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4. Certifications <br />Appendix <br />ATTACUMNTB-I: NON-COLLUSIONAI+' DAVIT <br />_ CERTIFICATIONS <br />'o :C=V1410NAPFIDAVIT <br />(Title 23 United states Code Section 1.12 and <br />Public Contract Code Section 7106) <br />To dra 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 deolaros <br />that the bid Is not made in the Interest of, or on behalf ot; 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 dinetly or Indirectly <br />colluded, conspired, connived or agreed with any BIDDER or anyone also 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 agreement, <br />communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any <br />overhead, proIIt, 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 contract; that all statements contained in <br />the bid me bve; slid, further, that the BIDDER has not, directly or Indirectly, submitted his or her bid prim or my <br />breakdown thereof, or the contents thereof, or divulged Information or data relative thereto, or paid, and will not pay, <br />my fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or shorn bid. <br />Note: The above Non -allusion Affidavit Is part of the Proposal, Signing this Pinpoint on the signature <br />portion thereof shall also constitute slgnanna of this Non*collusion Affidavit, BIDDERS we cautioned that <br />maki�Ise certification mar subject the certifier to criminal prosecution, <br />Signed <br />State ofCalifornie <br />County of <br />Subscribed and sworn to (or affirmed) before me on this day of „__. 20, by <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before ma. <br />�-ee— Af4-''^419e'1neri-Y- <br />Notary Public Signature Notary Public Seat <br />city of Senta Ana RFP <br />Pogo A3.1 <br />Proposal for On -Call Right of Way Property Appraisal Services 21 <br />RFP No. 18-082, City of Santa Ana <br />