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ATTACHMENT 3 -- NON -COLLUSION AFFIDAVIT (Ilde33 United States Code Section 112 and Public Counsel Code Section 1106) To the CI fY M SANTA ANA DEPAR"UAFNT OF FUbUC WORKS In accordance with Title 23 United States Code Smiion l I and Public Contract Code 1106 the BIDDER declarer that Ute bid is not trade in the interest of, or on behalf ol; any undisclosed person, parbacit dp, company. assea is ian, organization, or corporation; Arch the bid is geuoine and nor call usivo or shorn; that the BIDDER has not dirooly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indircetly colluded, conspired, connived or agreed with city BIDDER or amyotro alse is put in a shain bid, or that anyone shall refrain tram Melding, that the BIDDER: has not tit any manner, directly or indirectly, soughs by agreement, or conferencewills anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead profit, orcoat element of the bid price,ornf that ofany other BIDDER, or to secure any advantaea against dte Public body a<vardiag the contract of anyone intcresicd in the proposed contract, that all statements contained in the bid etc one, and, further, that the BIDDER has not, directly or indirectly, a bniltfed Sus or her bid price or nnq breakdown thereof, or the contents thereof, or dirulged 9ntormnhon or data relative thorem, or paid, and will not July. any fee to any corporation, prenschip, company association, organization. bid depository, or to any member or agars thereof to effectuate a collusive or shun bid. Role: theabo' ca aollusinn Affidavit is part of the Proposal. Sipring this Proix'oh an tht duceure portion thereof ,hall aluocon"strut sr,n there the Nnn•eellasien rlfhSdaett BIDDERS are cawurned nor routines ae ceriifinauar, tiny mb'iactrtt/fte,4 bh r OCS rm p s chatchatt} Signed 7q \ i .d ./ State orcalifrinna County oC,o„ ,A0 CC, Sutxssrkber' and un'Zrtts to tt r sfh'r tc dl he#ixc nre on tht C..u;_ dry of Ay�,'U�r}, b} Locr V.-€„/(tl ax5 proved to tic tbn th„ h iv s of s„C_f het try or;denca ft be the p ttn:h{s) who agpbefare V tor" Notary Public Signature W" A`%+:rts TONI M. IPPDLITO to act CQMM, If 2i6e93e X7 ro a NCTARYPUBLICCA.iKgfti!!A� ae"`""'' ORANtlE COUNTY � Wit. MY CpMM. EX7 NqY 18,?q20 Notary Public Seal THIS FORM MUST BE COfdPI.ETED Ahli3 INCLUDED WITH 7f#E PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORD WILI BE CONSIDERED NONRESP0AIVG. City of Santa Arts REP 19.074 Attachntont 3 ALLIED UNIVERSAL JANITORIAL SERVICES 25B-65 Page33