Laserfiche WebLink
CITY OF SANTA ANA <br />INSTRUCTIONS TO BIDDERS <br />PROJECT NO.: 21-6458 <br />MISCELLANEAOUS STORMDRAIN REPAIRS <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 sbam 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 element 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 mak#ig a false certification may subject the certifier to criminal prosecution. <br />Signed <br />sa <br />Curtis R Brown III <br />State of California <br />County of LOS ANGELES <br />4 �p10 <br />Subscribed and orn to (or affirmed) before me on this 031 day of 20_, by <br />Curtis P. Brown fiT proved tome on the basis of satisfactory evidence to be the person(s) <br />who appeared before me <br />Notary Public ignature <br />Notary Public Seal <br />C. PHILLIPS <br />COMM.#2170177 n <br />14Notary <br />Public -California¢ <br />LOS ANGELES COUNTY n <br />My Comm. Expires Oct 29. 2020 <br />P-11 ofP-17 <br />