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Appendix ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT CERTIFICATIONS NON -COLLUSION AFFIDAVIT (Title 23 United Stales Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of. or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, rind has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner. directly or indirectly, sought by agreement, communication. or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element orthe bid price, or of that of any other BIDDER, or to secure any advantage against the Public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not. directly or indirectly. submitted his or her bid price or nny breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid. and will not pay, any fee to any corporation. partnership, company association, organization, bid depository, or to any member or agent thereofto eMctuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part ofthe Proposal. Signing this Proposal on the signature portionthereofshrdlalsoconstitutesigiratureofthisNon-collusionAffidavil. BIDDERS are cautioned that making a fnVicertification may subject the certifier to criminal prosecution. Signed State of tali County or-L Subscribed and sworn th (or affirmed) before me on this k day of 201. by c P,hMm�,. ,proved to me on the basis of satisfactory evidence4'o bE the person(s) who appeared before me. ANASTASCU�MEXMOOD Notary Public • California Los Angeles County Commission i 2307407 My Comm. Expires Sep 20, 2022 Notary Public Signature Notary Public Seal City of Santa Ana RFP 20-096 Page A3-1