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CITY OF SANTA ANA <br />PRWECT 086019-MCPADDBN TRIANGLE HABITAT RESTORATION <br /> <br />NOVOLLUSION AFFIDAVIT <br />Public Contract Code Section 1106) <br /> <br />PROPOSAL AND CONTRACT AGREEMENT <br />(Title 23 United Stales Cade Scotian 112 and <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />1n accordance with Title 23 United States Code Section 112 and Public Contract Code 1106 tfie <br />BIDDER declares (fiat the bid is not made in the imeresl of, or an behalf of any undisclosed person, <br />parnership, oompang association, organ?atioq or coryorelicn; lhal the bid is genuine and not <br />cellusiue or sham; that (fie BIDDER has nol dirce(ly or indirectly induced ar solicited any other <br />BIDDER to put in a falsear sham bid, and has not directly or indirectly celluded, oonspired, cennived <br />or agreed with any BIDDER or anyone else b put in a sham bid, or that anyone shall refrain from <br />bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, <br />communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to <br />Bz any overhead, profit, or cost element oflhe bid price, or of Ihat of any olfier BIDDER, or to secure <br />any advantage against the public body awarding the contract of anyone interested in the proposed <br />eonaaot; that all sla(emenls cen(ained in the bid are Ime; and, further, Act the BIDDER has not, <br />directly or indirectly, sobmilt¢d his or her bid price or any breakdown thereof, or fhecentents (hereof, <br />or diwlged information or data relslivelhereefo, or paid, and will col pay, any fee to any ceryoralioq <br />partnership, company associalioq organ0ation,bid deposiary, or to any member or agent thereof to <br />etfectuateacellusiveorshambid. <br />Nola: The above Non?collu' nAffidavilisparloftheProposaLSigninglhisRopCSalondre <br />signature podion fhereo shall also consihute signature of this Nan?ollusion Affidavit, <br />BIDDERS are caution that m ing a false certifcelion may subject the celifier to criminal <br />prosecution, <br />Signed <br />Slate ofCaliPomia `-? <br />Caunrycf ?osArl9eles <br />Subscribed and swum to (or affimt¢d) before me on Phis `? day of yJ?, 2011 6y <br />Dart Patfersoo proved to me on the basis of satisfarmry evidence to be the person(s) <br />who appeared before me. <br />NOHI? t?PkYJlAIl9 <br />? ????q?ala?i?u W <br />J araaranwiliua? <br />NolaryPu IicSigoature 1 NotaryPublioSaal <br />BP120FIS