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Appendix <br />ATTACIIMENI' 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON-COLLUSTON APPTDAVTT <br />(fide 2; Limed States Code. Section 112 and <br />Public Contract Code Section 7100) <br />fo the CITY OF SANfA ANA DEPARTMENT OF flUBLIC WORKS <br />In accordance with Title 23 Unite States Code Section 112 and Public Contract Code 7100 the BIDDER <br />declares that the bird is not made in the interest of, or on behalf of, arty undisclosed person, partnership, <br />company, association, organiva lion, or corporation; Thal the bid is genuine and not collusive or sham; that the <br />BIDDER has not directly or indirectly induced or solicited any other BIDDER to Put in a frlse or sham bid, <br />and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER of- anyone else <br />to put in a sharp bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, <br />directly fir indirectly, ;ongln by agreement, communication, or conference with anyone TO fix the hid price <br />of the HIDDI-,R or any HI DDFR, or to fix any overhead, profit, or cost element of the bid price, or of that of <br />any other BIDDER, or to secure any advantage against Lhe public body awarding the contract of anyone <br />inwicsted in the propose contract; that all statements contained in dic bid are trtic; arid, titrther, that the <br />BIDDER has not, directly or indirectly, submitted his or her bid pr'icc or any breakdown thereof, or the <br />contents lhereof, or divulged information or Bala relalive therein, or paid, and will not pay, any fee to any <br />corporation, partnership, company association, organization, bid depository, or to any member of- agent <br />thereof to cftcematc a e>llusivcc or share bid. <br />Note The above Non -collusion Affidavit is part of the Proposal_ Siding this Proposal on the <br />signature portion thereof shall also constitute signature of this Non -collusion Affidavit. RTTIDF.RS <br />are cautioned that making a take certification may subject the certifier to criminal prosecution. <br />Signed <br />Slate of Calilornia <br />County of <br />Subscribed and sworn W (or affirmed) bclurc me on this day of , 20�, by <br />, proved to me on the basis of satisfactory evidence to be the pcison(s) who appeared <br />before pie. <br />Notary Public Signature <br />Notary Public Seal <br />City Council <br />26 — 38 6/15/2021 <br />City of Santa Ana RFP 21-004 Page A3-1 <br />