, oonntved <br />or agreed wvtti any proposar or anyone else W pLa In a shank prop000l, or than anyone ;Nhau refraln from <br />bidding; that the proposer has not in arry manr,or, deactly er indinui;llyr sought by agreamAnt, <br />Gommunlog§3n, or conte enw with anyone to fr: the pmpmal price oFthe proposer or any prop , or <br />to fix any overhGad, prrf�t. or ccnit elsmarR of the proposal prim, -or if that of any athor proposer, or to <br />s&Wm any aj;jwzjntaQ4 against the public y award -mg tie owUVO of anyone 5ntere5led In the <br />propnsed contract; that all Dtaternants mritained in Vie piroparal are true; and, 15�rtiner, that the prep <br />lies rmA, dirwkly air Indirecdy, submitted his or her pruposall pry or any breakdawrt theraaf, or the <br />aonterAs tiered, or-dlvulgod information or date NAa&io thereto, oT paid, and will not pay, any flee t0 any <br />mrporadan, partnership, company assiHnniadon, orga:itzation, bid dapositcgy, ar to any member or agent <br />thereof Co nfFectuate a oo1lus�ve or sham pmpasal. <br />The above non-col:uslon affidavit is part of tho proposal. Signing this proposal ork the tii! r atuft- <br />portion thereof shall also Cx5nrtftLAe sigrwiture of thin rbrwc6iluskm ffffidavit. Preiposerswe GaL!M¢nEd'hat <br />mnkinq a �tse cent ficatiwn unay 8uNarA the aeriifier to admir Al prosewbon. <br />SignOd &."- . <br />State of gA County luT Oraage <br />SubseTimbed and sw•ckm to (or afFim 'q before me cm this 1 L day of March .2a 23 , by <br />Heidi fl un to r = proved tc� me on the basis of satisfactory evidenea to be the perepnN) <br />wrpoappeared before me - <br />Pubes $IgnaWre <br />a rwl[n � <br />.� NoGx+� per#[ - r�llfar+f4 <br />Of�r Co��ky <br />aw CDMe-.. 4■WW A# 22, W26 <br />Nctary Ps.lhFie Seal <br />THS IZM'MUST BE C4OMP AND INCLUDED 714E PROP <br />ATTACHMENT E <br />NON-41-013$YIN E R TI RGATICIN <br />PROPOSALS. THAT D4 NOT CONTAIN TF3'S FoRm VALL BS CONSIDERED N RES NSRfr-- <br />That. pmspec�jye p dpiporit cmrffics, by signing end subrriking this bid 4r proposal, to the best of his -or <br />her knuw10dQG and belief, that <br />(1 � No Federat epproprlaked fluids have tx�L&a pall or *11 toe paio, 3y or an bel-taU of the uriderslgned, <br />to any person kw innuaridrg or anempting U influr-rim an cffimr w omployee cy, any FeOg�ral <br />a"ncy_ a Member of CwLorass. ar} afficererempl +ea -of Congress, or an arnpbyee of -a Nvenber <br />of Ccxff�gress Jr. connect on wdh tfie awardOq of any Federal ion the mak of any FeLdera- <br />gram the rnakinti of a€ny Federal ;oDn, the entering into of any moperzfhm agreernen� and the <br />a)tension, continuation, renewal, amendrnw t, or modTicaiion of any Federal wrrtraa, grant, loan, <br />or ocaparative agreem0nt- <br />cvvCALL ?HqTALLA TION, WA T ENANCE AMD REPWR FOR FFN NG RNO IaAIES 4:0 <br />