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Appendix <br />ATTACHMENT 3- 1: NON-COLLU ION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />{Title 23 United Sties Code Wdoo 112 and <br />Public C(MM-t 'Ode settim 7 106) <br />To the CFFY OF SANCA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Cantract Code 7106 the BIDDER <br />declares that the bid is not made in the interest of, or an behalf of, any undisclosed parson, partnership. <br />company, association, organization, or corporation: that the bid is genuine and not collusive or shin,; that <br />the IBID DER has not directly or indirectly induced or solicited any other BIDDER io put in a false or sham <br />hid, and has not directly or indirectly col Wcd. conspired, connived or agreed with any BIDDER or anyone <br />else to put in a sham bid, or thal anyone shall ruin From bidding; that the BIDDER has not in any <br />manner, directly or indirectly, sought by agreement~ communication. or conference with anyone to fix the <br />bid Oce of the BIDDER or any BIDDEN, or to fix any overhead. profit, or cost element of the bid price, <br />-or of that of any Dater BIDDER, or to secure any advantage against the public body awarding the contract <br />of anyone interested in the propaxed contrwt; that all statement's contained in the bid are true: and, Further, <br />that the BIDDER has riot, directly or indirectly, submitted his or her bid price or any breakdu n ihereof, or <br />the Lmntrnts thereof, or divulged infonmtion or data relative thereto, or paid, and will not pay, any fec to <br />any corporation. partnership. company association, organiMdan, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sharn bid, <br />[Mote: The above iron -collusion Affidavit is part of the Proposal_ Signing this Proposal on the <br />signature portion thereof shall also' constitute signature of this Non -collusion Af'fida0l. BIDDERS <br />are cautioned that making a false =ification may sub cct the oortirker to criminal prosecution. <br />Sighed <br />State of Cal' is <br />Courny.+f=4i_ nq 4 <br />Subscnbed sivom to for affinT cd] before me on this day of ' � 20 by <br />�41A proved to me on Ihr bmh; Of sarisfamry evidence iAw be the per.kmisl who eppearetl <br />wJlu SEaiaaiow <br />WWAG PLAlk <br />LQy��IR �PX11'/ <br />Mlr£Cmm. L%j4rn NIN 17. iQ25 <br />Iie Siip�antiTc Norary Public Seal <br />City of Santa Ara RFI3 <br />Page A3.1 <br />LOC SANTA ANA ZOO 5nntn <br />Architects COMMUNITY HUB BUILIDNG "THE HIVE" RFP <br />March 23, 2023 <br />51 <br />