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Wam <br />CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO,: 16-6876 <br />FORMER YMCA --MA'I'i'E2TALSABA, EMFNTAND;BNVIRONMENTAL <br />REMEDIATION <br />NQN-COLLUSIQN—A kFIDAV.IT <br />(Title 23 United States Code Section 112 and <br />Public Coatraot Code Section 7106) <br />Tri 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 o% or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genufine <br />and net collusive or sham, that the BIDDER has not directly or iirdireetly induced or solicited <br />any other BIDDER to put in a false or sham bid, and has not directly or indirectly collided, <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 anymanner., directly or indirectly, <br />sought by agreement, communication, or con£arenco with anyone to fix the bidprice of the <br />BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid pride, or of <br />that of any other BIDDER, or to seoure any advantage against the public body awarding U).Q <br />contract of anyone hrtarested in the proposed contract; that all statements contained in the'bid are <br />true; and, farther, that the BIDDER. has not, directly or indirectly, suNnitted his or lrer bid price <br />or any broalcdown thereof, or the contents thereof, or divulged inforruation or data relative <br />thoreto, or paid, and will not pay, any £eo to any cerpoxation, partnership, company association, <br />ovgaai2ation, 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 sippaaluro portion thereof slratll also constitute signature of this Nan -collusion <br />Affidavit, B JPI FRS ave cautioned that maldng a talso corff ieadosr may subject the <br />Signed <br />State of California <br />County of <br />Subscribed and sworn to (or afitirmod) before me on this day of , 20� by <br />_ ____•, proved to me on the basis of satisfactory ovidence to be the <br />parsons) who appeared before me <br />_ e, <br />Notary Public, Signature Notary Public Saal <br />P-14 of P-19 <br />