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Agenda Packet_2024-07-16
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Agenda Packet_2024-07-16
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7/10/2024 5:14:11 PM
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City Clerk
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Agenda Packet
Agency
Community Development
Date
7/16/2024
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Certifications <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFH)AVIT <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 the <br />BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, <br />and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else <br />to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, <br />directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price <br />of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of <br />any other S®DER, or to secure any advantage against the public body awarding the contract of anyone <br />interested in the proposed contract; that all statements contained in the bid are true; and, further, that the <br />BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the <br />contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any <br />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 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 California <br />County of t <br />Subscribed and sworn to (or affirmed) before me on this � day of ij 1 201� by <br />PjY proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />befoA me. <br />- A r <br />Not ry Public�SiUrC <br />ANGIE VIGIL <br />Notary Publk • Calliomia <br />Ora npe{ourEty <br />ccmmesslon # 7s730L <br />My Comm, Explm Nov t' , :C ' <br />Notary Public Sea] <br />City of Santa Ana RFP #24-036 <br />Page A3-1 <br />City Council 1 5 — 37 Proposal or n- all 1'T3672ffl4 <br />ervices 21 <br />
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