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dASamtpaoousrauonoNasuaatraoaa. <br />siaN fu,Aaoaatuo. <br />CITY OF SANTA ANA <br />LAHaBRA cA. sosaa <br />PROJECT NO. IaM04DIAMOND PARK MIITUA6 WATER COMPANY WATEk MAW <br />IMPROVEMENTS (REBID) <br /> <br />(fiide 23 UNk4 States Code b`ealion 112 and <br />Public Contract Cade Section 1106) <br />ToIIwCIfYOFSANfAANADEPARTMENTOFPUBIICWORKS <br />PROPOSAL AND CONTRACT AGREEMENT <br />NON-COLLUSION AFFIDAVIT <br />In aaordancewith rile 23 UNfed Sys Cade Section 112 and Publio Contrail Cade 1106 the bidder <br />declares that the bid is not made m k imeresl of, or on behalf ot; any undisclosed person, partnership, <br />company, association, argaNiatiorti or oaporatioo; that tbe bid is genudde and not ceGusiva or sluvn; <br />that lbe bidder has no(duedy or indirectly induced or solicikd any other bidder to put in a Blse or <br />shambid, andhas notdirecdyorindirectly colluded, conspv?, coanivedaegrced wi0any biddaar <br />anyone else ro pu[ ins sham bid, or het anyoneshan refrain Gram bidting; Vmtthe bidder has not in <br />any manner, diraAy or indvady, souglil by agreemerrt, commwica6 oq or conference wills anyone la <br />Gz thebid price of tl?e bidderor any biddea, or to fix any avefiead, profit, or cost clamant of the bid <br />price, or of tbat of any offer bidda, or N score any advantage agavst the public body awarding the <br />coohacE of anyone mlaesled in thepropo ell conbact; that aU amiements contained N the bid are hue; <br />and, finGur, that Ore bidder bas nod directly or indirectly, submitted fIE a fier bid puce a any <br />breakdown thereof, or the cantrnls thereof, or divvlg¢d formation or date reaative thaeto, or did, <br />and will not pay, any fee to soy corporatioq pa?lerstdp, company associatioq orgaoaafioq bid <br />deposi(ory, or to any member or agent iherrof fo eft¢ctuate a coGusive or sham bid <br />NOTE, lheaboveNon<ollusion uitis?lafthePropoanLSigaing?isProposalonthe <br />signa6ueporGonth¢reofsaBacjisyMesigoadueofdrisnan?colludonAffidavil, Bidders <br />azecau6oneddratumaMnge ce? cadoumaysubjedGucerfifiertoctirnuaaiprosaudon. <br />Sign¢d J 0$C J(1?Q1? <br />Sfa(eofCalifomia <br />Counryof (ypd QP$a?0.2d?COngE <br />Subscribed and swum m (or adwaed) before me on Vtis _ day of ? NI_, by <br />prov¢d to ? on the basis of salisfadory evidence to be the person(s) <br />whoappearedbeforeme. <br />NmaryPoblicSigneNre NofsryPoblioSeel <br />TO BE WCEUDED IN BID PACKAGE <br />BP 120E 14