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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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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 Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section I U mid Public Contract Code 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 genuiue,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 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 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, 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 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 false certification may subject the certifier to criminal prosecution. <br />Signed <br />'State of California - <br />County of CeANG1 <br />Subscribed and sworn to <br />(or affirmed) before me on this day of 21Y9 by <br />to me on the basis.of satisfactory evidence to be the person($) who appeared <br />MICHAEL CARON <br />Notary Public •.California <br />r " Orange County <br />+r , , Commission 2159225 <br />- <br />My Comm. Expires Aug 2, 2020 <br />Notary Public Seale}° tv ,{ <br />25F-37 <br />
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