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I Appendix <br />Al" FACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />�. CERTIFICATIONS <br />NON -COLLUSION �[DAvI_r <br />[ 1-itie ?3 United States Code. Section 112 and <br />Public Contract Cade Sectit>n 71 tlb; <br />rn the CITY OF SAINTA ANA DLPAR I MEXI 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 hid is not made in the interest of. or on lkhalf ol: any undisclosed person. partnership. <br />compan%-. association- organization_ or corporation: that the hid is genuine and trot t:ollusive or sham: that <br />the BIDDF..R has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham <br />hid. and has not directly car indirectly colluded, conspired. connived or agreed with any BIDDER or anyone <br />else t0 put in a sham hid. or that anyone shall refrain from bidding. that the 1316DER has not in any <br />manner. directiv or indirwi�_ sought by agreement. communication. or conference with anyone to fix the <br />hie[ price of the I3IIxviz or any BIDDER. or to fix any overhead. profit_ or cast element o-I'the bid price. <br />or nl that of Mtn% other 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 true: and. further. <br />that the BIDDER has not. directly or indirectly. submitted his or her bid price or any breakdown thereof or <br />the contents thereof. or divulged iniortnation or data relative thereto- or paid. and will riot pay. any fec to <br />any corporation- partnership. cornpajry association. organization. bid depository. or to any member or agent <br />thereof' Lo 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, BIDDL:RS <br />arc c tionc eat making a false certification may subject the certifier to criminal prosecution. <br />Signed a <br />State ol'Cal iforifla <br />unty <)f Orange <br />subszribcd and s�%onr to for aftimied) befoTv me on this 11 day of July 1-022 by <br />Amber Costello proved to me un the basis of satisfactory z4idetrce to be <br />before mc_ theperson(s) who appeared <br />Notary Public 5ij arurc Notar7 Public sea! <br />Crty of Santa Ana RFP <br />Page A3-3 <br />