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CITY OF SANTA ANA <br />RFP NO.: 25-045 <br />PROGRAMMABLE LOGIC CONTROLLER (PLC) PROGRAMMING AND <br />CONSULTING SERVICES <br />NON -COLLUSION AFFIDAVIT <br />(Title.23 United States code Section 112 and Public Contract Code Section 7105) <br />In conformance with Title 23 United States Code Section 112 and Public. Contract Code <br />710E the..BIDDER declares that the bid is not made in the interest of, or on behalf of, <br />any undisclosed person, partnership, company, association, organization, or <br />corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not <br />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 <br />BIDDER or anyone else to put in 'a sham bid, or that anyone shall. refrain from bidding; <br />that the BIDDER has not in any manner,. directly. or indirectly, sought by agreement, <br />communication, or conference with anyone to fix the bid price of the. BIDDER or any <br />other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that <br />of any other BIDDER, or to secure any advantage against the public body awarding the <br />contract of anyone interested in the proposed contract; that all. statements contained in <br />the bid are true, and., further, that the BiDDER has not, directly or indirectly, submitted <br />his or her bid price or any breakdown thereof, or the contents thereof, or divulged <br />information or data relative thereto, or paid, and will. not.pay, any fee to any corporation, <br />partnership, company association, organiizat'ron,. bid depository, or to any member or <br />agent thereof to effectuate. a collusive or sham bid. <br />Note: The above Nan -collusion Affidavit is part of the Proposal. BIDDERS are <br />cautioned that. retaking a false. certification may subject the certifier to <br />criminal prosecute n.. <br />Signed <br />State of California <br />Couhty:ef . <br />Subscribed and sword <br />by 1 <br />be the person(s) who <br />to (or affi.rmed) before me on this day of , 20. , <br />_proved to me on the basis of satisfactory evidence to <br />t geared before me <br />Notary.Public Signature <br />Loew QvacaW L,%4 <br />Notary Public Seal <br />City of Santa Ana RFP 25=.045 <br />Program mable Logic Controller (PLC) Programming and Consulting Services <br />Page 37 <br />