FULL AGENDA PACKET 2021-07-06 - Laserfiche WebLink

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-------- ----- ---- -- --- .. .......... Appendix ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT Cis:u'rn K;n'riONS NON-COLL(-$I(ZN_A-M DAVIT ('('ide 23 United States Code Section 112 and Public Contract Code Section 7106) To the CI )-Y OF SANI'A AN A 7 ) F.PARTMFNT OF PUBLIC. WORKS fn accordance with Title 23 United States Code Section 112 and Public (contract Code 7106 the BIDDFR declares that the bid is not wade 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 BIDDFR has not directly or indrectly induced or solicited any other BIDf)ER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a shani bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sougjit by agreement, communication, or conference with anyone to fix the bid price of the MDDEN of any BIDDER, of to fix any overhead, profit, or cost clement of the bid price, or of that of tiny other BIDDER, or to secure any advantage against the public body awarding the contract of auyonc interested in the proposed contract; that all statements contained in the bid are nue; and, huther, that the BIDDL-R has not, directly or indirc(31y, submitted his or her bid price or any breakdown thereof, or the contents thc-reof, or divulged information or data relative thereto, or paid, and will not pay, any fec to any corpor<ahrot, partnership, company associatioll, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal- Signing this Proposal on the signature portion thereof shall also constitute, signature of this Non -collusion Affidavit. T3IDDIIRS are cautioned that malting a false certification may subje t the certifier to criminal prosecutdon- c= State of C:ahfomia County of RAy I;SISIC. Subscribed and sworn to (or affirmed) betorc me on this `.�-�_ day of SP.Q 20 iq by N)p-Usi,/ ;-Lc) , proved m me on the basis of satisfactory evidence to be the person(s) who appeared before tire_ No try Public Signature // � nn 510. ruHMDUD FlRhti / ery YuOI¢ CdMOMia g t(b\?s flivtrf Cowry _ commas u"x228t 654 mm My Cu. Lm�res Mar 19, 70t3 Notary Pnfylic Seal City of Santa Ana RFP Page A3-1 Stubsp; C;ily COU11CII  21 lndash;lnbsp;231 7/b/2021 @nhsp;