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NV5 GLOBAL, INC. (2) - 2017
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NV5 GLOBAL, INC. (2) - 2017
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Last modified
6/13/2018 4:28:51 PM
Creation date
4/9/2018 1:43:16 PM
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Contracts
Company Name
NV5 GLOBAL, INC.
Contract #
A-2017-252
Agency
PUBLIC WORKS
Council Approval Date
9/19/2017
Expiration Date
9/18/2019
Insurance Exp Date
5/1/2019
Destruction Year
2024
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Exhibit C <br />3-1 NON -COLLUSION AFFIDAVIT <br />Appendix <br />ATTACEMPNT 3.1: NON-COLLUMN AFFIDAVIT <br />CLTItTIF)CATIONS <br />NQN-COLLUSION AFFIDAM, <br />(Title 23 United States Coda 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 Status Code Section 112 and Public Counsel Code 7106 the BIDDER declares <br />that the bid Is not made In the Interest of, or on behalf of, any tmdlacloaed parson, pmtnerahip, company, aasoofation, <br />organization, or corporation; that the bid Is go ruloo and not collusive or sham; that the BIDDER hes not directly or <br />Indirectly induced or solicited any other BIDDBR to put in a false or sham bid, •and bee not directly or Indirectly <br />colluded, conspired, connived or agreed wllh any BIDDER or anyone also to put In n ahem bid, or that anyone shall <br />refrain from bidding; that the BIDDER line not ht any maunw, directly or indirectly, sought by agreement, <br />I communication, or conference with onyono to 6x the bid price of the BIDDER or nay BIDDER, or to fix any <br />overhand, profit, or coat element of the bid price, or of that of any other BIDDER, or to aeaU[e any adyantogo against <br />the public body awarding the oonnuot of anyone interested in the proposed contract; that all statements contained in <br />the bid aro it=; and, Airliner, that the BIDDER ban not, directly or Indirectly, submitted We or hot bid price or any <br />breakdown thereof, or the contacts thereof, or divulged Information or data relative thmoto, or paid, and will nut pay, <br />any fee to any corporation, partnership, company assooladon, organization, bid depo dlory, or•to any member or ngant <br />thereof to effectuate a collusive or sham bid. <br />Note: The above Non-callaelon Affidavit is pan of the Proposal. Elgning this Proposal on the algaahwo <br />Portion. thereof ehaS also constitute algnatu re of this Non -collusion Affidavit BIDDM ora cautioned that <br />making a//fallse certifloaadonmayysubjeot duo certifier to orhniaalpmseoution, <br />signed ztrz •'i / l( 1.7eayrel <br />Slate of California <br />Counlyof Orange <br />Subscribed Pmt aworn to (or affirmed) before me on this Y day of rit 4' 20 by <br />l�vt IV kw,F5 , proved to me on the basis of satisfactory cvfdance to be the parsons) who appeared <br />boforome. <br />Notary Public Signature Notary Public seal <br />Q1)i NATNINCOPEZ <br />7f oo fto4alon rf 212oA16 <br />r Notary Pablio • calltomla <br />OanOa om <br />~ <br />so. Wall <br />City of Santa Ana RFP <br />Page A0.1 <br />Wainut Nary Station and Smi Lorenzo Sevrage lilt Station I Glyol Santa Ana 23 <br />
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