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4. Certifications Appendix ATTACHMENT 3-1: NON COIJ USION AFFIDAVIT CERTIFICATIONS VM QUUSIONAFFIDAVIT (Title 23 United States Code Section 112 end Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of or on behalf 4 any undisclosed person, parmerablA Company, associadon, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or Indirectly Induced or solicited my other BIDDER to put in a false or sham bid, and has not directly or Indirectly colluded conspired, connived or agreed with 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 manner, directly or Indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or Cost element of the bid price, or of that of any other BIDDER, or to secure my advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements Contained in the bid we we; and, further, that the BIDDER has not, directly or Indirectly, submitted his or her bid prim or any breakdown tbereof, or the eordams thveof, or divulged Information or data relative thereto, a paid, and will not pay, my fee to any corporation, partnership, compm y association, organization, bid depository, or m my membcr or agent thereof to effectuate a Collusive or sham bid. Note: The above Non -collusion Affidavit Is part of the Proposal. Signing this Proposal on the signature Portion thereof shell also constitute Signature of this Noncolluslon Affidavit BIDDERS are cautioned that makir 4. lse eartificadlon may spbjeot the certifier to criminal prosecution, Signed State of California County of Subscribed and swam to (or affhmed) before me on thisday of . 20_,, by before me. proved m me on the basis of satisfactory evidence to be the person(s) who appeared Cj.2� 711 "'�G/tfr YlLy"� Notary Public Signature Notary Public Seal City ofS rata Ma RFP Pogo A3 -t Proposal for On -Call Right of Way Property Appraisal Services RFP No. 18-082, City of Santa Ana 25J-66 21