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08/04/2015
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25M - AGMT - ON-CALL ENGINEERING SRVS
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Last modified
8/3/2015 10:37:58 AM
Creation date
7/30/2015 5:17:08 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25M
Date
8/4/2015
Destruction Year
2020
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APPENDIX <br />ATTACHMENT U -1: NON- COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA AAA <br />REQUEST FOR PROPOSALS <br />• <br />NON- gQLLUSION 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 <br />that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, <br />association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has <br />not directly or indirectly induced or solicited any other BiDDER to put in a false or sham bid, and has not directly or <br />indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that <br />anyone shall refrain from bidding; that the BIDDiWR has not In any manner, directly or Indirectly, sought by <br />agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix <br />any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage <br />against the public body awarding the contract of anyone Interested In the proposed contract; that all statements <br />contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid <br />price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, <br />and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to <br />any member oragentthereof to effectuate a collusive or sham bid. <br />above Non - collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br />sot hall also constitute signature of this Non - collusion Affidavit. BIDDERS are cautioned that <br />Ise ertificatlon may subject the certifier to criminal prosecution. <br />State of California <br />County of Crange <br />Ci #y of Santa Ana RFP 14.037 <br />Page 26 <br />25M -139 <br />
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