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Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <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 <br />BIDDER declares that the bid is not made in the interest of, or on behalrof, any undisclosed person, <br />partnership, company, association, organization, or corporation; that the bid is genuine and not <br />collusive or sham: that the BIDDER has not directly or indirectly induced or solicited any other <br />BIDDER to pin in a false or sham bid, and has not directly or indirectly colluded, conspired, connived <br />or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from <br />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 <br />to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to <br />secure any advantage against the public body awarding the contract of anyone interested in the <br />proposed contract; that all statements contained in the bid are true; and, further. that the BIDDER has <br />not, directly or indirectly, submitted his or her bid price or any breakdown thereof. or the contents <br />thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any <br />corporation, partnership, company association, organization. bid depository, or to any member or <br />agent thereof to effectuate a collusive or sham bid. <br />Note; The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br />portion thereof shall also constitute signature orthisNon-collusion Affidavit. BIDDERS are cautioned <br />that making a falycertification may subject the certifier to criminal prosecution. <br />Signed <br />State of Cali <br />County ofy <br />Subscribed and sworn It (or affirmed) before me on this Ittday of 20k by <br />,, proved to me on the basis of satisfactory evidence o be the person(s) <br />wio appeared before me. <br />QkANASotary PSCU MEHM000Notary ASCIA • Calirarnla <br />Los Angeles County <br />Commission Y 2307407 <br />y Comm. Expires Sep 30, 2023 <br />IO � Ks0 <br />Notary Public Signature Notary Public Seal <br />City of Santa Ana RFP 20-096 <br />Page A3-1 <br />25B-35 <br />