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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 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 Public Contract Code 7106 the proposer <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 proposer has not directly or indirectly induced or solicited any other proposer to put in a false or sham <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with any proposer or anyone <br />else to put in a sham bid ' or that anyone shall refrain from bidding; that the proposer 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 proposer or any proposer, or to fix any overhead, profit, or cost element of the bid price, or <br />of that of any other proposer, or to secure any advantage against the public body awarding the contract of <br />anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, <br />that the proposer 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 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 -collusion Affidavit. Proposer <br />arc cautioned that making a false certification may subject the certifier to criminal prosecution. <br />Signed "d Al""Z&j_ <br />State of California <br />County of San Bernardino <br />Subscribed and swom to (or affirmed) before me on this 21st day of Febru , 20 3, by <br />_L <br />Kim S. Rhodes proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />Notary lt� 11c'Signature <br />VERNA J. ADAAS <br />Notary Public - California <br />IF San Bernardino County <br />Commission # 2356312 <br />y Comrn. Expires may 14, 2025 <br />Notary Public Seal <br />A notary public or other officer completing this certificate verifies only the Identity of the in dIvIdua I who signed the document <br />to which this certificate is attached, and not the truthfulness. accuracy, or validity of that document, <br />City of Santa Ana RFP <br />Page A3-1 <br />