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Agenda Packet_2023-11-21
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Agenda Packet_2023-11-21
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Date
11/21/2023
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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 7106) <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 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 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 above Non -collusion Affidavit is part of the Proposal. Signing this Proposal oil the <br />signature portion thereof shall also constitute signature of this Non -collusion Affidavit. BIDDERS <br />are cautioned that makingv�fhlse certification may subject the certifier to criminal prosecution. <br />Signed ' fP 2-3 Alahesh Thurairajah, Principal <br />State of California <br />County of 4a6fe.b,"cam <br />Subscribed and sworn to for affirrned) before me on this � day of Ltt6- , 2fr by <br />ALA 1tTsi-t `rvxWAA- 9AT14proved to ine on the basis of satisfactory evidence to he the person(4 who appeared <br />before rne. <br />RRIJ PRASAD <br />F COMM ... 2358214 <br />Notary Public Signature NOTARY PUBLIC-CALIFORNIA -A Notary Public Seal <br />ORANGE COUNTY W <br />My Term Exp. May 19. 2025 <br />City of Santa Ana RFP 23-123 <br />City Council 17 — 72 11/21/2023 <br />
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