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25F - AGMT - ENGINEERING TECH SRVS
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25F - AGMT - ENGINEERING TECH SRVS
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Last modified
7/11/2019 5:04:18 PM
Creation date
7/11/2019 4:58:18 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25F
Date
7/16/2019
Destruction Year
2024
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4. CERTIFICATIONS <br />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 Cade Section 7106) <br />To the CITY OF SANTA ANA DEPA RTMENT OF PUBLIC WORKS <br />In accordance with Tide 23 United States Code Section 112 find Public Contract Cade 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 />organization, or corporation; that the bid is genuine and not collusive or shorn; that the BIDDER has not directly or <br />indirectly induced or solicited any otter BIDDER to put in a false 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 />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, 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 contract; that all statements contained in <br />the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or tiny <br />breakdown thereof, or the contents thereof, or divulged information ordain relative thereto, orpaid, mid will not pay, <br />any fee to any emponnion, partnership, company association, arganimdon, bid depository, or to any member or ngent <br />thereof to efleeumte a collusive or shambid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br />portion thereof shall also constitute signature of this Non collusion Affidavit BIDDERS are cautioned that <br />making a Use certification may subject the certifier to criminal prosecution. <br />Signed <br />Stale of California <br />CountyofSan Bernardino <br />Subscribed and swom to (or alrhrmed) before me on this 12th day of June 2019. by <br />Ahmed Ansed , proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />bolme me. <br />=Californla <br />A <br />CO703 zz as Notatornla oSanuntyM Com. 1, 2023 <br />Notary Public Signature Notary Public Seal <br />4.1 <br />f' <br />PROPOSAL FOR TRANSWCH <br />ENGINEERING, TECHNICAL AND ADMINISTRATIVE SUPPORT SERVICES, RFP NO.19.045 <br />25F-235 <br />
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