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(:ITY OU SAN"I'A AN'A
<br />PROPOSAL,
<br />PROJL-C`I' NO 17-6802
<br />LINCOI N AVL PEDEi TR1AN PATHWAY PARK LN TO SAN"r1AGO ('REEK
<br />A"1111.-5003 (177 )
<br />NON -COLLUSION AI-I-IDAVI'I
<br />(Title 23 United States Code Section 1 J 2 and Public Contract Code Section 7106)
<br />In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 tyre
<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 and
<br />not collusive or sham; that the. BIDDER has not directly or indirectly inducted or solicited any other
<br />BIDDER to put in a false or sham bid, and has not directly of indirectly colluded, conspired,
<br />connived, or agreed with any BIDDHZ or anyone else to put in a sham bid, or that anyone shall
<br />refrain from bidding, that the BIDDER has not in any manner, directly or indirectly, sought by
<br />agreement, convnunication, or conference with anyone to fix the bid price of the BIDDER or any
<br />other BIDDER, or to fix any overhead, profit, or cost element of the bid }mice, or of that of any
<br />other BIDDER, orto SeCUre any advantageagainst the. public body awarding the contract of anyone
<br />interested in the proposed contract; that all staiernents contained in the bid are true, and, further,
<br />that the BJI)Dl',R has not, directly of indirectly, submitted his or her bid price or any breakdown
<br />thereof, or the content, thereof, or divulged rnforIll atioil or data relative thereto, or paid, and will
<br />not pay, any fee to any corporation, partnership, company association, organization, bid
<br />depository, or to any member or agent thereof to et1`ectuate a collusive or sham bid.
<br />Note 7lte above Non -collusion Atlidavit r, part of the Propostd M DIAf RS are cautioned
<br />that making a false certification may subject the certifier to criminal prosecution.
<br />y�...
<br />State of California
<br />County of i
<br />Subscribed and sworn to (or .rffirmed) hefore me on this P u i day of ..,[ir , i �, 20, 1, by
<br />1r p f.l[ 1 proved to me on the basis of S Itl'd actory evidence to be the person(s)
<br />who appeared before me
<br />Notary Public Sre;nattue - Notary Public Seal
<br />i
<br />i
<br />City Council ' :sl . n. „°i<< �' _,� �..,,..,��, 7, 55 C VI r I ", 4/6/2021
<br />P- V 4 of P-20
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