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4. CERTIFICATIONS <br />Subconsultant signed attachments available upon request <br />h-MU-1JoIONArF1DAVIT <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 at; 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 sham bid, and has not directly or indirectly <br />colluded, conspired, connived or agreed with any BB3DBR or anyone else to put in a ahem bid, or that anyone shall <br />refrain from bidding; that the BMDBR has not In any manner, directly or indirectly, sought by agreement, <br />common{cation, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any <br />overhead, profit, or post element ofttne bid price, or of that of any other BIDDER, or to secure any advantage against <br />the public body awarding the conmot of anyone Interested In the proposed contract; that all statements contained In <br />The bid are hue; and, zirdter, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereo$ 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 />drereof to of%chwto a collusive or sham bid. <br />Note; Tnoofcseh <br />Non -toll on Affidavit is part of the Proposal. Signing this Proposal on the signature <br />portion tho nsti a signature of this Noncollusion Affidavit. BIDDERS are cautioned that <br />flcat1 n may act the certifier to criminal prosecution, <br />Signed ( /--- <br />State of California <br />County of 0 <br />SubscrlbBd air swore to (or affirmed) before me on this LIL4 day of MAVA. 20 i�;i by <br />b"r*% proved to me on the basis of satisfactory evidence to be the Person(s) who appeared <br />before Inc. <br />•.,.,,,t i.,,0.,1—. <br />EMMASORTO <br />t) COMM.#214047e <br />NOTARYMBLIC•CALIFORNIAQ <br />r� ORANGE COUNTY () <br />COMM. EXPIRES JAN.21, 2020 -` <br />Notary Public Signature <br />Notary Public Seal <br />^'?FI��,Y'k4i+�v ° t �r -. s: � M w � r n .ry .7"n t a• v eg <br />City of !San te Ana RFP <br />Page A3-1 <br />