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Appendix <br />ATTACHMENT 3-1- NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION MEIMM <br />(Titte, 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 Giiicd States Coale 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 gointine and not collusive or shorn; that <br />the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in it palse or shorn <br />bill, and has not directly or indirectly colluded, conspired, contrived 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 tine BIDDER or any BIDDER, or to fix any overhead, profit, or cost cloment of the laid 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 inn 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 thorcol; 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 mcnnber or agent <br />thereof to effectuate acollnsiveorsham bid, <br />Note: The, above iNmi-collusion Affidavit is part of the Proposal, Signing this Proposal on the <br />signature portion thereof shall also constitute sitmature of this Nan -collusion Affidavit. BIDDERS <br />are cautioned that making a false certification, may subiect the certifier to criminal prosecution, <br />Signed <br />State of Califonria <br />County of ±& e <br />Subscribed and sworn to (or affirmed) before me on this 3 day of MOH 20Z3, by <br />Qcu proved to me on the basis of satisfactory ovidence to be the person(s) who appeared <br />before ore. <br />MATfHEw HSING <br />d Notary Public - California <br />= - Orange County tr <br />s COmmISSlon N 2405619 <br />° My Comm. Expires May 25, 2026 + <br />Notary Public Sigivikure Notary Public Seal <br />CALIFORNIA ALL-PURPOSE ACKNOwmemaN'r <br />A notary public or other officer comptattn® this <br />ceratiests verities only the Identity of the <br />individual who signed the document to which this <br />ranlllcate is attached, and not the truthfulness, <br />accuracy, or valldlty of that document, <br />City of Santa Ana RFP <br />Page A3-1 <br />