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CITY OF SANTA ANA RFP NO.: 21-033 ON -CALL HVAC MAINTENANCE AND REPAIR SERVICES NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the. proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making"se certification may subject the certifier to Signed State of California County of Subscribed and sworn to (or affirmed) the person(s) who appeared before'me Notary Public Helen Leonard ,5ez 5tt_or,., fore me on this day of , 20_, by me on the basis of satisfactory evidence to be A notary public or other oaicor comploling this ce irlato verifies ork/the iderifily tIhn i..dividuaI who signed the document to which this codiricale is attached, and not the hothfulness, accuracy, orvaliday of Ihatdacument. STATE OF CALIFORNIA COUNTY OF CoS i (ELES Subscribed and swamto(or affirmed) belore me on this_ %yof A"ORI` 20Zt_ by Hft, > LevnrARD proved to me an the basis of satisfactory eviden be n(s) who appeared befareme. i (Signature of PI^C; Notary Public Seal TONY TIGRAN KARA-SIMONYAN Notary Public - California Las Angeles County Commission X 2264183 My Comm. Expires Nay 20, 2022 Page I of]