Y&M CONSTRUCTION, INC. (2013-2014 OMNIBUS CONCRETE REPLACEMENT)

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CITY OF SANTA ANA Project No. 14 -6798: 2013 -2014 Omnibus Concrete Replacement Contract PROPOSAL AND CONTRACT AGREEMENT NnN.(D US FIDA,v_rr (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Cozy 7106 the BtDDFR declares that the bid is not made in the interest of, or on behalf of', any undisclosed' person, partnership, company, association, organization, or corporation; that the bid is genuine and not c0luslve or sham; tholl the BIDDER has not directly or indirectly induced or solicited any other BIDDER to Ijut in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with an}�.BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the, BIDDER lhris not in any manti tr, directly or indirectly, sought by agreement, communication, or conference with anyol* to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost clement of the ljid price, or of that',of any other BIDDER, or to secure my advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, fl rther, that (lie BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to tiny corporation, partnership, company association, organization, bill depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note; The above Non - collusion Affidavit is part of the Proposal. Signing khis Proposal on the signature portion thereof shall also constitute signature of this Nan - collusion Affidavit. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution, Signed ' 6'° ' 1'f t -2 State of California County of LC1 "y,'j` dVkS'4 � Subscribed and sworn to (or affirmed) before me on this 03_ clay of /l M✓! , proved to me on the basis of satisfactory evidence to appeared before me, m"r RAFFI VAR00,1 THOMASSIAN S;, Commission # 197.5126 Notary pubic Cnll)nrnia z Los Angeles County' ' My Comm. Pxplres May 72, `1016 N' of tic 5 ur Notary Public Seal BP '14 of 16 Cf� , 20%3, by the peison(s) who