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25J - AGMT - ZOO RIVER OTTER
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25J - AGMT - ZOO RIVER OTTER
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Last modified
12/19/2016 10:39:33 AM
Creation date
12/15/2016 4:54:36 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25J
Date
12/20/2016
Destruction Year
2021
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EXHIBIT C <br />CITY OF SANTA ANA <br />REP NO.: 16-079 <br />SANTA ANA ZOO <br />AMAZON'S EDGE CONVERSION TO GIANT RIVER OTTER EXHIBIT <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance 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 manner, directly or indirectly, <br />sought by agreement, communication, or conference with anyone to fix the bid price of the <br />BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, <br />or of 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. BIDDERS are <br />cautioned that malting a false certification may subject the certifier to criminal <br />Signed <br />State of P <br />County of <br />Subscribed and sworn to (or affirmed) before me on this 22 day of August, 2016, by <br />Karen E. Marshall , proved to me on the basis of satisfactory evidence to be the <br />person(s) who appeared before me of <br />WM" SM <br />nam LAY ---------...T 2 — <br />Notary Public Signature Notary Public Seal <br />25J-27 SANTA ANA 200 I GIANT RIVER OTTER PROJECT 43 <br />Page 1 of 1 <br />
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