Laserfiche WebLink
4. CERTIFICATIONS <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTMCATIONS <br />NON -COLLUSION AFF Tr <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and PublicContract Code 7106 the BIDDER <br />declares that the bid is not made in the interest of, or on behalf of� any undisclosed pemn, partnersNp, <br />company, association, organization, or cotporation; that the bid is genuinc and not collusive or shani; that <br />the 13 1 DDER has not directly or indirectly induced or solicited any other BIDDER to put in a thIse or sham <br />bid, and has not directly or indirectly collud4 conspired, connived or agreed with any BIDDE, R or anyone <br />else to put in a sham bid, or that anyone shall tefirain from bidding-, that the BTDDER has not in any <br />manner, directly or indirectly, sought by agreeruen� communication, or conference with anyone to fix the <br />bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, <br />or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract <br />of anyone interested in the proposed contract; that all statements contained in the bid are (rue; and, further, <br />that the BIDDER has nK directly or indirectly, submitted his or her bid price or any breakdown thereof, or <br />the contents thereof, or divulged information or data relative, thereto, or paid, and will not pay, any fee to <br />any corporation, partnership, company association, organization, bid depository� or to any member or agent <br />thereof to effectuate a collusive or sbam bid� <br />Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the <br />signature portion thereof shall also constitute signature of this Non-coll-usion Affidavit. BIDDERS <br />are 50droftV that making a false certification may subject the certifier to criminal prowt1fiou. <br />Signed <br />State ofCalifornia <br />County 0 -wornia <br />Subscribed and swom_-1Q,__(or - affnumd) before me on this - First day of March 20,K3, by <br />Darin Johnson P", a the basis of satisfactory eNidence to be the pemn(s) who appea=d <br />before me. <br />Notary Public Signature Notary Public; Seal <br />City of Santa Ana RFP <br />Page A3-1 <br />ON -CALL SERVICES �.TIIOIAI <br />ounc Page A-1 7 <br />City of San "Irl""n'"iT 20-287 5/1001 <br />