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DocuSign Envelope ID: A8CBD79E-49CB-49A9-BE5B-498AO2933D51 <br />.......... ... <br />.. ........ ... <br />.::�:.:....%.:.:.:�..��:��.....ATTACIIMENT3-1:.NON-COLLUSIONAFFIDAVI <br />................. <br />...... . ....... <br />NON -COLLUSION AFFIDA'�qT <br />Jille 23 United States Code Section 112 and ...... <br />Pubfic Contract Code Section 7106) <br />To (he CITYOF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 th B DDER <br />e <br />declares that the bid is not made in tile interest of, or on behalf of, any widisclosed person, partnersh' <br />company, association, organization, or corporation; that the bid is genuine and not collusive or shain; that <br />the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a fatse or sham <br />bid, and has not directly or indirectly colluded, consp' ed, connived or agreed with any BIDDER or anyone <br />ir <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 agreemerit, coMinunication, or conference with anyone to rLx the <br />....bid price of the BIDDER or any BIDDER, or to fix any overhead, prorg, 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 <br />contract <br />of anyone interested in the proposed contract; that all statements contained in the bid are true; and, farther, <br />that the B I DDER 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 />-apany association, organization, bid depository, or to any member or agent <br />any coiporation, partnership, cot <br />Ahereof to effecwe a collusive or sham bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal Signing tl* Proposal on tile <br />signature portion thereof shag also constitute signature of this Non-coflusion Affidavit, BIDDERS <br />are au e t Is certification may subject the certifier to criminal prosec <br />ution. <br />Signed <br />or <br />State of California <br />County of <br />Subscribed and sworn to (or affirmed) before me on this d ay o f !gW-CL 2 0 <br />13 by <br />proved to m.e.on. the -basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />ANDREA TMESA BERG <br />CON. 02427656 <br />wrav man- CUMMIA 71 <br />LN <br />otary Public Signature <br />Notary Public Seal <br />q tiDn <br />zLEA "A 01* <br />27," <br />a <br />. . .............. ........... City of Santa Ana R <br />................... FP 22-097 ...................................................................... <br />Page A3-1 <br />