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Appendix <br />A•T'•T`ACT'IMh'NT44: NON-CO.L. TJSION Al FIDAVIT <br />CERTIFICATIONS <br />duty-c_t�r l t,r4u?� At t n>�avrr <br />(litle 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To thy' (Il 1 Y 01 fUl3t_ i w!)RI S <br />In aceordamice with Title 23 United arts Code Section 1 12 and Public Conhacr Code'7106 the 13TUDI-x <br />dcclares that the hid is riot node in the interest of; or on behalf of, any undisclosed person, partnership, <br />company, association, organization, ization, or corporation; that the bid is gcmaine and not r_nlhrt ivc or sltau , that the <br />BIDDRI2 has not direelly or indirectly induced or solicited any o0w I DDER to put in a fdse or sham bid, <br />and has not direed_y Or indirectly colluded, conspired, conniVCd or af�eed with any TlII7DL-R or anyone cl<s: <br />to put in a sham laid, or that anyone And. refrain from bidding; that the BIDDER. hcaI, not in any rnannrr; <br />directly or indirr.dly, souomt by agreement, comrrnrnication, or coaaference with anyone to fix the bid price <br />or the R IT) 7I"A or any I3I1.1DER, or to fix any overhead, prAl, or cost element of the bid price, or of that (ir <br />any other RUDER, or to secure any Mmirrinpc against the public body awarding the connacl of anyone <br />IN&Mstad in the proposed contract; that all rn ternents utmoiued in the bid ;arc true; and, bather, that the <br />DRADf.R has not, tiredly or indirectly, subm aind his or her bid price or any breakdown thereof; or the <br />contcnLs Utrrcof, or divulge-d information or data relative ncurelo, or paid, and will not pay, any Fee to any <br />corporation, partnership, company association, organization, bid depositt)fy, or to any member or agent <br />thereofto effecmata: a collusive or share bid. <br />Note: The above Non -collusion Aflidavit is part of the Proposal. Signing this Proposal on the <br />I g Barrie porurMt Ihrrtof s hrt11 also con ututc signrIale of thi Non-tollulion Affidavit, BIDDLRS <br />ut tautionc Ythat to akrnl, it t ecrhhc won n-ry ,ublcci the t r aufru to criminal prosc-cution <br />/. _1 <br />State of, California <br />Subscribed and sworn to (or affimrcd) before nit on this l3 - day of-111V- 209/, by <br />//P S , proved to me on thu ba5w; of tar ;factory wvidenec to be the. par 9rj who Etttl:rrarcd <br />before me. <br />771- ioekv R. - - <br />LOUI5 h9AtiTlPd ..�..` <br />c Xrr%li 1l 'LJ 1-?1RSc-L)A Z) l=;l�(,y' 7��c,t�` COMM. N2161376 x <br />rc -Nots9rt)7LA/Z✓OPublic • tsnrnia <br />range :a <br />County r' <br />7 Comm. Ex ices Ju! 29, 2020 <br />Notary Public Sitrraature <br />Notary Public Seal <br />MMMOMMIRM <br />....... <br />fitYof Santa Anna RF P 20J454 <br />City Council Page A425 — 94 6/15/2021 <br />