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Item 11 - Jerome Park Ballfield Lighting Project
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05/18/2021 Regular
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Item 11 - Jerome Park Ballfield Lighting Project
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4/9/2024 4:24:00 PM
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8/21/2023 4:35:00 PM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Item #
11
Date
5/18/2021
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To the City of <br />EXHIBIT 15 <br />NONCOLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106, the bidder declares <br />that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, <br />association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not <br />directly or indirectly induced or sol icited any other bidder to put in a fal se or sham bid, and has not directly or <br />indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that <br />anyone shall 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 other bidder, or to <br />fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage <br />against the public body awarding the contract of anyone interested in the proposed contract; that all statements <br />contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid <br />price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, <br />and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to <br />any member or agent thereof to effectuate a collusive or sham bid. <br />Servitek Electric, Inc. <br />Name of Contractor <br />385 S Lemon Ave. #243, Walnut, CA 91789 <br />Address <br />Geoff Reyes, President <br />ignatu a d h e <br />April 27, 2021 <br />Date <br />F:\DOCS\PROPSVCS\HUDFORMS\MBU5B04AMB - Section3Specs.DOC <br />
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