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Attachment 3-1: Non-Coflusion Affidavit <br />Appendix <br />ATrACHMENT 3-1: NON-COLLUSIONAFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITYOF SANTAANA DEPARTMENT OF PUBLIC WORKS <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 colladed, 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 />mamer, directly or indirectly, 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 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 effectuate a collusive or sham bid. <br />Note: The ^ve Non-coNion Affidavit is part of the Proposal Signing this Proposal on the <br />D er�e�pof:4also constitute signature of this Non -collusion Affidavit. BIDDERS <br />'�ion <br />ma a e certification may subject the certifier to criminal prosecution, <br />thartr <br />Signed Darren J. Adrian, Sr. Vice President <br />State of California <br />County of Qff��O- <br />Subscribed_ qnd sworn to (or affirmed) before me on this day of MAA 20 _5 by <br />DaYq�ri �Wv,*,— . proved to me on the basis of satisfactory evidence to be the persoij(<who appeared <br />before me. <br />1:� <br />Notary Public Signature <br />------------ r <br />EMMA SORTO <br />Notary Public - California <br />Orange County <br />Cornmission # 2317156 F <br />Notary Public Seal <br />City of Santa Ana RFP 22-097 <br />Page A3-1 <br />City of Santa Ana - LPOC77002.2023 <br />Kimley)))Horn 19 <br />