Common use of NON-COLLUSION AFFIDAVIT Clause in Contracts

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is of , the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid.” Signature of Bidder Business Address Place of Residence Subscribed and sworn to before me this day of , 20 . Notary Public in and for the County of State of California. My Commission Expires , 20 .

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the , California. day of , 20 . Notary Public in and for the County of State of California. My Commission Expires , 20 at Business Address: ALL AMERICAN ASPHALT.

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed and sworn to before me this day the bidder. I declare under penalty of , 20 . Notary Public in and for perjury under the County laws of the State of California that the foregoing is true and correct and that this declaration is executed on the day_ , 2020 at , California. My Commission Expires Xxxxxx X. Xxxxxxx Vice President ALL AMERICAN ASPHALT Business Address: All American Asphalt X.X Xxx 0000 Xxxxxx, 20 .XX 00000 (951) 736-7600 THIS PAGE LEFT INTENTIONALLY BLANK

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed and sworn to before me this day the bidder. I declare under penalty of , 20 . Notary Public in and for perjury under the County laws of the State of California that the foregoing is true and correct and that this declaration is executed on the day , 2021 at , California. My Commission Expires , 20 .Xxxx Xxxxxxxxx Vice President

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the day of , 20 . Notary Public in and for the County of State of at , California. My Commission Expires , 20 .

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the , California. day of , 20 . Notary Public in and for the County of State of California. My Commission Expires at CONTRACTOR’s Signer’s Name CONTRACTOR’s Signer’s Title CONTRACTOR’s Business Name Business Address: Xxxxx-Xxxxxx Contracting Company 000 X. Xxxxx Xxxxxxx Xxxx., 20 .Xxxxx 000 Xxxx, XX 00000 Telephone # 000-000-0000

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the day of , 20 . Notary Public in and for the County of State of at , California. My Commission Expires , 20 .Xxxxxxx X. Xxxxxxxxx President

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the day of , 20 . Notary Public in and for the County of State of at , California. My Commission Expires LINDA DEL XXXXX XXXX PRESIDENT VENCO WESTERN, 20 .INC. Business Address: VENCO WESTERN, INC. 0000 XXXXXXX XXXXXX OXNARD, CALIFORNIA 93030-5187

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the day of , 20 . Notary Public in and for the County of State of at , California. My Commission Expires Xxxxxx Xxxxxx Vice-President XXXXXX-XXXXXX CONTRACTING CO. Business Address: XXXXXX-XXXXXX CONTRACTING CO. 000 X. Xxxxx Xxxxxxx Xxxx., 20 .Xxxxx 000 Xxxx, XX 00000 (000) 000-0000 W ORKERS’ COMPENSATION INSURANCE CERTIFICATE The CONTRACTOR shall execute the following form as required by the California Labor Code, Sections 1860 and 1861: I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. DATE: XXXXXX-XXXXXX CONTRACTING CO. By:_ (Signature) (Title) Attest: By:_ (Signature) (Title) NOTE: See Section 7 Responsibility of the CONTRACTOR, Paragraph 7-3 of the Standard Specifications for insurance carrier rating requirements. THIS PAGE LEFT INTENTIONALLY BLANK ENDORSEMENTS TO INSURANCE POLICY Name of Insurance Company: Policy Number: Effective Date: The following endorsements are hereby incorporated by reference into the attached Certificate of Insurance as though fully set forth thereon:

NON-COLLUSION AFFIDAVIT. ss. County of Los Angeles) , being first duly sworn, deposes and says that he or she is The undersigned declares: I am the of , the party making the foregoing bid, that the . The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the . The bid is genuine and not collusive or sham; that the . The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and . The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall to refrain from bidding; that the . The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all . All statements contained in the bid are true; and, further, that the . The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company company, association, organization, bid depository, or to any member or agent thereof thereof, to effectuate a collusive or sham bid.” Signature , and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of Bidder Business Address Place a bidder that is a corporation, partnership, joint venture, limited liability company, limited liability partnership, or any other entity, hereby represents that he or she has full power to execute, and does execute, this declaration on behalf of Residence Subscribed the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and sworn to before me correct and that this declaration is executed on the , California. day of , 20 . Notary Public in and for the County of State of California. My Commission Expires at Xxxxxx Xxxxxxxxx Vice-President XXXXX GENERAL ENGINEERING CONTRACTORS, 20 .INC Business Address: XXXXX GENERAL ENGINEERING CONTRACTORS, INC X.X Xxx 0000 Xxxxxxx, XX 00000 (805) 643-7567 THIS PAGE LEFT INTENTIONALLY BLANK