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APPENDIX <br /> ATTACHMENT 5: CERTIFICATIONS <br /> NON-COLLUSION AFFIDAVIT <br /> (Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br /> �n conformance with Title 23 United States Code Section 112 and Public Contract Code <br /> 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, <br /> any undisclosed person, partnership, company, association, organization, or <br /> corporation; that the bid is gamine and not collusive or sham; that the BIDDER has not <br /> directly or indirectly induced or solicited any other BIDDEN to put in a false or sham bid, <br /> and has not directly or indirectly colluded, conspired, connived, or agreed with any <br /> BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; <br /> that the BIDDER has not in any manner, directly or indirectly, sought by agreement, <br /> 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 <br /> of any other BIDDER,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 <br /> the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted <br /> his or her bid pride or any breakdown thereof, or the contents thereof, or divulged <br /> information or data relative thereto, or paid, and will not pay, any fee to any corporation, <br /> partnership, company association, organization, bid depositary, or to any member or <br /> agent thereof to effectuate a collusive or sham bid. <br /> Note; The above Non-collusion Affidavit is part of the Proposal. BIDDERS are <br /> cautioned that making) a false certification may subject the certifier to <br /> Crll'11ina r4 CL1 �an. <br /> Signed <br /> State of California <br /> County of Ventura <br /> Subscribed and sworn to (car affirmed) before me an this 6tli day of October , 2121, <br /> by s Kchael p LeBlanc , proved to me on the basis of satisfactory evidence to <br /> be the person(s)who appeared before me <br /> �2� <br /> data p blic Signature Notary Public Seal <br /> C.1bN�S <br /> COMM. t[2280015 a <br /> Notary Public.Caiftmia O <br /> z Ventura Couryty <br /> COMM.my us im a�2tt?7 <br /> City of San'a Ana-RFF 21-100 <br /> Water Resources Panel Building Services <br /> Page 36 of 39 <br /> 8 of 11 &nbsp; <br /> City Council <br /> &nbsp;23 &ndash;&nbsp;32 <br /> 1/18/2022 <br /> &nbsp; <br />