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Vol <br />City of Santa Ana <br />RFP 23-123 — On -Call Geotechnical Engineering Services <br />CGEOCON <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />Appendix <br />ATTAii= 11NIENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />120-00I.LUSION AFFIi1AV_r_r <br />('Tilt 23 United SLmt E CWc Swion 112 end <br />Nblic Canhw Coale Sectima 7106) <br />To tiv MY OF SA Tll'A ARIA DE?ARTME9>fT OF PUBLIC WORKS <br />:, actnwdanee wlill Title 23 United Stoics Code+ ScrAiaan 112 and Public Conmict Cork 71M [he 131DDER <br />dcelares that d-te bid Is r}at trmde in dw interest of, or ctri behalf of, any undlol d persaan, pnrtneNlip, <br />company, Jl9 aciatiion, orgininitian, or corparatio4 that the had is genuintr gild nat rotlu:sive of Shan.; lint <br />the BIDDER Isms imt dlrectly or indiree_tly induced or solicited any athor DIDDER io pot in a false or sitt m <br />bid, and has not dirculy or indirectly colluded,-upired, etxrtnived or aimed with any DIDDER or anyone <br />else in pall iit a sham bid, L3r Chit.. any.}sac sisal} terrain from Kidding-, that 9tc BIDDER hus not fn any <br />mwmr, directly or indirecdy. sauji it by agreernmt, cams U.inicaatinri, or conrcreme YA(h tii'ipcou tii fix the <br />bid prise of the BIDDER Par any BIDDER, or to `'ix i'my-nverheud, parolit, or cost clamenl of the bid prluc, <br />or of than of any other BIDDER, or to scxure any advantage against die public body awarding the contract <br />of anywic inwroted in i#at: pro"ed vimirmi,, that otl siaticitit:alts comitimod in the Bill ore inw, and. ranhcr, <br />thm tha 310DE.R has not, directly or indirect$y, suhtnitt,ed his cc her bid price Or any bmakdown Lb"u'af, or <br />ONE .i2twtenis thcmnr, or divolLmd iriliwarlion or data relative thereto, or paid, and will not pap, uny fcz to <br />any aorparatian, partnership, iavmp=y aswiation orpisl aluaat, bid depmsitnry. or 10 any member or ng*m <br />thcrenrio efTecruntva calhisive or chum laid. <br />*Jute; The above Mon -collusion Af idwvit is part nr the Proposal. Signing this Proposal on d w <br />9agllati tre portlrril thereat shall ads. gSl4Wte sigpaitire Dr tint: AIeHt 011lts�ait Afiirlavlt. BIDDERS <br />are caudoned dons making a falsr call tir<mkm may rtuhjw the +cerli r`, to crirniinol 'prt9KC.Litim. <br />Signed <br />skwe or calirornia <br />trity Of <br />Subpoibed and xwtl,ti to far wflimrcdi befrrrc im rm day a1' , 20� by <br />, pmwd to me nn the bn4q of vimy �evideme io be the petwn(s) wbo ap;pearcd <br />-Notay <br />l+lalWy Ftablk Seat <br />GiIY of 5ana Ana Rf:P;5-1'23 <br />Poge A3-1 <br />City Council <br />Geocon 2023-333 <br />17 — 125 <br />Page 32 <br />11 /21 /2023 <br />August 28, 2023 <br />