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06/19/2018
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25E - AGMT - ON-CALL ENGINEERING SRVS
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Last modified
6/19/2018 10:21:24 AM
Creation date
6/14/2018 7:55:56 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25E
Date
6/19/2018
Destruction Year
2023
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ATTACHMENT 3-1: NON -COLLUSION ApFIDAVrr <br />- ----- -1-1. .. CERTIVICAMONS <br />(T,Itle2 LJa1tad,StawsCode $Oq4ojjtj2anti <br />Public Contmot.Co4e..SeqtIon.31067 <br />Tote CITY OF SANTA ANA IMPARTMFiNVOPPUBLIC WORKS <br />In accordance with'I"Itle 23 tinited Statco.Code $0010 112. and Public Contract, Code 1106 the jtIj)Dpp <br />that the bid isnot ts*e in the interest , d6olgra <br />or behaltof, any undiselpsedp0*00, p4rtn6tsbip, doinpany. msociado% <br />or ggft.lzafloh, or corporation; that the bid is.genuine and not cojjusjvd or sham; that ft—BIDDER has not directly or <br />hidii-ectly Induced or solicited .any oifirT 8ji)ppo to put in a Use or abam. bid, and has not directly or Indirectly <br />BIDDER or anyone elso to Pot In a AM bid, or <br />That miyonoshall <br />'n rIoation' or noi In, aq manx�or, 41rootty or Indirectly,sou& by ng q <br />In <br />ra� rse� Ont, <br />00 0 sonfarenoe with anyone tb 9x IhObld price 4 the BIDDEP, or any BIDIMR, or to fij any <br />overh fil'of or of that of any other'DIDDIR Or to secure any advantage against <br />Oad� pro' <br />public <br />'body <br />a* intere*d In t6 proposca 4o <br />ntram that ail Statements contained In <br />the id are true. and has nox 0601y or Ifidireollyo subnalfted his or.ho, bid pide or any <br />down thvr�f, <br />any f <br />ee to any C4)rp Ulged information or data rolati ve thereto', or paid, ar� A) I not pay, <br />gtlw..Cmo cOmPanYassoclationi organization, bid. dVository, or, to any <br />thel"Orto 0 0 ate a collusive or sham bid. <br />member or agent <br />NoW. The above Non -collusion Affidavit I& part of the Proposal. Signing this proposal on the e, <br />Itu . signatur <br />portion thereof shall also COD� to sIgnstuTO of this Non -collusion AffidWit BIDDERS am cautioned that <br />'i Y <br />mkingA,fitisocerfificl ��,4 <br />Signed C–oe�ll <br />State of California <br />County of,_,._— <br />Subscribedand <br />Mo. <br />Notary Tublio --Slonature <br />–NJ by <br />to MO On the basis Of S48factOTY OQehce to bethe peraon(s) who appOmd <br />114 <br />Notary Public Sea) <br />Page A3.1 <br />25E-291 <br />
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