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Appendix <br />ATTACHMENT 34. NON- COL LUSIDN AFFIDAVIT <br />CERTIFICATIONS <br />hi3f+SUO LTJSiON AFFL AWITI <br />(Title23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />TO the CITY OF SANTA ANA DrpARTMENT OF PUBLIC WpRICS <br />Fit occordanoe with Title 2.3 United States Code Section I12 atnd 1luhlic'ContractCode 71ii61'he BIDI)E -declares <br />that the laid is not made In the interest of, or on behalf of, any undisclosed person, portnership, company, association, <br />organization, or corporation,, that the bid is genuine and not collusive or sham; that the BIDDER has not directly or <br />Indirectly induced or solicited any other BIDDER to put in a false or sham bid, -arid has not directly or indirectly <br />colluded, conspired, connived or agreed with any BIDDER of anyone else to put in a sham bid, or that anyone shall <br />refrain fioin bidding, that the BIDDER has not in any manner, directly or indirectly, sought by agreement, . <br />comnntnicatlmn' or conference with anyone to fix the bid price of the BIDOM or any BIDDETt or to iW any <br />overhead, profit, or cost element of the bid price„ or of that of any other BIDDBR, or to secure any advantage, against <br />the public body awarding the omttcact of anyone interested it, the propascd contract; that all statements romaiued :int <br />the bid are true; and, further, that the BIDDER hies scot, directly or indirectly, submitted his or her bid price or any <br />breakdown tlteieof, or the contents thereon err divulged infotrnaiim or data relative thereto, or pain and wid not pays <br />any fee to any corporation, partnership, company association, urgan(zation, bid depository, or to any member or agent <br />thereof to effectuate a collusive orshuanb d. <br />Note; The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br />portion hereof shall also constitute signature of this tion -collusion Affidavit : 'BODW are cautioned that <br />making a false corti loation may subject the certifier tocriminalpro secatiou- <br />12 <br />Signed <br />State of Calif n I <br />County of 10 <br />f <br />Subscribed and sworn to Or affirmed) before ine on this 613 day of MIRY', � 203 by <br />_ tl n* proved tonne on the basis of satisfactory evidence to be the person(i) who appeared <br />before me, <br />city UFS Ana R1 P <br />Pardo A3-1 <br />