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NON-COLLUSION AFFIDAVIT
<br /> ` (To be executed by Bidder
<br /> �... and submitted with Bid)
<br /> LM Bidder shall fill in the three blank lines below with: (a) the name of the persons signing
<br /> this affidavit on behalf of the Bidders; (b) the title of the persons signing this Bid in
<br /> relation to the Bidder, and ( c ) the legal name of the Bidder.
<br /> LW
<br /> (a) being first duly sworn, deposes and says
<br /> LM under penalty of perjury under the laws of the State of California, that he or she
<br /> has the right, power, legal capacity, and authority to execute this Affidavit as
<br /> t.. (b)
<br /> of
<br /> (c) the Bidder, that the
<br /> 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
<br /> ,r genuine and not collusive or sham; that the Bidder has not directly or indirectly
<br /> induced or solicited any other Bidder to put in any false or sham Bid, and has not
<br /> • directly or indirectly colluded, conspired, connived, or agreed with any Bidder or
<br /> anyone else to put in a sham Bid, or that anyone shall refrain from Bidding; that
<br /> 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
<br /> any other Bidder, or to fix any overhead, profit, or cost element of the Bid price,
<br /> or of that of any other Bidder, or to secure any advantage against the public
<br /> body awarding the Contract or anyone interested in the proposed Contract; that
<br /> all statements contained in the Bid are true; and, further, that the Bidder has not,
<br /> directly or indirectly, submitted his Bid price or any breakdown thereof, or the
<br /> contents thereof, or divulged information or data relative thereto, or paid, and will
<br /> not pay, any fee to any corporation, partnership, company association,
<br /> 'r organization, Bid depository, or to any member or agent thereof to effectuate a
<br /> collusive or sham Bid.
<br /> IN WITNESS WHEREOF, the undersigned represent and warrant that they have the
<br /> right, power, legal capacity, and authority to enter into and execute this document on
<br /> behalf of the Bidder, and have executed this document by setting hereto their names,
<br /> titles and signatures this day of 19—, at
<br /> County, in the State of
<br /> LA
<br /> . DIVISION iv- 12
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