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CITY OF SANTA ANA <br />PROPOSAL <br />PROJFCf NO.: 31-7536 <br />,MAIN LIBRARY ROOF INIPROVF�'%1L,N'l-5 <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance with Title 23 Ulnited 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. anv 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 directiv or indirectly induced or solicited <br />anv other BIDDER to put in a false or sham bid, and has not directly or indirectl) colluded. <br />conspired. connived, or agreed with any BIDDER or anN one 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 indirect]). <br />sought by agreement. communication, or conference with an) one to fix the bid price of the <br />BI DDLR or any other BIDDER. or to fix an), overhead, profit, or cost element of the bid price. <br />or of that of any other BIDDER, or to secure an\, advantage against the public hod} awarding the <br />contract of anyone interested in the proposed contract: that all statements contained in the hid are <br />true: and. further. that the BIDDER has not. directly, or indirectly. submitted his or her hid price <br />or any breakdown thereof', or the contents thereof. or di% ulged information or data relative <br />thereto. or paid. and i%ilI not ay. any fce to anN corporation, partnership. compan} association. <br />organization. bid deposito . it to any- member or agent thereol'to effectuate a collusk a or sham <br />hid. <br />?Vote: The above of von Affidavit is part of the Proposal. RIDDFRS are cautioned that <br />making a false c t' t� subject the certifier to criminal prosecution. <br />Signed <br />State of 'alilornia <br />Counll of <br />Sears Tabazadeh, CEO/Secretary <br />* SEE ATTACHED NOTARY * <br />Subscribed and sworn to (or allinned) belbre me on this da) of .20 . by <br />. proved to me on the basis of'satisfactory evidence to he the <br />person(s) «ho appeared before me <br />NotarN Public Signature <br />Notary Public Seal <br />P-10 of P-16 <br />