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23A - TRAFFIC SIGNAL MODIFICATION
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04/03/2018
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23A - TRAFFIC SIGNAL MODIFICATION
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Last modified
3/29/2018 7:13:15 PM
Creation date
3/29/2018 6:59:03 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
4/3/2018
Destruction Year
2023
Document Relationships
BELCO ELECTRIC, INC.
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Path:
\Contracts / Agreements\ PROJECTS
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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 making a false certification may subject the certifier to criminal <br />Signed <br />State of <br />Countyt <br />Sus bed and s orn to (or affirmed) before me on this 014day of')'111I�1A1I 20A by <br />RI'Z O proved to me on the basis of satisfactory evidence to be the <br />person(s) who app ared before me OLIVIA CHEA <br />commission No.2107474 z <br />NOTARY PUBLIC•CAIIFORNIA <br />;! jr SAN BERNARDINO COUNTY <br />f My Comm. Eipites APRIL 19, 2019 <br />Notary Public Signature otaryu 'c e <br />A notary public or other officer completing <br />this certificate verifies only the Identity of <br />the individual who signed the document to <br />which this certificate is attached. and not <br />the truthfulness, accuracy, or validity of <br />that document <br />REBID Project 17-6893 - December 20. 2017 <br />23A-20 <br />
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