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Agenda Packet_2023-11-21
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Agenda Packet_2023-11-21
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11/16/2023 2:57:23 PM
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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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NON -COLLUSION AFFIDAVIT <br />jitl4 23 (Jrtited States Coda Section 112 and Public Contract Codc Section 7106) <br />hl confbrinance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BtDDrR <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; tha( the bid i5 "Ciuine and not C011USIVC or Shaill; that the <br />BIDDER has not directly or indirectly induced or solicited any ether BIDDER to put in a false or sharer bid, and <br />has not directly or indirectly colluded, conspired, connived, or agreed with nny 8IDDER or anyone else to JAIL <br />in a shun bid, or that €rnyonc shall refrain from bidding; that the. BIDDER has not in any manner, directly or <br />indirectly, soubht by agreement, cornrrlufrication, or conference with anyone to Cx the bid price of the l3IDDLR <br />or any other BIDDER. or to fix any overhead, profit, or cost element of the bid price, or orthat of any other <br />BIDDER. or to secure tiny advantage against the public Body awarding the contract of anyone interested in the <br />proposed contract; th,rt all statements container) in the bid are true; and, furtlier, that the BIDDE,rt has not. <br />directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or <br />divulged information or data relative thereto, or paid, and will not pay, any Fee to any corporation, partnership, <br />company association, organization, bid depository, or to any member or agent thereof to CFfectuatc it collusive <br />or sham bid. <br />Note: The above Non -collusion AFFdavit is part of the Proposal. BIDDERS are cautioned that making <br />a raise certification may subject the certifier to criminal prosecution. <br />ginned <br />State of'C-fl,la4411.41 ©ulSlan0, <br />Subscribed and sworn to (or affirmed), .before me on this ,� day of d 20L9,..by <br />�01t_ ArjCj��, proved to tie on the basis of satisfactory evidence to be the person(s) who <br />appeared before me <br />4gU& <br />C&) <br />No ary I'ulie Signature. Notary Public Seed <br />City of Santa Ana RFP 18-064 <br />Page 31 <br />City Council 18 — 49 11/21/2023 <br />
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