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z� k F 1. 4.11 Non -Collusion` -Statement - - Attached- hereto is a statement in proof that the undersigned has not colluded with any person in respect to this bid or any other bid or the submitting of bids for the Contract for which this bid is submitted. NON -COLLUSION STATEMENT. i. He is _ LiCL7' x-12. (owner, partner, officer, representative or agent) 1 ofIk. —�the Bidder that has submitted the attached Bid; 2. He is fully informed respecting the preparation and contents of the attache d Bid and of all pertinent circumstances respecting such Bid: 3. Such Bid is genuine and is not a collusive or sham bid: 4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has inany way colluded, Conspired, connived or agreed,; directly orindirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the C attached Bid has been submitted or to refrain from 'bidding in connection with such Contract or has in any manner directly or indirectly, sought by agreement or collusion or � communication or conference with any other Bidder, firm or person to fix the price or prices in that attached Bid or of I any other. Bidder, or to fix an overhead Y profit or cost element of the bid price or the bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the CITY OF COLTON or any person interested in the proposed Contract; and 4 5. The price or prices quoted in the attached Bid are fair and proper, and are not tainted by any collusion, conspiracy, connivance:, or unlawful agreement on the part of the Bidder j or any of its agents, representatives, owners, employees, or { ;parties in interest, including thi affiant. Signed (Title) - f' P I IIf 1.4-11 Y i