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FULL AGENDA PACKET 2021-07-06
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FULL AGENDA PACKET 2021-07-06
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City Clerk
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Clerk of the Council
Date
7/6/2021
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G — Non -Collusion Affidavit (page 1) <br />EXHIBIT 3 <br />TO BE INCLUDED IN PROPOSAL <br />EXHIBIT G <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENT <br />REQUEST FOR PROPOSALS FOR ENVIRONMENTAL SERVICES HOUSING DIVISION <br />PROPOSAL. AND CONTRACT AGREEMENT <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, <br />In »annrrtanrp with Title 23 United States Code Section 112 and Public Cnntmi-t Cnde 71m the PROPOSER <br />declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, <br />association, organization, or corporation; that the bid is genuine and not collusive or sham, that the PROPOSER <br />has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham bid, and has <br />not directly or indirectly colluded, conspired, connived or agreed with any PROPOSER or anyone else to put in <br />a sham bid, or that anyone shall refrain from bidding; that the PROPOSER has not in any manner, directly or <br />indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the <br />PROPOSER or any PROPOSFR, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other PROPOSER. 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, that the <br />PROPOSER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the <br />contents 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 agent thereof <br />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 of this Non -collusion Affidavit . PROPOSERS are cautioned <br />that making a false certification may subject the certifier to criminal prosecution. <br />State of California p �" <br />County of L� e�-C 1=c� �� l� �c`v`�-t LJc-✓< _y <br />5u0scrlbed and sword to (ul affititivd) bcfurc me un tlds __ day of , 20._.-,. . by <br />proved to me on the basis of satisfactory evidence to be the person(s) <br />who appeared before me <br />Notary Public Signature Notary Public Seal <br />City of Santa Ana Community Development Agency <br />Request for Proposals f.nviron rnenta l Services — Housing Division <br />i%,x ��(� d/ ,-�✓I/ `�C�-, Page lfl <br />�r'CC y�vdSiOli<//.Ot. <br />
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