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ATTACHMENT 3-:1: <br />AFIFIIDA'4'IT <br />NON.COLLI)SIQN AFFIDAVIT <br />(Title 23 United States.Code Section I12 and <br />Public Contract Code Section 710.6} <br />To the CITY OF'SANTA ANA DEPARTMENT OF.PUBLIC WORKS: <br />in accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares <br />that the bid is trot 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 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 of 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 Trom 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 ofany other BIDDER, or to secureany 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 notpay, <br />any fee to any corporation, partnership, company association, organization, -bid depository, or to any member or agent <br />thercofto effectuate acollusive or sham.bid, <br />Note: The above Noncoltusion Affida ' 'per <br />f the Proposal. Signing ibis Proposal on the signature <br />portion thereof shall also c re Non -collusion Affidavit. BIDDERS are cautioned that <br />making afalse certi' ion may , �eceo criminal prosecution, <br />Signed <br />Stateof California <br />County of <br />Subscribed .and sworn to (or affirmed) before me on this . day of 20 Y by <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />Notary Public Signature <br />See 4tao6iti4 VftM fist <br />Blau" cortHkmte <br />Notary Public Seal <br />City o��fQS��aggnyytagqAna RFF <br />