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Agenda Packet_2022-01-18
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Agenda Packet_2022-01-18
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1/18/2022
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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 /> In 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 genuine and not collusive or sham; that the BIDDER has not <br /> directly or indirectly induced or solicited any other BIDDER 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 price 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 depository, 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 /> criminal prosec,ut on. <br /> Signed &I,M A?-i'N) C F6 <br /> to of Caiforni�a <br /> Count <br /> Subscribed and swo or affirmed) before me on this day of �£('i. , 2pll, <br /> by roved to me on the basis of satisfactory evidence to <br /> be the person(s) who appeared befor <br /> Notary Public Signature Notary Public Seal <br /> ac,{ A SU IV 5uc. 44 M+---' <br /> City Council Water Resources Panel 03dinjUrvices 1/18/2022 <br /> Page 35 of 39 <br />
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