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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 15-6606: 3 a STREET TRAFFIC CALMING (FAID# U58DP005861) <br />NON -COLLUSION AFFIDAVIT <br />('title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />in accordance with Title 23 United States Code Section 112 and ;Public Contract Code 7106 the <br />BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genuine <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited <br />any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, <br />conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that <br />anyone shall refrain from bidding; that the BIDDER has not in any mariner, directly or 'indirectly, <br />sought by agreement, communication, or conference with anyone to fix the bid price of the <br />BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of <br />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 <br />true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price <br />or any breakdown thereof, or the contents thereof, or divulged information or data relative <br />thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, <br />organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham <br />bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal <br />on the signature portion thereof shall also constitute signature of this Non -collusion <br />Affidavit. BIDDERS are cautioned that malting a false certification may subject the <br />certifier to criminal prosecution. <br />a a t> ii.91N, I'Sif S OSP#T <br />Signed ' I --� — <br />State of California <br />County of LOS, { NrG'.r'.1E <br />Subscribed and sworn to (or affirmed) before me on this day of �9 0, by <br />to �qn proved to me on the basis of satisfactory evidence to be the <br />person(s) who appeared before me <br />Notary Public 'nature Notary Public Seal <br />C PrIILLIPs <br />C<7�4M. N799f,7'77 M <br />J ,Not 9ANGUi<SCOU TY a <br />F'.wW LOS ANGE=LES COUNTY `A <br />�.,�: My Comm. Explrr=s Oct, 2'.#. 20tn�1 <br />P -1I of P-18 <br />