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<br /> <br /> <br /> <br /> CITY OF SANTA ANA <br /> <br /> • PROJECT NOS. 06-1500, 07-3206, AND 09-3521 <br /> <br /> PROPOSAL AND CONTRACT AGREEMENT <br /> <br /> NON-COLLUSION AFFIDAVIT <br /> (Title 23 United States Code Section 112 and <br /> Public Contract Code Section 7106) <br /> <br /> To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br /> <br /> In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the bidder <br /> declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br /> company, association, organization, or corporation; that the bid is genuine and not collusive or sham; <br /> that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or <br /> sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any bidder or <br /> anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in <br /> any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to <br /> fix the bid price of the bidder or any bidder, or to fix any overhead, profit, or cost element of the bid <br /> price, or of that of any other bidder, or to secure any advantage against the public body awarding the <br /> contract of anyone interested in the proposed contract; that all statements contained in the bid are true; <br /> and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any <br /> • 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 <br /> depository, or to any member or agent thereof to effectuate a collusive or sham bid. <br /> <br /> <br /> Note: The above Non-collusion Affidavit is part of the Proposal. Signing this Proposal on the <br /> signature portion thereof shall also constitute signature of this Non-collusion Affidavit. <br /> Bidders are cautioned that making a false certification may subject the certifier to criminal <br /> prosecution. <br /> <br /> Signed <br /> Dtey+$radl~~/~ Viee iG1 <br /> Subscribed and sworn to befor e this <br /> day of , 20 <br /> <br /> Signed <br /> Notary Public <br /> <br /> Notary Seal: <br /> <br /> 4 GAe ~-t d t k~ E ar i Q J4 M-t- -From Cc ninq_tk)r, <br /> <br /> <br /> <br /> <br /> TO BE INCLUDED IN BID PACKAGE <br /> BP 19 of 21 <br />