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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
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25E
Date
6/19/2018
Destruction Year
2023
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4. CERTIFICATIONS <br />Subconsultant signed allschments aveilebte upon request <br />NQN-COLLUSIOty T <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 IVORKS <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 h1 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 riot 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 tory manner, directly of Indirectly, sought by agreement, <br />colmnunication, 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, or of that of any other BIDDER, or to secure any advantage against <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, fiirthor, 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 not pay, <br />any fee to any corporation, partnersbip, company association, organisation, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sbarn bid. <br />Neto; The(11,�)vNou., <br />portion theraomakingafpoatlf <br />Signed <br />State of California <br />County ofQiz�z_ <br />avit is part of the Proposal, Signing this Proposal on the signature <br />nature of this Non-colluslon Affidavit. BIDDERS are cautioned that <br />the certifier to criminal prosecution. <br />Subscribed an sworn Co (or affirmed) before me on this ��` day of � 20I8 by <br />U tL{*-4 W} , proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />e � <br />„ . __ „ <br />EMMA SORTO <br />U COMM.1f 2140476 <br />(� •.: NOTARANGEC. UNrYRNIAy; <br />ORANGE COIJN'tY lI!) <br />COMM. EXpIRE6JMi.21, 2020'' <br />Notary Public Signature <br />Notary Public Seat <br />City of Santa Ana RFP <br />Page A3-1 <br />25E-36 <br />
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