Laserfiche WebLink
RFP NO. 20-124 <br />COANFJINI <br />Information Technology As -Needed Professional Services <br />(a <br />CITY OF SANTA ANA <br />ATTACHMENT C <br />N01144--OLLUSION AFFIDAVIT <br />(Title 23 Linued Statas Code SeGlion 112 and Public Contract Coda Section 71CIS } <br />7c the CITY OF SANTA ANA <br />In acwfdarrce with Title 23 United Slales Code Sectlao 112 and Public Cantrsct Coda 7106 the proposer <br />declares lhat the proposal is nol made in Lhe interest of, or on behalf of, any undisciosed person. <br />partnership, company, associatkan, organization. or corporation-, lhat the proposal is genkiine anal r1of <br />collusive or sham; That the proposer has not directly or indirectly induced car solicited any-Ither proposer <br />to put In a false ar sham proposal, and has not direotty or indlrectly colluded, conspired, connived or <br />agreed with any proposer or anyona also to put in a share proposal, or that anyone shall refrain from <br />bidding; that the proposer has not in any manner. directly or indirectly- nought by agfeement, <br />nommunicatoon, ar conference with anyone to Fix the proposal price of the pmposeror any proposer, or <br />to ft ally overhead, profit. or cast element of the proposal pfice, or of that of any other proposer, or to <br />secure any advantaga against the public body awarding the o4ntraok Of anygnr interested M the <br />proposed contract; thaal all stalements contained in the proposal are true; and, further. that the proposer <br />has not, directiy or indirectly. submitted his or her proposal price or any bfieakdown thereof, or the <br />contents thereof, or dlvtllged information or date relative thereto, or gold, and will not pay, any fee to any <br />corporation, parinarship, company association, organization, laid deposhory, ortp any member or agent <br />theFeot to effeeWate a UIIIUSlve Or sham prapogal- <br />Note; The above noncollusion affrdevit I* part of the proposal. Signing thEls proposa-1 on the Signature <br />portion thereof shall also constitute signature of this noncollusion affidavit. Proposers are raulione-d that <br />making a false cartificalion may subject the certifier to criminal proseruVon. <br />State of County of �rtt <br />Sue ribed nd m to (or affrtned) before rise on this � � day of , b]r <br />x y proved to me on the trasis of satisfactory owdence to be the persons) <br />who appeared before me. <br />FIHOL YO - <br />ftrwy PUMkddXdWA . <br />�MVIIAW- <br />Notary Public Signalure Nolary Puhl►c Seal <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. --- <br />PROPOSALS THAT DO NOT CONTPJN THIS FORM WILL BE CONSIDERE rwIONRESPONSIVE, <br />RFP No- 20-f24 Mformalfan Technology As -Needed Arofass�war Services Fege 32 of 35 <br />Infojini Inc. Response - 73 <br />M lcrosoft s"„ a•cri r ro i ; 7, <br />partner partner <br />