Laserfiche WebLink
Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CE, RTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public.Conuvct Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />Inaccordance with Title 23 United States Code Section 112 and Public Contract Code7106 the: BIDDER declares <br />that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, <br />organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or <br />indirectly induced or solicited any other BIDDER to put in a false or sham bid; and has not directly or indirectly <br />colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall. <br />refrain from bidding; that the BIDDER has not in any tnamner, directly or indirectly, sought by agreement, <br />corimunicatlan, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to flx any <br />overhead, profit, or cost element of the bid price, or of that of any other BIDDER,. or to secure any advantage against <br />the public body awarxiing the contract of anyone interested in the proposed contract; that all statements containedin <br />the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents: thereof, or divulged information or data relative thereto, or paid, and will notpay, <br />any foe to any corporation, partnership, company association, organization, bid depository,or to ally member or agent. <br />thereof to effoctuato a collusive or sham bid. <br />The above Non -collusion Affidavit is part of file Proposal. Signing this Proposal on the signature <br />thereof shall also constitutesignature of this Non -collusion Affidavit. BIDDERS are cautioned that. <br />a falsylKation may subject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of <br />Subscribed and sworn to (or affluued) bcroro the on this. _ day of , 20_, by <br />before me, <br />r proved to me on the basis of satisfactory cvidence to be the persou(s) who appeared <br />(sue. Affacred) <br />Notary. Public Signature :Notary Public Seal <br />City of Santa Ana RFP <br />Page A3.1 <br />(tl ( Fn 23 L05 30) Paw me,,nt I: , rvl;errco !'ret;ranr Uor9 #z,.RFP N,..: 17-032 I City ofSitrr l Arai <br />