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Appendix <br />.ATTACHIVII.INT 3'1 i NO,N-COLLUSION AF]EIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 71 UB) <br />To the,C1TY OF SANTA AN DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title.23 United States Code Section 112,and'Publie.Contract Code 7106 the BIl7DER declares <br />that the bid is not made; in the interest of, or ombehalf of, any undisclosed person, parhtership,'coin paoy, association,. <br />organization, or corporation; that die bid is genuine and not collusive or sham; that the BIDDER•has not directly or <br />indirectly'hrduced or solicited any. other' BIDDER to put in a false or shim bid, and has not directly or indirectly <br />colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that'. a*nyone shall <br />refrain from bidding; that the BIDDER has riot in any manner, directly or indirectly, suught.by agreement, <br />communication, or conference with anyone to fix the bid price of the`BIDDER or any'BIDDER, or to fix any <br />overhead, profit, or cost element ofthe bid price, or of that of any other,BIDDBR; or'to secure any advantage against <br />the public body awarding the contract of anyone h6rested'in the proposed,00nimct; that all statetninis contained in <br />the' bid are 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 will not pay, <br />any fee to any corporation, parhiership, company association, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br />portion thereof shall also constitute signature oftlits Non -collusion -Afrid-avit: BIDDERS are cautioned that <br />making a false cer leation may subject the cer ifier to criminal prosecution. <br />.A <br />Signed <br />State of Calffo nfa W <br />County ofd. <br />Subscribed `and sworn to (or affirmed) before me on this ; &3 day of (Ma_ _y... 20j,$ by <br />thng oL 1 z7 ; proved to me on.the basis of satisfactory evidence to be the persoin(s) who appeared <br />before me; <br />K L'INDA.CAii9ON <br />Commission s 2139081 <br />+� _Notiry Public -California <br />'Onin`Ds, Coonty - <br />M Comm. Er if" Jan 2fi 2020 — <br />No Public'Signature ci Public Seal <br />Page A3-1 <br />25F-231 <br />