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ATTACHMENT 3-1: NON -COLLUSION AI FIDAVIT <br />C ERTIF"ICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROI'OSA1.S <br />FOR <br />ROSS ANNEX PARKING GARAGE ENERGY LIGHTING RETROFIT <br />RFP NO,: 18.070 <br />NQN-' I..LUSIONrrrr <br />ADAVTT <br />("Title 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 lvith't'itic 23 United States Coyle Section 112 and Public Contract Code 7106 the BIDDER declares that the bid <br />is not made in the interest ot; or on behalf 01', any Undisclosed person, partnership, company, association, organization, or <br />corporation; that the bid is genuine and not Collusive or sham; that the I3IDDEfLhas not directly or indirectly Induced oration,ter <br />tiny other BIDDER to pul in a ralsc orsham bid, and hasnot diroctly or indirectly Colluded, aonspirCd,conniVocl oragreed with <br />any BIDDER or anyone else to put in a sham bid, or that anyone shall retrain from bidding; that the 131DDFR has not in any <br />manner, directly or indirectly, sought by agreement, communication, or conference with anyone to Ire the bid price of the <br />BIDDER or any BIDDER, or to Ex all) overhead,prof t, oncost element of the bid price, orof that orany other BIDDER, or to <br />secure tiny advantage against the public body, arardiog 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, subatitted his m• her bid <br />price or any breakdown thereol', or the Contents thereof, or divulged information or data relative diereto, or paid, and will not <br />pay, any Pea to ally cogioration, partnership, company association, organization„ bid depository, or to any Ivtembor or agent <br />thereofto efr"ectuate a collusive or sham bid. <br />Note; Tho above Non -Collusion AfiidaYlt is part of the Proposal. Signing this Proposal oil the signature portion thereof <br />shallalsoaonsCrtutesignatrtrreafthlsNon-collusionAfPidavit BIDDERSsneeautionedthtuntakingaF¢Isecertitication <br />may subjec he qti(ier to criminal prosecution. <br />_ . Signed ..1..' .11 <br />State orCnht'ornia <br />Courcy orf ime 'ide <br />before Inc on this ZC7 day of <qLl before roe. Y ___. nGltU7 1Gl vG4 t A P,t r 1 <br />to me on thed e basis orsatistimotorn to (or ynenv {once to be the persons) who appearedu ?0IC} b YrViS ` __,_ . ....__, proved <br />�taiy ub is Signatitte� <br />Nctary Public Seal <br />37 of 41 <br />4�+ CHRISTINA LYNN HENRICKSEN <br />Notary public • California <br />?gym Riverside County <br />�.ti a Commission 72252147 <br />My Comm. Eupires Aug 2, 2022 <br />