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. .... _... -- Appendix ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT CERTIFICATIONS N)N-(_'QI I IJ_5 ION_ A I 1 I DA V IT (Title 23 United States Code Section 1 12 and Public Contract Code Section 7106) 'ro the CITY OF SANTA ANA DEiPARWENf OP PURI.A' WORKS lit 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 hid 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 chant bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sharn 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 of the 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 tire bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any 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 a!oenl thereof -to effectuate a collusive or sham bid_ Note: "Ihe above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on tale signature portion tllereof�5haR-also constitute signature ofthis Non -collusion Affidavit. BIDDERS arc cautioned thti{.nlakiing a false certification ntay subject the certifier to criminal prosecution. Signed _- State of California County of Cif i tic..._ Subscribed and sworn to (or affirmed) before me on this L L day of, �i,k 202/j by L11�o 11_- L LA. C_J -, proved to me on the basis of satsfactory evidence to be the per, m(s) who appeared before tile. ` Lire Yitary Putt;iic gfia ure Notary Public Seal _ axe arm gev;x4�. i n Nnt wntun 11 A Ni/�n n rev �111�Y( i01r J��.mo�v,mvM�ompwa^wmwa'm�"�owo..uwr•9 City u City of Santa Ana P Page A3-1