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m m 24:81:2 *6106161,0
<br />Paragon has provided our pricing proposal in a separately sealed envelope, as requested by the City.
<br />Appendix 7
<br />ATTACHMENT34: NON -COLLUSION AFFIDAVIT
<br />CERTIFICATIONS
<br />CONST] LITY HEV I1AV
<br />MIN—moll,IISI? EIJ V'1'
<br />('11110 23 United Stales Code Section 112 and
<br />Public Contract Code Scatter) 7106)
<br />'to (Ito MY OF SAN'T'A ANA DEiPARTMENTOF PUBLIC WORKS
<br />In accordance wilh'fidc 23 United Slalas Code Section 112 and Public Conlnicl Coda 7106 Ills IIIIA &A declares
<br />that rhe bel is not trade in rhe hlleresl ol', or wt behnif of, any undisclosed person, Imrnurship, coalawy, association,
<br />organization, or corporation; thal Ilia blit is Scnaine and as collusive or shorn; that the BIDDER tins not directly or
<br />indirectly induced or solicited any other BIDDER to put in a @Iso or shau bill, and has not directly or Indirectly
<br />colluded, wnspi"c 1, C011111MI nr agreed with any 1110171iR or anyone else to put in it shoot bid, or that anyone shall
<br />correct from bidding; that ilia BIDDER has nol in tiny nunmar, directly or indiroctly, sought by uureent¢nl,
<br />canununicuinu, or eoni'cicncc reith anyone to its, the bid price of the BIDDC.It or ary DIDDEM, or to fix any
<br />overheat, prolit, a•cast cleacnt or Tho bid p19ca, or orthat ornny otlwr DID17RII, or to s^"tica any advantage ayohm
<br />ilia public, body awarding ilia eo droit oratyonc interested a tine prolmsed eantmal; that all slatentents contained in
<br />ilia hid aro Into; and, farther, That ilia BIDDER has not, tfllecity or Indirectly, submitted Ills or her bid Pilau or any
<br />bwakdown Iltercot, or Ota amnents thereof, or divultIod htf ainadoo or dula reltttiva Illowto, or Paid, nal will not pay,
<br />any, Px to tiny corporation, partnership, company ilmooiollon, orgtoNatluo, bkd dopoahory,or to any member oragpnl
<br />II IBnmfto eficcloala It Cal [till Va or allall hid•
<br />Nola; '11 iv above ban -cut IUsioo AMilli yiI Is pa•I or die Proposal, Signinli Ihis Proposal nu ilia sitdnature
<br />pwtion thereof shall also constPoo signa1urc ol'this Nomcollmion A6i(lavii, BIDDERS are cotntioacd that
<br />uuddnga[alai ccrlhicnliwt nin,y„ trbfact thocerlifier tocrindnnl pnlsocutiom
<br />signed
<br />State of Calnnif��arnin
<br />Cnunly of Ur.ANA<✓._
<br />Subserilood at sworn to (or affirmed) bcforc ilia. on Ihis ffi—day of �pA6 , 20.17, by
<br />_N�L110, ___ , Prnccd to me on the basis of salisr'actory cvidence to be (lie persons) who appeared
<br />before ilia.
<br />Y"�'''E�7" NxukanYlahs
<br />j s�.• Cumm 1Yt47011
<br />Pr�t�: kanry yublk exakmle
<br />` �e el 9ranCla Lnumy � :r. ,/ comrdEglaM tAuai,YtlM
<br />N ary Public Siguahae Notary Publio Sent
<br />City of Santa Ann RFP
<br />Page A3-1
<br />[g7 PARAGON CITY OF SANTA ANA I ON-CALL. RIGHT OF WAY PROPERTY MANAGEMENT SERVICES
<br />i� PARINIILS•
<br />25L-52
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