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20B - AA - YMCA RENOVATION
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08/16/2016
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20B - AA - YMCA RENOVATION
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Last modified
8/11/2016 4:31:50 PM
Creation date
8/11/2016 3:10:49 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20B
Date
8/16/2016
Destruction Year
2021
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Exhibit 2 <br />CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO,: 16 -6576 <br />PORMU3, YMCA — MA'1'BRIALS ABATIWENT AND ENVIRONMENTAL. <br />REMEDIATION <br />NQIN -M LUSIQNAFFID AVIT <br />(Title 23 United States Code Section 112 and <br />Public Contraot Code Section 7106) <br />In accordance with Title 23 United States Coda Section 112 and Publla Contract Code 7106 the <br />BIDDER declares that the bid is not made in the interest o% 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 hrdireetly induced or solicited <br />any other BIDDER to pct in a false or stain bid, and bas 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 atom bidding; that the BIDDER has not in anymanner, 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 flaw <br />contract o:" 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 broalcdown 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 number or agent thereof to effectuate a collusive or sham <br />bid, <br />Note: The above Non - collusion Affidavit is part of the Proposal. Sigrring this Proposal <br />on the sigtlature porton thereof 811411 also oenstitute signatize, of this Nan - collusion <br />Affidavit, ;31 RS are cautioned that maldng a false certifioatioxi may subjoot the <br />Signed <br />State of California <br />County of <br />Subscribed and sworn to (or aft rmod) before ma on this _ day of _ J 20� by <br />_ , proved to me on the basis of satisfaetoq evidence to be the <br />persons) wlra appeared before me <br />Notary Public Signature Notary Public Seal <br />P -14 of P -19 <br />20B -24 <br />
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