Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL <br />PROJECT NO. 18-7533: SADDLEBACK VIEW PARK <br />SECURITY LIGHTING <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 anv 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 BI DDER, or to secure any advantage against the publ is 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 o- agent thereof to effectuate a collusive or sham bid. <br />Note: Theabove 0h-, ollusionAffid vitis srtoftheProposal. BIDDERS are cautioned <br />that rn�.Jnl a fals� iticationtntay�ubject the certifier to criminal prosecution. <br />Signed <br />State of California <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 ofsatisfactory evidence to be the person(s) <br />who appeared before me <br />Notary Public Signature <br />Notary Public Seal <br />L 111f 3S2 <br />