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CITY OF SANTA AN,-Ik <br />RFP NO.: 22-023 <br />ARC FLASH ANAYLSIS AND ELECTRICAL SAFETY PROGRAM DEVELOPMENT <br />NON -COLLUSION AFFIDAVIT <br />Title 23 United States Code Seonan 112 and Public Contract Code Section 71065', <br />In conformance with Title 23 United States Code Section. 112 and Public Contract Code <br />7106 the BIDDER declares that the bid is not made in the interest of. or on behalf of. <br />any undisclosed person. partnership, company, association. organization. or <br />corporation, that the bid is genuine and not collusive or shale: that the BIDDER has not <br />directly or indirectly Induced or solicited any other BIDDER to out in a false or sham bid. <br />and has not directly or indirectly colluded, conspired. connived, or agreed with any <br />BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding: <br />that the BIDDER has not in any manner. directly or indirectly. sought by agreement, <br />communication, or conference with anyone to fix the bid price of the BIDDER or anv <br />other BIDDER. or to fix any overhead. profit. or cost element of the bid price. or of that <br />of any other BIDDER, or to secure any advantage against the public body awarding the <br />contract of anyone interested In the proposed contract, that all statements contained in <br />the bid are true; and. further, that the BIDDER has not, directly or indirectly. submitted <br />his or her bid price or any breakdown thereof. or the contents thereof; or divulged <br />information or data relative thereto. or paid, and will not pay. any fee to any corporation. <br />partnership, company association, organization. bid depository. or to any member or <br />agent thenaof to effectuate a r,'olliasive or sham bid. <br />dote fhe ° `eve Non -collusion Affidavit is part of the Proposal BIDDERS are <br />t :tr?ed that making a false certification may subject the certifier to <br />criminal nro don <br />Signed <br />State of California <br />County of <br />Subs ^, bh.ed an sworn to (or affirmed) before me on this 02 day of y 20_? 2- <br />by lei __ s L,proved to me on the basis of satisfactory evidence to <br />be the persons ho appeared before me <br />Notary Public Signature <br />1 JAVID i. AMLIWALA <br />COMM, <br />Q Notary Public • calitornia <br />Z•.� R _o <br />A i orange County <br />, Comm. Explres Aug. 28, 2025 <br />Notary Public Seal <br />A notary public or other o> i+:+er completing this <br />certificate verities only the identity of the indi- <br />vidual who signed the document to which this <br />certificate is attached, and not the truthfulness, <br />accuracy, or valldk of that document, <br />City of Santa Ana RED' 22-02 i T - --- ---- ... <br />Arc Flash Analysis and Electrical SaFely Program Development <br />Page 38 <br />