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CITY OF SANTA AI\A REBID 2 <br />PROPOSAL <br />PROJIICT N0. 20-6965. A'fP 5063( 196) ' Sfr\Nl).,\Rl) AVI: Illl{I;\\rAY I:RLIN{ WAIINLR AVjl 1-(l rxo *r' <br />PIIOJECI'NO 20-69(12,z\]1'] 5063(198) MCIFAI)l)EN ,,\\4, RIKL\\r.{Y IrROIvl IIARBOIT Ili.VD 1I) CI{ANr) A\/L <br />PROJECT NO. 2i-670'7 STANDARD A\G PAVITI,IINI Itl]l IAB1LI I'A f loN fRol\,I \\iAlNLrl{ AVI:. t-(.) ?ND <l' <br />PROJl:C I NO 2.1-(1705 . MC'lrAI)l)l-.N AVl. PAV[rN,ll]N I ltl ]lAB1l.l'lAll()N FI{OM IIAIUtOIt IILVD l'O I,Att{VlhW S'lPROJECI-No. l9-(1923 lvICFAl)I)llN AVI: I'AVI:NIl'lN t' IU:IIAilll.tIA llON lrl{()tvl irAIR\/II;w S'f To RAfi f S'I <br />PROJIIC"| N() 2i-6706- iv{CFADDEn-AV}rPA\'I;MI]Nf RlrlIAIJILttAllONl:ttOlvlI{AIIf S't tOCI{ANDAVII <br />NON-COLLUSION AFFIDAVIT <br />(Title 23 United States Code Sectior-r 112 and PLrblic Conrract Cocle Section 7106) <br />ln confornatlce with Title 23 United States Code Section t12 ancl Public Conrract Cocle 7106 the <br />BIDDER declares that tire bid is not rnade in thc interest of. or orr behalf of, any undisclosecl <br />person, partnership, company, association, organizatiou, or corporatiorr; that the bicl is genuiue a1d <br />not collusive or sham; that the BIDDER has nor directly, or indirectly induced or solicited ally other <br />BIDDER to ptlt in a false or shanr bid" and has not directly or indirectly colluclecl, conspired, <br />connived, or agreed with any BIDDER or anyone else to put in a sham bicl. or that anyone shall <br />refrain frorn biddilrg; that the BIDDER has not in any nlanner-, clirectly or irrclirectly, iought by <br />agreement, communication, or cont'erence ivith anyone to fix the brd price of rhe RIDDER or any <br />other BIDDER, or to fix any overhead, profit. or cost elenrent of the bicl price, or of'that of any <br />other BIDDER, or to secure any adrzantage against the public body arvarding the contract of anyon! <br />interested in the proposed contract; that all statements contained in the bicl are trlre; ancl, fluther, <br />that the BIDDER has not, directly or indirectly, submittecl his or her bici price or any breakclor.vn <br />thereof, or the coutents thereof, or divulgecl infomration or data relative thereto, or paicl, and will <br />not pay, any fee to ally corporation, paftnership, company associatiou. organizatiol, bicl <br />depository, or to any member ol agent thereof to effbctrrate a collusive or sham bicl. <br />Note: The above Non-collusion Affidavit is paft of the Proposal. BTDDERS are cautioned <br />making a falsepertification mly subject the cefiifier to criminal prosecution. <br />Signed <br />State of California <br />County of <br />Subscribed and swom to (or affirmed) before me on this clay of 20_, byr vv <br />. provecl to rne on rhe basis of satislacttxy .ri,l.,,ce to be tt',e person(s) <br />who appeared before me <br />Notary Public Signature Notarv Public Seal <br />P-23 of P-30