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CITY OF SANTA AN <br />REQUEST FOR PROPOSALS PAIR ON-CAL„L. SEWER AND WATER SYSTEM REPAIR SERVICES <br />NONCOLLIJOIONi AFFIDAVIT <br />NO �C�ov st�N,A r-1 vlr <br />(Title 23 United States Code Section 112 and <br />Publics Contract Code Section 7106)' <br />To the CITY CLP SANTA ANA <br />or <br />of <br />Note; The above: nonoollus on s <br />thereof shalt also constitute stgr <br />false cerGfioation may subjectlf <br />1t2a <br />or on <br />de <br />rroposer, or fix any overhead, profit, or cost element of the proposal <br />or to secure any advantage, against the public body awarding the <br />aposed controok that all statements contained in the proposal are true; <br />directly or indirectly, submitted his or her proposal price or any <br />reofy or divulged information or data relative thereto, or paid, and wifl not <br />�rship, company association, organization, cid depository, or to any <br />a collusive or shorn proposal. <br />t is part of the proposal Signing this proposal on the signature portion <br />sf this norroollusloo davit. Proposers are cautioned that making <br />rterto ort riinal trr !tion. <br />Signed t <br />State oa, Ooonty of <br />Sub ddb w <br />orn to (or affirmed) before me on this day <br />✓ Z�,f „� m, proved to me on the basis of safisfactary e i endo to be tr <br />appeared b6fore me: <br />Neta Public aiprtature <br />