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Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 71gM) <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 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 it 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 />numner, 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 cast 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 corporaton, partnership, company association, organization, bid depository-, or to any member or agent <br />thereof to effectuate 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. BIDDERS <br />are cautioned that making a false certification may subject the certifier to criminal prosecution. <br />Signed <br />State of Cal�f'onna <br />Courn, - L09' Agd6.v <br />Subscribed sworn to (or affirmed) before me on dus ,� day of n' 241 by <br />RA Ajj lrtN0. , proved to me an the basis of sarisfamt evidence to be the penonls) who appeared <br />Pefore me. <br />MAU uaLerra: <br />Nary rIW .CrMernl9 <br />Lor4ryNn Casa4 I <br />Cawmiulw • Un9� - <br />Mr Comm. Fylrw Np+ 19, 2029 <br />it <br />5ignentre Notary Public Seat <br />City of Santa Ana RFP <br />Page A3-t <br />L O C SANTA ANA ZOO 5aot, <br />Architects COMMUNITY HUB BUIUDNG "THE HIVE" RFP <br />March 23, 2023 51 <br />