Laserfiche WebLink
RFP No. 19-1IS <br />Attachment 3-1: Non -Collusion Affidavit <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDA%'tT <br />CERTIFICATIONS <br />IC'ATIONS <br />SON -COLLUSION AFFIDAVIT <br />(Tide 23 United States Code Section 112 and <br />Public Contract Code Section 71061 <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 dalam <br />that the bid is not made h1 the imer st of, or on behalf of, ,my undisclosed Amon, partnership. company. association, <br />oruanicnion, or corporation; that the bid is genuine and not collusise or sham; that the BIDDER has not directly or <br />indnatly induced or solicited any other BIDDER to put in a false or shun bid, and has not directly in indirectly <br />nalludcd, conspired. connived or agncd with any BIDDER or anyone else in put in a sham bid, in tint anyone shall <br />retrain from hickling. that the BIDDER has not in any manmr, directly or Indircvtly, sought by agreenem. <br />communication, or conkimcc with anyone to fix the bid Prior of the Bn7DFR or any BIDDER, a to fix my <br />merhetd, profit. or cast elememt of the bid price, ar ol'that of my other BIDDER. or to sauce any ad%amage against <br />the Public body awardms• 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 trial, directly or indirectly. submitted his or her bid price or any <br />breakdown theneef. or the contents thereat', or divulged information or data relative ihcrato. a Paid, and will not Pay. <br />any fee M any corporation, partnership, company association. Mirmitanon. bid dcpositon, or to Any member in ugem <br />thereof to effectuate a collusive in sham bid <br />Now: Ibc abase Non-colluxmn AfThda.at is Pan of the Proposal. Signing this Proposal ah the signature <br />portion thereof shall also constitute signature of this Non-collwion A16davii. BIDDER\ are cautatnl than <br />making 5,1gsey0ificanon may subject the certifier to rnmhrmi prosecution. <br />Silmcd <br />State of Cnlifomt <br />C'aunry of �G��r3 <br />Suhscnhecl m swum to (or affirmed) before me on this 19 day of Y[C4* 20t t by <br />A Cti , Pm?ved to trw on the basis of swsfactory e,,T we 1, the the pershm(s) who appeami <br />before me. <br />AIVIPJA MAA�JA JEAN HIGASHI <br />Notary Pullin: • Causlumi <br />Los Angnlas Cowry <br />Comm,rua1185 AM 953 <br />ai, My Comm EvO�rse Ay 1 7021 <br />",man Pu I Signam Naam Public Seal <br />ity of Santa Ana RFP <br />Page A3-1 <br />Statement of Qualifications for Water Resources <br />Attachment 3-1 Construction Management and Inspection Services <br />