Laserfiche WebLink
NON-COLLUSION AFFIDAVIT <br /> (Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br /> In conformance with Title 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 any <br /> other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, <br /> connived, or agreed with any BIDDER 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, communication, 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 price, or of that of any <br /> other BIDDER, or to secure any advantage against the public body awarding the contract of <br /> anyone interested in the proposed contract; that all statements contained in the bid are true; and, <br /> further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br /> breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or <br /> paid, and will not pay, any fee to any corporation, partnership, company association, organization, <br /> bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. <br /> Note: The above Non-collusion Affidavit is part of the Proposal. BIDDERS are cautioned <br /> that qlaking a false certification may subject the certifier to criminal prosecution. <br /> Signed &404 <br /> State of California <br /> County cf Riverside <br /> Subscribed and sworn to (or affirmed) before me on this 13 day of septem6er, 2021 by <br /> Wade Brugger , proved to me on the basis of satisfactory evidence to be the <br /> persons)who appeared before me <br /> r <br /> ota y Put} is Signature Notary Public Seal <br /> JANNEAN MARIE SAPP <br /> Commis"n No. 2223M <br /> (4h* <br /> NOTARYt+ueLlc-cuiF[�nw�RNERSIDE COUNT Y <br /> Cwem.Evm NOWMSER 25,2021 <br /> City Council On-Call Welding rT 1/18/2022 <br /> Page 20 of 38 <br />