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I <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA. <br />REQUEST FOR PROPOSALS <br />FOR <br />DAN YOUNG SOCCER COMPLEX FIELD #2 AND h4 SYNTHETIC TURF <br />RFP NO.: 16-01 <br />NDN -COLLUSION AFrIDA-VTT <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 Tine 23 United States Code Section i 12 and Public Contract Code 7106 the BIDDER declares thatthe bid <br />is not made in the interest of or on behalf of any undisclosed person, parinerabip, company, association, organization, or <br />corporation, that the bid is gcnaine and not collusive or sham; that the BIDDER has not direotly or indirectly induced or <br />solicited any other BIDDER to put in a false or shato bid, and has not directly or indirectly colluded, conspired, connived or <br />agreed with any BIDDER or anyone else to pat in a sham bid, or that anyone shall refrain from bidding that -dic, BIDDER has <br />not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fb;c 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 any oiler <br />BIDDER, or to secure any advantage against the public, body awarding the contract of anyone interested in the proposed <br />contract; that ad statements contained in the bid Ear true, and, inrther, that the BIDDER has not directly or indirectly, <br />submitted his or her bid price or any breakdown thereof or the roatcrits thereof or divulged information or data relative <br />thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, orgatri7AOU' bid depositary, <br />or to any member or agent thereof to effectWe a collusive or share bid. <br />Note. The above Pion -collusion Affidayl s pan of the Proposal. Signing this proposal on the sigoa-Lure portion <br />thereof shat al o ocarsdtate Sig u of a Non -collusion, Affidavit, BIDDERS are cautioned that malcigig a false, <br />m y Vbj eat thel tto cr al Drosecution. <br />Signed <br />Subscribed and swornto (or affirmed) before me on this 91 f— day oOMk2( , byA:odA > Aex'ufdc�' <br />proved tome on the basis of satisfactory evidence to be the perscar(s) who appeared before me, <br />Notary Public Signature Notary Public Seal <br />im <br />City of Santa Ana RFP 16-01 <br />Page 27 <br />