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9iM UMM nra nn t
<br />(Tltlo 23Unitod Slales Cod' Seolion Mond
<br />Public, Contract Code SP000117106),
<br />To die CITY Dp SANPA ANA DEPARTMENT OP Pt.inl,,ld WORKS
<br />In n000triance :with 77He Z United Stetes'Code 6e0001, 1:12 and Pn611e Contract Coda 7I I1ta,NIDDE1tdaUlam;
<br />that tl+a bid is r CoIlndetn thethat t est of, or elbeholf of,, any undlsolosed person, psrutooldp, company, assoolatign
<br />f"ilolgfc gy'Il, or cogroralltlat that the bid fa DD 4lo "Id not'calluaJvB at stain) that Me'BIDD3 R bus list'dJrodtly of tndiraCdy induoed or spliahod any other 191DDER to put to a,falSa GI• ahem Ili, and I'm not directly or hxhtfotl
<br />aoihtdad, conspired, Connived or agreed -with sty EYDDVR or anyone also to put In a 8apni bid, or that anggno site[]
<br />tl•om bidding; that the BIDDERhna not in at*' manner, dhaotly or indirectly, Sought by agreement,
<br />aom+ntmicatJan, or oonfeNgo, widr nnyono to i1x the bid prig. of tIw BIDDER or u+tyBIDDER, or to nx arq 0 'It ad, aoroflt, nr oast atamant of the bid IN 'a
<br />or afihut ofany otbm' EIDAELi, ar to sn'tno any advantage against
<br />the ppubllo body awarding fha aontra't'a' sayone Interested In file 11npoaod eantraeq that d]-Stutaq)onts 'a Tined
<br />irr ilte bM nro 1+'ueJ and, :iudher, that the ETDDEIR has not' In or ladhoody, suhusited his ei• 60 bid peico or any
<br />breakdown iba»ot, ar tlra oattohts tW"OT, or"alged information atdatn relative thordto, of paid, artd will ntt pay,
<br />any to'to
<br />aqy cotpamt oty pad'Isup w" say assoelatiGn, orgunixation, hld depository, ur m anymattbw or agent
<br />thereof
<br />m omeluata a aolhlsive.ar sharu bid
<br />'Note: The atipve NomcollrwJuo AnIdaylt Is part of tho Proposal, Signing this Proposal op the 8ig110nra
<br />i 1 portion tlra wof$hall also coastlhda signature of thly74anwGlluslon Affidavit. BIDDERS are caudonad that
<br />i making a f,•ilsa eert4 cation ma subie't1 a +gh'rnr crl+nJnfll pra,seoutttlst
<br />Slgtrod
<br />+ Stale ofcallCrnia
<br />County of n
<br />Subsarlbed had sward to (m• _"Band) before me o+n tills IS day of F?+,.0 2p�
<br />1�%=Yw! l4tlt7�;'t....,.,.,.,_,, p+dvad tofileon the WIN of sudafactnry avide'nae to be the pby.
<br />msan(s) who aJ>FrenYed
<br />before the,
<br />�I
<br />hATHAN Lg76Y
<br />✓j+'''7 �w�.•��0e1anOanfun&2t28413
<br />Calllamtn 'n
<br />l �`,. (714ugR Caanty
<br />D w a
<br />Notary Public Sigoap+ M conun,E pines nu?d,sotn
<br />�� Notary Public Saai
<br />liCs7 p�f%cLa,�bl nrl-tp•
<br />p. , r„p. ,,,.. .. •,,..
<br />j.
<br />i
<br />City of Same Ana • .
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