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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.:15-6831 <br />CROSSWALK UPGRADES - PHASE I <br />FEDERAL PROJECT NO: HSIPL 5063(155) <br />NON -COLLUSION Af1,1DAV1'f <br />(Title 23 United States Code Section 112 and Public Contract Code Section 71 U6) <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 ora behalf of, arty 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 chain bid, and has not directly or indirectly colluded. <br />conspired, connived, or agreed Mill any BIDDER or anyone else to put in a shall) bid, or that <br />anyone shall retrain 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 elenlent of tine '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 tile 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 bird 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 shana <br />bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are <br />cautioned that makrk a false certification may subject the certifier to criminal. <br />prosecution./'\ w I <br />Signed <br />State of California <br />County of _L, <br />Subscribed and sworn to (or affirmed) before me on this day of%z(Cr2U f tby <br />14 Lmi \3 proved to me on the basis of satisfactory evidence to be the <br />person(s) who appeared before rile <br />Notary Public Signature <br />771 IT Ma <br />Attached <br />MAIC( LD X UTO KILI <br />COMM. #201915 <br />NOTARY PUR= • GAOFORNIA j <br />LOS ANGELES OWNTY ^* <br />Comm. Exp. MAYO, 2017 <br />Notary Public Seal <br />P-13 of P-40 <br />