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APPENDIX <br />ATTACHMENT 3-1_ NON -COLLUSION AFFIDAVIT <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />SANTA ANA C.ORPORATF. YARD ENERGY LIGHTING RETROFIT <br />RFP NO.: 18-071 <br />_NON -COLLUSION AFFIDAVIT <br />(7 itle 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid <br />is not ittade in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organizationor <br />corporation; that tile , <br />e bid is and not collusive or sham; that the BIDDER has not directly or indirectly induced orsolicited <br />any other BIDDER to put in a false or Shamble, and has not directly or indirectly colluded, conspired, connived or agreed with <br />any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has net in any <br />manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the <br />BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to <br />secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all <br />statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid <br />price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not <br />pay, any fee to any corporation, partnership, 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 oFthe Proposal, Signing this Proposal on the signature portion thereof <br />shall also constitute signature of this Non -collusion Affidavit. BIDDERS are cautioned that making a false certification <br />may subject the cent! to criminal prosecution. <br />Signed OIL <br />State of California <br />County of }2 f ndt <br />Subscribed and sworn to (or affirmed) before me on this Z 11 day of V1l � ; 20(9 by hl/I t, �(/ Aeg� �[ {{i((q Wl <br />tome on the basis of sat' evidence to be the person(s) who appeared be12 me. <br />Notagn <br />Notary Public Seal <br />37 of 41 <br />25C-108 <br />CHRIST A IYNNR <br />Notary Public • Callorinla <br />Riverside County <br />a <br />Commaslon A 2242117 <br />My Comm, Ezplres Aug 2, 2022 <br />