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City of •i • • <br /> Certifications <br /> Appendix <br /> ATTACHMENT 3-1: NON-COLLUSION AFFH)AVIT <br /> CERTII+ICATIONS <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 /> B®DER 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 snaking a f se 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 tivs � day of f{ 201� by <br /> PjY proved to me on the basis of satisfactory evidence to be the person(s)who appeared <br /> befor me. <br /> ANGIE VIGIL <br /> Notary Publk•Callformka <br /> Ora nte{ourEty <br /> ccmmesslon#7s730L <br /> My Comm,Explm Vav t' :C ' <br /> Not ry Public�SiUrC Notary Public Seal <br /> City of Santa Ana RFP#24-036 <br /> Page A3-1 <br /> City Council 1 5 — 37 roposa or un-C377 PT3672ffl4 <br /> ervices 21 <br />