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3 — NON -COLLUSION AMDAVIT (ThIo23 Uniaod States Code+aetion 112 and Public Contract Code Section 7106) To the CITY OF SAWA ANA DEPAR'TWNT OF PUBLIC WORKS In accordance with Title 23 United States Coda Section 112 mhd public Contract Code 7106 the BIDDER declares 111aL the bid is not made in the interest or, or nn behalf ol; any int""dosod Perrault, Pannoahill, company, assoaiadon, argundrntfarr, or emporatan; that the bid is genuine and not callasiva arxlram; that the ltIDDER has not diruoily or indirectly Induced orsodiched may caller 13IDDER to put in a false or sham bid, and has flat directly or iadireotyealJudcnl, couspired, connivent or agreed with any BII)DrR yr anyono else it, put In a sham bid, or that anyoneaboll refrain from biddinv; that the OIDDI.R has not in any mnune, ddready or indhvotly, caught by agrecoxxt, cmumuniaattnu, or confbrencc will onyoun t, fix the bid price or he BIDDER or any KIDDER., uric, tkx any overhead, profit, crcost element of the bid price,or of that oFany other BIDDER, or to Secure sag edvaetago against the public body awarding the contract of anyone intama d in the proposed ooutmct; that aN Bintemidx Kcontained in the bid am true; and, further, that the 11IDDLIZ has not, dircetly or indirectly, submitted his or her bid price or any brnanduwu ticrcuf, or the contents thereof, or divulW-d inPermntlon or data ivlwive thereto, or paid, and will nut pay, {illy fee to any coriwradon, partueishdp, company aasociaton, argauPrnt'snn, bid deposdtoly, or to any member or agcm lbercof to of inmate a callusivo or shorn bid. Noar.'d'hcalm�e 011-01lushin AfOduvh is part ofthaproposal. Siplingibis proposal ors dx; signature pnnivn thcntof xholialso L'otlAt tilt 9l�Ir11r1Ur't*Uftitx Nan^CtdlUAlen Atlidavil, Ii1DDf:RS arf; CRUllnndd [)rat lrhHitii!$afAlae Cert}FCaGUn may subim oa tdfder 0is m p s mill Signed A..,,.` grate ofL'alifbmio County Sulxscribed mud sworn to (ar aPtirnrcd) le{""ore me on this c..r.+' day of 4, 20f j, by ;n me un the finsm cf salistletary astdmtca to be ale perne:l(s) w'bo appe�arlhv^forc me. Nouny Public Signature "` +ee TGNI M. IPPOLITO S� g Comm, # 2166936 XA � ro NOYARYptgLiC-0ALpCftNIA r� D. .f " P ORANGE COUNTY n,4i r MY Cow gv. NOSY 182120 Notary Public Seal ....... .. THIS FORM MUST BE COMPMED ARIA tj,�4LDU iN YH IfE Pi2CdA) fit,..... ..._.._. 1 PROPOUL$ TI9A1 DNO NOT C6NTA1N Td3I3 teORM 4XiLL OC CONSIDERED_NONR®SPOAlvC City of Santa +i,ra fiFP ifl-Q7a— Attachment 3 ALLIED UNIVERSAL JANITORIAL SERVICES Page 33