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Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NON -COLLUSION AFFfDAVI't' <br />(Title 23 United Smtes 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 0nited States Code Section 112 and Ilublic Contract Code 7106 the BIDDER <br />declares that the bid is not inade in the interest of, or on behalf of, any undisclosed person, partnersbip, <br />company. association, organization, or corporation; that the bid is genUine and not coliusive or shani; that <br />the BIDDER has not directly or indirectly indLiced or solicited any other BIDDER to put in a false or shain <br />bid, and has nut dircutly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone <br />else to put in a sliam bid, or that anyone shall refrain From bidding; that the BIDDER has not in any <br />manner, directly or indirecily, sought by agreement, communicition, Dr conf6rence with anyone to fix Oic <br />bid price of the BMDER or any BIDDER, oi� to fix any overhead, profil, or cost element of the bid price, <br />or of that of any oflier 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 tnie; and, further, <br />that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereoi; or <br />the cuntents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to <br />any corporation, parmer.qhip, company association, organizatioii, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sharn bid. <br />Note: The above Non -collusion. Affidavit is part of the Proposal. Signing this Proposal on Ille <br />signature portion thereof shall also constitute signature of this Non -collusion Affidavit. BIDDERS <br />are cautioned that makinga false certifiCati011 11lay SUbject flie ceitifier to criminal prosecution. <br />Signed <br />State of California <br />county of cst�*iw <br />Subscribed and swom to (or affirmed) before me on this day of P-,-k 206 by <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before rne. <br />MATTHEW HSING <br />Notary Public - California <br />Orange County <br />Commission # 2405639 <br />4Notary P�ub�lic Si tire Notary Public Seal *my Comm, Expires Ma <br />CALIFORNIA ALL-PURPOSE ACKWC)ftEDGMENT <br />A notary public or other officer completing this <br />certlilcate v9diles only the identity of the <br />ln&4dual who signed the document to which Ihis <br />cqrtlficatq is attached, and not the truthfuirim, <br />accuracy, or vaildity of that document, <br />City of Santa Ana RFP <br />Page A3-1 <br />