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APPENDIX <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />ROSS ANNEX PARKING GARAGE ENERGY LIGHTING RETROFIT <br />I2FP NO,; 18-070 <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 DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid <br />is not made in the interest of, or on behalf of any undisclosed person, partnership, company, association, organization, or <br />corporation; that the bid is genuine and not colt usive or sham; that the BIDDER has not directly or indirectly Induced or solicited <br />any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with <br />any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any <br />manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price or <br />BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that ofany other BIDDER, or to <br />secure. any advantage against the public body awarding the contact of anyone interested in the proposed contact; that all <br />statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted. his or her bid <br />price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not <br />Pay, 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 above Non -collusion Affidavit is partofthe Proposal. Signing this proposal on the signature portion thereof <br />shall also constitute signature ofthis Non -collusion Affidavit. BIDDERS are cautioned that making a false ceitification <br />may subjectt e cylifier to criminal proseculion. <br />.. ... ...-.Signed _ -_(.._y <br />State oFCal ifornia <br />County orfjVJsjC• <br />Subscribed and sworn to (or affirmed) before moon this Zo day of h1L . USi; 20I byChV1S SYIAtt)f11L1 vL�l� r f <br />to me on the basis Ofsatisfactot) evidence to be the persons) who appeared bcrore me. Pr ved <br />A01yub is Signau re <br />Notary Public Seal <br />37 of 41 <br />25D-82 <br />CHRISTINA LYNN HENRICKSEN <br />Notary public -California <br />Itiversldetcunty i <br />Commission C 2252147 <br />My Comm. ExplresAu2 2, 2022 <br />