Agenda Packet_2022-10-18 - Laserfiche WebLink

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CITY OF SA€VTA ANA RFP NO.,- 22-023 ARC FLASH ANAYLS€S AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT NON -COLLUSION AFFIDAVIT 1ZTitle 23 United States Code Section 112 and Public Contract Code Section 71U0; in conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the Laid 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 out 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 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 other 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 the 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 agent thereof to effectuate a collusive or sham bid. Note' The ove Non --collusion Affidavit is part of the Proposal. BIDDERS are c tioned that making a false certification may subject the certifier to crimin aros tion. Signed -- - State of California County of Subscribed an sworn to (or affirmed) before me on this 02 day of 114nQ , 20_� 2- by _Ali ez 1 PtSL , proved to me on the basis of satisfactory evidence to be the person "ho appeared before me Notary Public Signature JAVID I. ANf AVALA q COMW # 237E}4p3 z Notary Public . California a Orange County �� ?�t Comm. Expires Au - 28, 2025 Notary Public Sea? A notary public or other officer completing this certificate verifies only the identity of the indi. vidual who signed the document to which this oertiticate is attached, and not the truthfulness, acouracy, or validity of #hat document, City of Santa Ana RFP 22-02 City Council Page 38 1 - 1 10/18/2022