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NON - COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA: <br />In accordance with Title 23 United State Code Section 112 and Public Contract Code 7106 the PROPOSER <br />declares that this bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the <br />PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham <br />bid, and has not directly or Indirectly colluded conspired, connived or agreed with any PROPOSER or anyone <br />else to put in a sham bid, or that anyone shall refrain from bidding; that the PROPOSER has not In any <br />manner, directly or Indirectly, sought by agreement, communication or conference with anyone to fix the bid <br />price of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the bid price, or <br />of that of any other PROPOSER, 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, further, that <br />the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any <br />corporation, partnership, company associations, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham bid, <br />Note: The above Non - collusion Affidavit is part of the Proposal, Signing this Proposal on the signature <br />portion thereof shall also constitute signature of this Non - collusion Affidavit. PROPOSERS are <br />cautioned that making a false certification may subject the certifier to criminal prosecution. <br />State of California <br />County of _ fig_ <br />Subscribed and sworn to (or affirmed) before me on this �_ day of K � 20_1_�o , by <br />A S�/o s proved to me on the basis of satisfactory evidence to the person(s) <br />who appeared before me. <br />Notary Public Signature Notary Public Seal <br />This document must be completed and included in rile proposal. Proposals that do not contain this document <br />will be considered non - responsive and rejected. <br />- - -- -- —��. _ -._ City of Santa Ana <br />Request for Proposals — Demolition of Three Single - Family Dwellings <br />Page 19 <br />y .s �; <br />Comm. tl2lAlpiS F <br />,� I spy ., ; <br />� <br />Notary 9ublk Califamda ,� <br />�� <br />Orongm County <br />CmNSn.6�[vaa 1arr59, lade <br />This document must be completed and included in rile proposal. Proposals that do not contain this document <br />will be considered non - responsive and rejected. <br />- - -- -- —��. _ -._ City of Santa Ana <br />Request for Proposals — Demolition of Three Single - Family Dwellings <br />Page 19 <br />