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Last modified
8/19/2024 1:02:52 PM
Creation date
6/26/2023 3:42:30 PM
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Contracts
Company Name
KIMLEY-HORN
Contract #
A-2023-088-01
Agency
Public Works
Council Approval Date
5/16/2023
Expiration Date
5/15/2026
Insurance Exp Date
4/1/2024
Destruction Year
2031
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Engineering <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Cade Section 7106) <br />To the CITY OF SANTA ANA DEPARTNvIENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER <br />declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that <br />the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone <br />else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any <br />manner, directly or indirectly, sought by agreement, 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 true; and, further, <br />that the BIDDER has not, 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 sham bid. <br />Note: The t <br />oncollusi Affidavit is part of the Proposal. Signing this Proposal on the <br />signature poeof shal Is constitute signature of this Non -collusion Affidavit. BIDDERS <br />are cautioneking a Ise 'fication may subject the certifier to criminal prosecution. <br />Signed � Darren J. Adrian, Sr. Vice President <br />State of Cal�iif'�o�rn�ii�a"��� <br />County of bmimy, ,, <br />Subscribed andJJ,�{ �Iswom to (or affumed) before me on this 3 "- day of t'r�t 2023 by <br />�AMtCt'1 PVtYCA. , proved to me on the basis of satisfactory evidence to be the person$) who appeared <br />before me. <br />ESL•\ <br />Notary Public Signature <br />GwpIr Cal <br />Notary mis Cm Callrpmla <br />o.an9e cowry E <br />6 Commission l)gA6 <br />3 y Comm MDo,.. 6plJam 11, 1014 <br />Notary Public Seal <br />City of Santa Ana RFP <br />Page A3-t <br />Kimley)>Morn <br />
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