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Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTWNT OF PUBLIC WORKS <br />In accordance with Tide 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 />organindon, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER bas not directly or <br />indirectly induced or solicited any other BIDDER to put in a Use 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 />refiain fi-om bidding; that the BIDDER has not in any manner, directly or indirectly, sought by ageemert, <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 eonasct; that all statements contained in <br />the bid are true; and, flusher, 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, orpaid, and will not pay, <br />any fee to any cotporation, partnership, company association, organization, bifid depository, or to any member or agent <br />thereof to effectuate a collusive or shambfd. <br />Note: The above Non -collusion Affidavit is part of the Proposal. Sighting this Proposal on the signature <br />portion thereof shall also constitute signature of this Non -collusion Affidavit BIDDERS are cautioned that <br />making a fagsoocertification may subject the certifier to criminal prosecution <br />Signed <br />State of oma <br />County of �P.f�1�lYi�.i r`o <br />sworn to (or affirmed) before me on this ,& day odu_na 20fa by <br />r proved to me on the basis of satisfactory evidence to be thepetsoo appeared <br />MARISSA RODRIGUEZ m <br />COMM. #2169182 <br />Notary Public - CeINorMa <br />ra BAN BERWDINO COIINTY> <br />Com , Oct. 23.2 20 <br />Notary Public Seal <br />City of Samara Aha RFP 18-047 <br />Page AV <br />25F-171 <br />