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CITY OF SANTA ANA REBID PROPOSAL PROJECT NO.: 17 -6611 CHESTNUT AVE & BUSH /CYPRESS BIKE LANES FAID #: U58DP005861 NON - COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham.; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communications or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non - collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed State of California t of Subscribed and st or affirmed) before me on this d 20u, by ---nroved to me on the satisfactory evidence to be the person(s) who appeared before Notary Public Signature A notary public or other olfielf completing this cerhM1cate vae0a only the Identity 01 the indlmduel who slgnad the document to rM on this caarlcale is altemled, 00 not the lruth fulness accuracy or validity of that document Stele of ealifornla. County of ZAW 0 CA HA 4,15 l A SWbectibed and sworn to (wKaHimteU) before me on thl day of MA ltd' pF o�,p 1'7 _by. �v ( FLE l.1G% proved to ma on the basis of satigtaetory ovldenee to ba the - ...... personir8 who ApMared before me Signature (l Notary P -12 of P -39 20B-22 40RRAINI ALAN A2 NANES Comm'. *2151609 Notary pp@16G. Calliligpi a'n� San Barmarrjdob County" C6mm. E rplie; INay 2` 20]0