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DocuSign Envelope to: A8CBD79E-49CB-49A9-BE5B-498A02933D51 <br />........ ... <br />NON -COLLUSION AFFIDAIVIT ..... . <br />(Title United States Code ScIIH2 and .... <br />Public Contract Code Section 7106) <br />To the CITYOF SANTA ANA DEPARTMENT OF PUBLIC WORICS <br />..In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER <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 BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone <br />else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any <br />manner, directly or indkeotly, sought by agreement, communication, or conference with anyone to fix the <br />...bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, <br />or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract <br />of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, <br />that the BIDDER has not, directly or in irectly, submitted his or her bid price or any breakdown thereof, or <br />the contents thereof, or divulged infonnation or data relative thereto, or paid, and Will not pay, any fee to <br />any corporation, partnership, company association, orgpnization, bid depository, or to any member or agent <br />thereof toeffectuate a collusive orsham 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, BIDDERS <br />are 4aut ried t I king 'afls certification may subject.the certifier to criminal prosecution. <br />Signed <br />State of Californiaifurn <br />... County of laiAo#s <br />.. . ... Subscribed and swum to (or affirmed) before me on this t3 day of fflqh�6 <br />20-n by <br />proved to me on the. basis of satisfactory evidence to be the person(s) who appeared. <br />before me.. <br />AWEA TWESA URG <br />CON. #2427866 <br />L46 Am" WMV <br />ary Public Signature <br />otary Public Sign <br />Notary Public Seal <br />Qily.pf Santa Ana RFP 21 U <br />.............. PageA3-1 <br />