Laserfiche WebLink
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 BIDDER <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 BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham <br />bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone <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 agreement, communication, or conference with anyone to fix the <br />bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, 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 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 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 pgrtion thereof shall also constitute signature of this Non -collusion Affidavit. BIDDERS <br />are capion d thatAmaking a false certifi�on may subject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of S w,� 0 <br />V <br />' and worn t (or affirmed) before me on this -l+{hday of lY 201 b <br />T$' y <br />_ 4 n�, ,�(�.�Ci�proved to me on the basis of satisfactory evidence to be the person(s) who appeared <br />before me. <br />Nota Public Signature <br />KRYSTAL CUTLER <br />Notary public - California <br />QMy <br />San Diego County DCommission <br /># 2288981 <br />Comm. Expires May 18, 2023 <br />Notary Public Seal <br />City of Santa Ana RFP 21-131 <br />Page A3-1 <br />