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4 Certifications <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON-COLLUSTON AFFIDAVIT <br />(Title 23 United States Cade 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 Stake Code Section 112 and Public Contract Calc 7106 the BIDDER declares <br />that the bid is not made in the interest of or on behalf of, any undiselmed person, partnership, company, association, <br />organisation, or corporation; that the bid Is genuine and not collusive or sham; that the BIDDER has not directly or <br />indirectly induced or solicited my other BIDDER to put in a false or sham bid, and has not directly a Indirectly <br />colluded, conspired, connived or agreed with wry 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 agreemen6 <br />communication, or conference with anyone to Ex the bid price of the BIDDER or any BIDDER, or to fist any <br />overhead, profit, or cost clement of the bid price, or of that of any other BIDDER, or insecure anyadvantage against <br />the public body awarding the contact of anyone imerested in the proposed contractthat all elatanents contained in <br />the bid as true; and, further, that the BIDDER bas not, directly a• 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, compagv association, cogani ndon, bid depository, or to my member or agent <br />thereof to effectuate a collusive ar sham bid. <br />Note The above Non -collusion Affidavit is pan of the Proposal. Siong this Proposal on the sigtntum <br />portion thereof shall also constituteat ahme of this Noncalluslon Af idavit. BIDDERS am cautioned that <br />maldng a false certification may sub'7't the ccriik to criminal prosecution. <br />Signed <br />State of California <br />County of SAN 2)/E(a <br />Dudek <br />Chairman / CEO <br />Snbscn'hcd and swam to (or affirmed) before me on this /"day of a700J 20/d' by <br />F"Atx D azide . proved to me on the basis of satisfactory evidence to be the persons) who appeared <br />before me. <br />Notary Public Sigo <br />DAN/dt A)G <br />MMEtaa <br />- tbtenMbO<-Caaomie <br />t�a�ar�n /I1B�YE <br />MYeomaF.paefA4rEAaml + <br />Notary Public Seal <br />Clty of Santa Ana RFP <br />Page A3.1 <br />DUDDUDEK Proposalfor - - Renovation <br />25E-40 <br />