Laserfiche WebLink
Attachment 3-1: Non -Collusion Affidavit <br />Appendix <br />V171"ACHNIENT {-1) NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />FICATIONS <br />NON-COLLUMN AFFIIIAVII <br />(Title 23 United States Code Section 112 and <br />Publi¢Conmtn Code Section 7106) <br />To she CITY Gr SANTA ANA DrPARTMFNTFF PUBLIC WORKS <br />In accordance wilh Title 2J UnircJ States Code Section 112 and Public Contract Code 71(M the BIDDUR Jnlunn <br />rhu. the bid is not made in the nouteu of, For on beFulf. of. any undisclosed pvavn, partnership, comIs ny. assurta[isirl, <br />cxgani�aniotn, or curprxalion, that tlx biJ is greener and rxt cvllminw w shnm. that the nE DDI LR had rug dimtic w <br />mditectly induced m wheiud any cncar BTDDER to Ni to a false or sham had, and has nor directly ax irrdireu 1, <br />aalhaScd. rntlaptcd. s%iltnrvcd III agtecd with. Any ISIDMR or asryorn: else to put in a sham bid. w thal mytmc shall. <br />refrain from htdding. tiw the VIDDER has not in an} man". dtrecdy ax tndtrec-tly. serught by Agreerncnl. <br />:.vnmunr®nmr. or conlirance with un.}nnc to lie the MJ Imae ulthe BIDDER OF Am' HIDDEX For an lie an. <br />•.•erhead. i ir. ax first ckmrmt of the bid price. or of it m of an} user HIDPF R. ur m secure any ads amage aypiw <br />:he public ba{y auanlute the cuncaer of anyurre inteested in the pmpused coFo=:r_ that all su umorrrLs conrauwd in <br />she hid arc true: And. runhcr. that the 9ERnFR has mg. Jrmtly or indirectly, submiucJ hit or her bid price OF any <br />breuicalown there t. w the wnren[s thereof or dicul-Lmd infitnttation For dare relative thcreru_ or paid- and %ill not pay. <br />any I'Rc to any erxlM ll"FI, pornmen hip, annppny as:WoCunkm oryanrratiun. bid rk'pLftlE n`,.. or to arty rncmher or 4gartl <br />Ihwwl la eftocruate a collie iw du sham bud <br />Now. The abncc NoncaRusion AfCu4.•rt is Pan of thic Prapawl. Signing this Proposal car the signature <br />punion thereof shall also cons[irutc sigrutttue of then !ti uollusrnr rllfidasn. BIDDERS " cauraound Thai <br />making may subject the certifies to urmmal present ion. <br />Signed <br />Sa ate of ("Ell rorm <br />CmlwY of �V1 pr <br />Suhscvihed swm 'oui tar affirmed) hefore me on this 19 Jay a#9ear10 � b}. <br />_L(I_r, 15. A 'a-,, proved Ice me on the ht sts of wksl'ncron• nidcnce Ix, he the pereevnsl who appriur.J <br />before me. <br />rAA� t.A .p aN -GABM <br />V�_V Nana P�idmnaArc C <br />' Loa AngMri C..,rr, <br />7 r rLQl'/t„D Y A „F Cprr.nnro. 2 <br />Mt Lpmm Fra*a +Ir e 1 7 7021 <br />4ota n_ Pine Stgaatun tutus Public Seal <br />Gty of Santa Ana RFP <br />Page A$.t <br />Statement of Qualifications for Water Resources <br />2 406 Construction Management and Inspection Services <br />