Laserfiche WebLink
Appendix <br />ATTACRMENI'5: CERTIFICATIONS <br />Irerunve this nolo n•herr asseniblingAgr•eenrentf <br />NQN-C0Ij,jrSI0N AFFI6AVIT <br />(Title 23'United States Code Section 1 12and Public'Conlract Code Section 71.06) <br />'In conformance with Title 23 United Slates Code Section 112 and Public Contract Code_ 7106 the BIDDER <br />declares that the bid is not made in the ihtercM, of or on behalf of. any undisclosed person, partnership, <br />company, association, organization, or corporation: that the bid ig.genuinc and not collusive or sham; that the <br />BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bili, <br />and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to <br />put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly <br />or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the <br />BIDDER or any other BIDDER, or lo' fix any overhead, profit, or cost element of the liid price, or of that of <br />any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone <br />interested in the proposed contract; that all statements contained in the bid are true; and, further, that the <br />BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the <br />contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any <br />corporation, partnership, company association, organization, bid depository, or to any member or agent thereof <br />to effectuate a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making <br />a false certification may subject the certifier to criminal prosecution, <br />Signed <br />Slate of California County of <br />foeL�� <br />Subscribed and'swo n to,(or affinmcd) before ancon this �� day of Ft+ +7H! 20(9 by <br />satisfactory evidence to be the person(s) who appeared before me <br />C�Yot6ry Public Signature <br />proved to me on the basis of <br />Qu;�ro" <br />JENNIFER J. KIM <br />COnN.A 2194541). 'n <br />N4eOnus mL 2qm G:ur, E>P. Acn, p9, mn i <br />r5 <br />City of Santa Ana RFP 15-009 <br />