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Last modified
12/19/2024 11:56:08 AM
Creation date
6/8/2023 4:41:10 PM
Metadata
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Template:
Contracts
Company Name
GRIFFIN STRUCTURES
Contract #
A-2023-102
Agency
Library
Council Approval Date
6/6/2023
Expiration Date
12/31/2025
Insurance Exp Date
12/31/2025
Destruction Year
2030
Notes
For Insurance Exp. Date see Notice of Compliance
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3. CERTIFICATIONS & ATTACHMENTS GRIFFIN STRUCTURES I 30 <br />Appendix— <br />ATTACW4E, NT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFEWAY' <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 71.06) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the proposer <br />declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that <br />the proposer has not directly or indirectly induced or solicited any other proposer to put in a false or sham <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with any proposer or anyone <br />else to put in a sham bid, or that anyone shall refrain from bidding; that the proposer has not in any <br />manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the <br />bid price of the proposer or any proposer, or to fix any overhead, profit, or cost element of the bid price, or <br />of that of any other proposer, or to secure any advantage against the public body awarding the contract of <br />anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, <br />that the proposer has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or <br />the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to <br />any corporation, partnership, company association, organization, bid depository, or to any member or agent <br />thereof to effeotuate a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the proposal. Signing this proposal on the <br />signature portion thereof shall also constitute signature of this Non -collusion Affidavit. Proposer <br />are cautioned that malting a false certification may subject ttre certifier to criminal prosecution. <br />Signed <br />State of California' <br />County 0"OK11410 <br />Subscribed and sworn to (or affirmed) before me on this J-z— day of kic,,xr/ , 20-U, by <br />provedto me on the basis of satisfactory evidence to be the person(s) who appeared <br />in, <br />Rotmy Public Signatum <br />-- <br />VArn E OIIIESRIE <br />Notary Vu611c • Ca1Banla <br />- OrMA999WRIRI County tih <br />Commin�n E t3a3690 <br />My Comm. Evp M Jan 26, 2025 - <br />Notary Public Seal <br />City of Santa Ana RFP <br />Page A3-1 <br />GRIFFIN <br />SrRUCTURCS <br />
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