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1692799v1 <br /> <br />Non-Collusion Affidavit <br />To Be Executed By Bidder and Submitted With Bid <br /> <br /> <br />State of California ) <br /> ) ss. <br />County of ) <br /> <br />__________________________________, being first duly sworn, deposes and says that he or she is the <br />(Bidder’s Authorized Representative) <br /> <br />___________________________ of ______________________________________ the party making the <br /> (Title of Representative) (Legal Name of Bidder) <br /> <br />foregoing bid 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 collusive <br />or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a <br />false or sham bid, 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; that the bidder has <br />not in any manner, directly or indirectly, sought by agreement, communication, or conference with <br />anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element <br />of the bid price, or of that of any other bid, or to secure any advantage against the public body awarding <br />the contract of anyone interested in the proposed contract; that all statements contained in the bid are <br />true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and <br />will not pay, any fee to any corporation, partnership, company association, organization, bid depository, <br />or to any member or agent thereof to effectuate a collusive or sham bid. <br /> <br />I declare under penalty of perjury under the laws of the state of California that the foregoing is true and <br />correct. <br /> <br /> _________________________________ <br /> Signature of: President, Secretary, <br /> Manager, Owner, or Representative <br /> <br /> <br />Subscribed and sworn to before me this, day of , 20 <br /> <br /> <br />Signature of Notary Public In and For <br /> <br />The County of ________________________, <br /> <br />State of _____________________________ <br /> <br />All Signatures Must Be Witnessed By Notary <br /> <br />51