Laserfiche WebLink
SECTiON 2 1 Certificatinns <br />Appendix <br />AT-fACHMENT3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON-COLLUS I ON AF A DAVI T <br />(Tifle 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITYOF SANTA ANA DEPARTMENT 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 Mialf of. anV Undi-Closed person. partnership. <br />company, association, organization, or corporation, that the bid is genunile and not collusive or sharn: 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 shani bid. or that anyone shall refrain frorn bidding-, that the BIDDER has not in an), <br />manner, &-ectly or indirectly. sought by agreement, conimurlication, 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 an), other BIDDER, or to secure any advantage against the public body awarding the contract <br />of anvone interested in the proposed contract-, that all statements contained in the bid are true, and, farther., <br />that tihe BIDDER has not, directly or ir�directly. submitted his or tier bid price or any breakdoA n thereof. or <br />the contents thereof. or divulged iiiformation or data relative thereto, or paid- and will not pay, any fee to <br />any corporation. par tnership, company associatiom organization, bid depository, or to any member or agent <br />thereofto effectuate a collusive or sharn bid. <br />Note: 'rhe above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the <br />signature portion thereof shalt. also constitute signature of tWs Non -collusion Affidavit, BIDDERS <br />are cautioned that making a false cerffication may subject the cerffier to crininal prosecution. <br />Signed L_711 4 e_z�', <br />State of California <br />Couniv of 99��� <br />TJ - <br />i�.!iqribcd and �sworn to (or affirmed) before me on this 13 daN of 202;31,�, <br />IbINOM 56(r6A.. provedtomeon the basis oCsatisfactoryev7idencetobe� the person(s) who appeared <br />before me. <br />INNA DINICOLA <br />I Notary PUblk - C,1jf.Xrja <br />Oraille Counry <br />Commisslom 124173 54 <br />My COMM. Expires Sep 20, 2D26 <br />JiMNI'lublic I 4'natt re Notary Pubfic Seal <br />City of Santa Ana RFP 22-097 <br />Page A 3-1 <br />22 il fl, i r r m <br />