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NON-COLLUSION AFFIDAVIT
<br /> (To be executed by Bidder and submitted with Bid)
<br /> State of California )
<br /> ) ss.
<br /> County of )
<br /> (name of person signing affidavit), being first duly
<br /> sworn, deposes and says under penalty of perjury under the laws of the State of California, that
<br /> he or she has the right, power, legal capacity, and authority to execute this Affidavit as
<br /> (sole owner, partner, president, secretary, etc) of
<br /> (legal name of Bidder), the
<br /> Bidder, that the Bid is not made in the interest of, or on behalf of, any undisclosed person,
<br /> partnership, company, association, organization, or corporation; that the Bid is genuine and not
<br /> collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other
<br /> Bidder to put in any 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 or
<br /> anyone interested in the proposed Contract; that all statements contained in the Bid are true; _
<br /> and, further, that the Bidder has not, directly or indirectly, submitted his 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,
<br /> organization, Bid depository, or to any member or agent thereof to effectuate a collusive or
<br /> sham Bid.
<br /> IN WITNESS WHEREOF, the undersigned represent and warrant that they have the right, _
<br /> power, legal capacity, and authority to enter into and execute this document on behalf of the
<br /> Bidder, and have executed this document by setting hereto their names, titles and signature.
<br /> (Signature of Representative of Bidder)
<br /> Subscribed and sworn to before me, a Notary Public in and for the State of California, County of
<br /> , this day of , 20
<br /> Signature of Notary Public: (Seal)
<br /> My Commission expires , 20
<br /> Division IV-11 NEI Phase II Water and Sewer
<br /> July 2007 CIP Nos. 7468, 7589, 7590
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