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Item 18 - Amend Agreement for AMI Consulting Services
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11/21/2023 Regular
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Item 18 - Amend Agreement for AMI Consulting Services
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Last modified
11/29/2023 3:35:59 PM
Creation date
11/29/2023 2:18:42 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
18
Date
11/21/2023
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NON -COLLUSION AFFIDAVIT <br />(Titlo 23 (..irlited Sttitcs Codc Section I 12 and Public Contract C'odc Section 7106) <br />h) conformance with Title 23 United States Cod, Section 112 and Public Contract Code 7106 the BtDDER <br />declares that the bid is not made in. the interest of, or on behalf of, any undisclosed person. partnership, <br />Company, association, organization, of corporation; that (lie bkf is "Cnuine and 110t CoIIUSiVC Or Shaill; tlUit 111C <br />BIDDER has not directly or indirectly induced or Solicitud any ether BIDDER to put to a htlse or shain bid, nad <br />has not directly or indirectly colluded, conspiriA, Connived, or agreed with any BIDDE.i: or anyone else to pl.It <br />in a sham bid, or that anyone shaill refrain from bidding; that the BIDDER has not in any manner, directly or <br />indirectly, SOLI(Ifit by agreement, ccsrllirlulliC,16011, Or conference with 111•yone to FIX the bid price of the f.31CaMA <br />or any other BIDDEK or to fix any overhead, profit, or cost element of the bid prig:, or cif that of any other <br />BIDDER. or to secure tlny advanta-e aaaimt the public body awarding the contract of anyone interested in the <br />proposed contract, th,lt all statements contained in the bid are true; and, further, that the BIDDER has not. <br />directly or indirectly, submitted his or her bid Brice or any breakdown thereof, or the contents thereon, or <br />divtila�'ed information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, <br />company association, organization, Isid depository, or to any member or agl ,, It thereof to eFfcctuate a eol]usive <br />or shard bid. <br />Mote: The above Non -collusion Affidavit is part of the Proposal. 13113DERS are cautioned that making <br />a false certification may subject the certifier to criminal prosecution. <br />-signed <br />State of'Clan,c7�rlSli)GL, <br />Par'Si`,i County, of if <br />Subscribe(] .and sworn to (or atfirrrted), .before me on this day of /D6a,- 2019,..by <br />Jj�01e_ ArjCrjn _, proved to me on the basis of satisfactory evidence to be the person(s) who <br />appeared before the <br />-ba"�q� 4gU&C&) <br />No ary I u lie Signature. tr Notary Public Seed <br />City of Santa Ana Rt=P 18-064 <br />Page 31 <br />
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