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25H - AGMT - ON-CALL SEWER SRVS (2)
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09/16/2014
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25H - AGMT - ON-CALL SEWER SRVS (2)
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Last modified
9/11/2014 6:53:09 PM
Creation date
9/11/2014 6:52:11 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25H
Date
9/16/2014
Destruction Year
2019
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EXHIBIT fa <br />CITY OF <br />a r- -r r a • r f a �+ <br />NONCOLLUSION APFIDAVIT <br />Nora CCLI.UN &EI2A\AT <br />(Tltla 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />i <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the proposer <br />declares that the proposal is not made In the Interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporation; that the proposal is genuine and not collusive or sham; that <br />the proposer has not directly or Indirectly Induced or solicited any other proposer to put in a false or sham <br />proposal, and has not directly or indirectly cofluded, conspired, connived or agree "d with any proposer or <br />anyone also to put in a sham proposal, or that anyone shall refrain from bidding,, that the proposer has not in <br />any manner, directly or Indirectly, sought by agreement, communication, or conference with anyone to fix the <br />proposal price of the proposer or any proposer, or to fix any overhead, prog or cost element of the proposal <br />price, or of that of any other proposer, orto secure any advantage against the public body awarding the <br />contract of anyone interested in the proposed contract', that all statements contained in file proposal are true; <br />and, further, that the proposer has not directly or indirectly, submIned his or her proposal price or any <br />breakdown thereof, or the contents thereof, at divulged Information or data dative thereto, or paid, and will not <br />pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any <br />member or agent thereof to effectuate a collusive or sham proposal, <br />Note. The above noncolluslon affidavit is part of the <br />thereof shall also constitute signature of this noncolli <br />false certification may subject the certifier to criminal <br />State of California, County <br />}u, } <br />OMAN- <br />Note <br />1 <br />Public Signature <br />20,Lq by <br />e person(s) who <br />25H -132 <br />
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