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On -Call Engineering Services RFP No. 23-030 Appendix ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT CERTMCATIONS 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 colludcd, conspired, connived or agreed with any 13IDDER 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 a�o �1�4on-collt si 6)Affid�vit is,part of the Proposal. Signing this Proposal on the i rtlo signature po or 41cof sbal Is constitute signature of this Non-uollusion Affidavit. BIDDERS Is are cautione�& t ii�king a P FIse wification. may subject the certifier to criminal prosecution, Signed — 4 — 1_�� Darren J. Adrian, Sr. Vice President State of California County of bypawe_ 3 Subscribed and sworn to (or affirmed) before me on this y�k day of M" 209 ,9 by r,% RAV-�� proved to me on the basis of satisfactory evidence to be the persono who appeared before me. Notary Public Signature — 0 — — r EMMASORTO Notary Pt�b;lc - California Ora" 9� County Commission # 2317t56 0Ny Comm. Expires Jan 21, 2024 Notary Public Seal City of Santa Ana RFP Page A3-1 City Council 20-49 5/16/2023 Kimlep) Horn GMOC77011.2023 ix