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RE -ADVERTISEMENT <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 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 pat in a Use or share 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 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 NP-Callusion Affidavit '1Y& part of the Proposal. Signing this Proposal on the <br />signature portion ereof sl tt also cons ' �t signature of this Non -collusion Affidavit. BIDDERS <br />are cautioned t makin s e ' �ataon may subject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of LOS ANGELES <br />Subscribed and sworn to (or affmned) before im on this I I day of APRIL , 202Z by <br />DAVID P. HEERMANCE , proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />(SEE ATTACHED) <br />Notary Public Signature <br />Notary Public Seal <br />City of Santa Ana RFP 21-095 <br />Page A3-1 <br />