Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2683 THRU 16-2689 <br />NEW LIGHTING AT 6 PARKS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br />BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genuine and <br />not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other <br />BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, <br />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 <br />agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any <br />other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other BIDDER, or to secure any advantage against the public body awarding the contract of anyone <br />interested in the proposed contract; that all statements contained in the bid are true; and, further, <br />that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown <br />thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will <br />not pay, any fee to any corporation, partnership, company association, organization, bid <br />depository, or to any member or agent thereof to effectuate a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part ofthe Proposal. BIDDERS are cautioned <br />�ha�making a false certification may subject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of_ c r\ .e,rhgrdi ilC) <br />Subscribed and sworn to (or affirmed) before me on this y day of 20/ by <br />proved to me on the basis of satisfactory evidence to 1 fe the person(s) <br />who appeared before me <br />� n <br />Public Signature % Notary Public Seal <br />_ BA6IDNAE15aoElGADO <br />Notary Pu61ic-California <br />San Bernardino County f_ <br />-� Commission a 1316566 <br />Ny Comm. Eapirn All T. SC22 <br />P-11 of P-16 <br />