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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECTNO.: ? 1-7536 <br />IMAIN LIBRARY ROOF IMPROVEMENTS <br />NON-C OLLUSION Arl'[DAVrf <br />(Title 33 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance will, "ride 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 IN any overhead, profit, or cost element or the bid price, <br />or a1'that of cry they Bl DUGR, 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 hid are <br />true: and. further. that the BIDDER has not, directly or indircctl} ;subntiucd his or her hid price <br />or any breakdown thereof, or the contents thereof. or divulged information or data relative <br />thereto. or paid, and +ill not nay. any fee to any corporation, parunership. company m suciutitnn. <br />organization. bid deposito tr to any member or agent thcreol'to effectuate a collusive or sham <br />bid. <br />Note: The aboveI ton Affidavit is part of the proposal. BIDDI RS arc cautioned that <br />making a false c' t subject the certifier to criminal prosecution. <br />Signed Sean Tabazadch, CEO/Secret <br />State of-'alil'ontia *SEEATTACHEIDNOTARY* <br />County of <br />Subscribed and stnorn to (or affirmed) before me on [his day of 20 . by <br />. proved to me on the basis ors itiafactory evidence to he the <br />person(s) who appeared before me , <br />Notary public Signature Notary Public Seal <br />P-10 of P-I 6 <br />