Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6897 <br />FLOWER STREET BIKEWAY <br />FEDERAL PROJECT NO: IISIPL 5063 (187) <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 clement 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 of the Proposal. BIDDERS are cautioned <br />that makiVaa falsertifieation may subject the certifier to criminal prosecution. <br />State of <br />County <br />Subscribed and swam to (or affirmed) before me on this I'ft day of �dt. , 2t�_, by <br />t1>th 1N1 proved tome on the basis of satisfactory evidence to a the person(s) <br />who appearedWfore me <br />C'k1SCA <br />ary Public Signature <br />A notary public or wo <br />wmpletingShia eaniflcate veAi�tlenlity o!the individual whoocument lawhich this cerlifiead, and notthe truthfulness, aalfdlty of <br />that document. <br />Notary Public Seal <br />.,,;,�; ELISA BETH LIM <br />Commission No. 2281937 <br />ORNIA <br />t � ` NOTARY A.B E CH LI MA <br />SAN BERNARONJO COUNTY e <br />My Comm Expires MARCR 2L 2023 E[ <br />