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Appendix ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT CERTIFICATIONS NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance 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 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 bove Non-c usion Affidavit is part of the Proposal. Signing this Proposal on the si at re o on there 11 also constitute signature of this Non -collusion Affidavit. BIDDERS ar-ca�iti n ait na in false certification may subject the certifier to criminal prosecution. Signed State of California ✓ County of Jve�SI(�i.Q Subscribed an sworn to (or affirmed) before me on this �9 day of/�"CM�220a� by ? , proved to me on the basis of satisfactory evidence to be the person(Vwho appeared efore me. Notary Public Signa re_-- A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of thart document. `,E,LorT4f C. WEST r = Notary Public - California Riverside County Commission # 2363387 "' My Comm. Expires Jul 1, 2025 Notary Public Seal City Council City of Santa Am RFfbO 11 /15/2022 Page A3-1 Doc ID: 3bfbb52d19c5298a402d119d54d1abfcOb19123e