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Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <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 with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares <br />that the bid is not [Wade in the interest of, or on behalf of, any undisclosed person, partnership, 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, 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 anyone shall <br />refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought 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 of the bid price, or of that of any other BIDDER, or to secure any advantage against <br />the public body awarding the contract of anyone interested in the proposed contract; that all statements 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, 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 of the Proposal. Signing this Proposal on the signature <br />portion thereof s s cons[' to signature of this Non -collusion Affidavit. BIDDERS are cautioned that <br />f making a a cei t ubject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of6y'z1fl4 <br />Subscrihed. and sworn to (or affirmed) before me on this day of &U&4W god by <br />S , proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />"Jd4�a«� <br />wa Public Signature Notary Public Seal <br />'All"' G""" KEKAK <br />COMM. *2293800 z <br />o • � et +t Notary Public • Calilornia A <br />z' •- o <br />,� orange County <br />M Comm. Er ires Jul 13, 2023 <br />City of Santa Ana RFP <br />Page A3-1 <br />