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NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br />BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genuine <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any <br />other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, <br />connived, or agreed with any BIDDER or anyone Else to put in a sham bid, or that anyone shall <br />refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by <br />agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any <br />other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other BIDDER, or to secure any advantage against the public body awarding the contract of <br />anyone interested in the proposed contract; that all statements contained in the bid are true; and, <br />further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or <br />paid, and will not pay, any fee to any corporation, partnership, company association, organization, <br />bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned <br />that making a false certification may subject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of Riyer5�de <br />Subscribed and sworn to (or affirmed) before me on this 13 day of September, 2021 1 by <br />Wade Brugger , proved to me on the basis of satisfactory evidence to be the <br />persons) who appeared before me <br />ota y Pub is Signature Notary Public Seal <br />JANNEAN MARIE SAPP <br />Commission No. 2223M <br />(aw <br />NOTARY aueuc-cauFaxwA <br />RNERSIDE COUNTY <br />CWW_ Ei"ft NOWM KR 25.2021 <br />City of Santa Ana RFP 21-098 <br />On -Call Welding Services <br />Page 20 of 38 <br />