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<67) City of Santa Ana <br />RFP 23-123 — On -Call Geotechnical Engineering Services <br />GEOCON <br />CERTIFICATIONS4. FROM PAGE LIMIT) <br />ON -COLLUSION AFFIDAVIT <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NONZOLLU5TON AFFIDAVIT <br />(Title 23 United St3Tes Code Smdon 112 and <br />Public Contract Cade Section 7106) <br />To the CITY DF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with Titk- 23 United Stales Code Section 112 and Public Contract Cade 710b the BIDDER <br />declares dial dw bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, <br />company, association, organization, or corporatioe; that the had is genuine and not collusive or sham; that. <br />the BIDDER ]us trot directly or indirectly induced or solidled any other BIDDER tD put in a false or sham <br />bid, and has not di Illy or indirectly colluded, conspired, connived or agreed with any KIDDER or anyone <br />else to put in a sham bid, -or that anyuiw shall rrPrain from bidding-, that. &C BIDDER has not in any <br />manner, directly -or indirectly, saq t 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, na cast clement of the bid price, <br />-or of that of any other BIDDER, or to secure any advantage against the public body awarding the conmtcl <br />of anyone intemled in the propD=d contract, that all statements contained in the bid arc trot; and, further, <br />that the BIDDER has not direcxly or indirectly, submitted his or her bid price or any breakdown twine — f, or <br />tire izimAcnis thumul', or divulged information or data rcla[ivc thcre10, or paid, and will not pay, any foc to <br />any corporation, partnership, company assaeiadom orpartixation, bid depository, or to any member or agent <br />xhereof to effectuate a collusive or sham bid. <br />Note; The above Non-colfusion Affida-vit is part of the Proposal. Signing this Proposal on the <br />dgnaturc portion thereof shall also constitute signature of this Non -collusion Affidavit_ BIDDERS <br />are cautioned that making a false cextiftcmion rnt#y subject the certifier to criminal prosecution. <br />Signed <br />date of California <br />County of <br />:subscribed and sworn To (or a#Tirmod) before me on day of 20-1 by <br />. proved to me on the basis taf s ¢Tory evidence to be the persons] who appeared <br />before me. <br />Noefly+ <br />Notary Nblit Seal <br />Clty of Santa Ana RFP 23-12 a <br />P 9geA3.1 <br />Geocon 2023-333 Page 32 August 28, 2023 <br />