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4. CERTIFICATIONS <br />Subconsultent signed attachments available upon request <br />WN&OLLUS ION AMI17A V IT <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, 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 sharp 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 manner, directly or Indirectly, sought by agreement, <br />communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any <br />overhead, profit, or cost element of the bid price, Of of that of any other BIDDER, or to secure any advantage agahitt <br />the public body awarding the contract of anyone Interested In the proposed contract; that all statements Contained In <br />the bid are true; and, fbrther, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thcreo� or divulged information or data relative thereto, or paid, and will not pay, <br />any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham bid. <br />Nct6; The v Non-coll on Affidevit Is part of the Proposal. Signing this proposal on the aignamue <br />portion thea s 1 also nati o signature of this Non -collusion Affidavit. BIDDERS are cautioned that <br />maidng 77 - <br />State <br />ccticati n may �aot thu aortifier to criminal prosecution. <br />SIE <br />of California <br />County of— kin <br />Subscribed �tut�{,tl• 'sworn to (or affirmed) before me on this �4 day of Mi,, 20� by <br />R A <br />pA YGr kt.R..tt. proved to me an the basis of satisfactory evidence to be the person(s) who appeared <br />bofore mo. <br />Ia h Ms - <br />(1 EMMASORTO <br />COMM4211404r66 <br />NOTAR ANIGEC DUFCRNIAL) <br />ORANGE COUNTY n <br />1" comm. EXP!ES JAN.21.2020'' <br />NotaryPublio signature <br />Notary Public Seal <br />0. r <br />rfa_"...et 'ti i T''E�4tp'.y. i,iF�t : <br />i <br />•. .... r }..x. r.. r _'in•.:?:t,{.., J,+;Sx,.ka..z ...{��.. i , ,.Y'r.:�� <br />city R Snnta Ana RFP <br />Page A3.1 <br />25E-111 <br />