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ATTACHMENT 3 -1t NON - COLLUSION AFFIDAVIT <br />MY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />PROPERTY AIANAGFME NT SERVICES <br />RFP NO.: 15-043 <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 declares that the bid <br />is not made in the interest of, or on behalf of any undisclosed person, partnership, company, association, organization, or <br />corporation; that the }aid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or <br />solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or <br />agreed with any BIDDER or anyone else to put in a sham bid, iorthat anyone shall refrain from bidding, thatthe BIDDER has <br />not In any manner; directly or indirectly; sought byagreament, communication, or conference with anyone to fix the bid price <br />of the BIDDER or any BIDDER, or to fu any overhead, profit, or cost element of the bid price, or of that of any other <br />BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested In the proposed <br />contract, that all statements contained in the bid are tote; and, farther, that the BIDDER has not, directly or indirectly, <br />submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information. or data relative <br />thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, <br />arm any member or agent thereof to effectuate a collusive or sham bid, <br />Notes The above Non - collusion Affidavit is part of the Proposal„ Signing this Proposal on the signature portion <br />thereof$hall also constitute signature of this Non- colluslon Affidavit. BIDDERS are cautioned that making a false <br />certification may subi+;>WWcertifier to criminal prosecution. <br />MM <br />State of California <br />County of <br />Subscribed and sworn to (or affirmed) before the on this _ day of , 20 , by <br />proved to me on the }}basis ofsatisfactory evidence to bethe persons) who appeared before me. <br />net 6144ae 1�4 <br />Notary Public Signature Notary Public Seal <br />Olty of Santa Ana RFP 15 -043 <br />Page 213 <br />25L -339 <br />