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CERTIFICATIONS A A Page 120 <br /> ATTACHMENT 3-1 1 NON-COLLUSION AFFIDAVIT CERTIFICATION <br /> Appendix <br /> ATTACHMENT 3-1:NON-COLLUSION AFFIDAVIT <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 an 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 die BIDDER or any BIDDER,or to fix any overhead,profit,or cost element of the bid price,or of that of <br /> any other BIDDER,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 <br /> Subscribed and sworn to (or affirmed) before me on this day of 20 , by <br /> proved to me on the basis of satisfactory evidence to be the person(s)who appeared <br /> before me. <br /> SEE <br /> ATTACHED <br /> Notary Public Signature Notary Public Seal <br /> City of Santa Ana RFP#24-035 <br /> Page A3-t <br /> uest for Proposals for On-Call Engineering Plan Check Services <br /> 1pei# tfnUAH An. 15 - 91 7/16/202 <br />