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25F - AGMT ENGINEERING AND TECH SUPPORT SVCS
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25F - AGMT ENGINEERING AND TECH SUPPORT SVCS
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Last modified
8/30/2018 7:43:13 PM
Creation date
8/30/2018 7:26:44 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25F
Date
9/4/2018
Destruction Year
2023
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Certifications <br />Appendix <br />AWACHI MNT 3-1: NON-couusm AFiFIDAVIT <br />CERTiP[CATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Cade Section 112 and <br />Public Contract Code Section 7106) <br />To the cm 4or SANTA ANADBPARTMENT OF mmic WORKS <br />SECTION 4 <br />In accordance with Title 23 United Stales Code Section 112 And Public Contract Code 7106 the BIDDER declares <br />flint the bid to not made in the interest of, "on babalrof, any umGsclosodperson, padnerslup, eampmy, Association, <br />organization, or corporation; that the bid is genuine and not collusive or ahem; Ilan the BIDDER has not dhectly or <br />indirectly induced or solicited any other BIDDER to put in a false or sham bid, and las not directly or indirectly <br />colluded, conspired, connived or agreed vdth any BMDISR or onyi n i else to put m a sham bid, or tlat anyone shat <br />tefiain from bidding; that the BIDD13R hos not in Any manner, directly or indirectly, sought by agreement, <br />communisation, or conkrence. vdth *anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any <br />overhead, profit, of cost element of rhe bidluice., or of that of any other BIDDER, or to secure any advantage against <br />tie public body awarding the contr ux of anyone interested in the proliosed contract; that all statements contained in <br />the bid are line; and, further,that the BIDDER las not, directly or indirectly, submitted his or her bid price or ally <br />breakdown thereof, or the contents thomof, or divulged information or data relative thereto, or paid, and will not pay; <br />my to to my corporation, partnership, company oasuciation, organization. bid depositary, or to any member or agent <br />drereaf to effectuate a collusive orslrarnbid. <br />Nolo: The above Non-coRoslon Ati3davit Is part of the Proposal. Signing tug Proposal on the s ignaftim <br />portign thmeaf ataR a150 corutitute signshu'e of tlus Nm coOusdonABidavlt. BIDDERS me caatloncd"that <br />t *Ing 401Y cert&caion maysqb�t tie cerdfier to criminal prosecution. <br />State of California/ <br />County of <br />Subscribed ,and sworn to (or affirmed) before me on -this day of J 2t1 by <br />proved is me on tho basis of satisfactory evidence to be the persons) who Appemcd <br />before and. <br />NoteryPublic Signature NolaryPublic Seat <br />SEE NOTARIZED) <br />\ATTACHMENT <br />City of Santa Ana RFP 19.047 <br />Page A3 -.t <br />INTERWEST Page 121 <br />CONSULTING GROUP <br />25F-75 <br />
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