Laserfiche WebLink
4. CERTIFICATIONS <br />Subconsuitant signed attachments available upon request <br />NON -COLLUSION AFFIP_AY1 <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OP PUBLIC WORKS <br />In accordance with Title 28 United States Code Section 112 and Public Contract Coda 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 tho 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 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, 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, father, 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, partnership, company association, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham bid. <br />Note: The v Non -coiI on Affidavit is part of the Proposal. Signing this Proposal on the signature <br />port on thex of s I also usti a signature of this Non -collusion Affidavit. BIDDERS are cautioned that <br />making a o ce ficad n mayject the certifier to criminal prosecution. <br />Signed. - <br />State of California <br />County of �hahgQ <br />Subscribod a 4 wwOm to (or affirmed) before me on oils EL4 day of NAM , 20A by <br />before me. ef✓Y� proved to me on the basis of satisfactory evidence to be the persons) who appeared <br />EMMA 80Ri0 <br />CCMM.it21-00478 <br />NOT ARC•CALIFORNIA�) <br />GRANGEANGECgUMY n <br />� <br />COMM. EXPIRES JAN. 21, 2020 <br />Notary Public Slgnaiure <br />Notary Public Seal <br />Y; t n�r�sR{y�.'�i53 <br />ti-- <br />Sn... <br />City of Santa Ana RFP <br />Page AM <br />