|
CITY OF SANTA ANA
<br />to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived
<br />or agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from
<br />bidding; that the proposer has not in any manner, directly or indirectly, sought by agreement,
<br />communication, or conference with anyone to fix the proposal price of the proposer or any proposer, or
<br />to fox any overhead, profit, or cost element of the proposal price, or of that of any other proposer, 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 proposal are true; and, further, that the proposer
<br />has not, directly or indirectly, submitted his or her proposal 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
<br />thereof to effectuate a collusive or sham proposal.
<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 that
<br />making a false certification may subject the certifier to criminal prosecution.
<br />State of C—, County of Lh5 &05ele5
<br />Subscribed and sworn to (or affirmed) before me on this 5+ day of March 20_23_, by
<br />W Winnm CaVnlnnuah proved to me on the basis of satisfactory evidence to be the person(s)
<br />who appeared before r�li e.
<br />Notary Public Signature Notary Public Seal
<br />-*See. Attached
<br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL.
<br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.
<br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or
<br />her knowledge and belief, that:
<br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,
<br />to any person for influencing or attempting to influence an officer or employee of any Federal
<br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member
<br />of Congress in connection with the awarding of any Federal contract, the making of any Federal
<br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the
<br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
<br />or cooperative agreement.
<br />ON -CALL INSTALLATION, MAINTENANCE AND REPAIR FOR FENCING AND GATES 40
<br />
|