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Page 120 <br />ATTACHMENT 3-1 1 NON -COLLUSION AFFIDAVIT CERTIFICATION <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />(Title 23 United Slates 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 Tide 23 United Steles 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 corporations that the bid is genuine and not collusive or sham; that the <br />BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, <br />and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else <br />to put in a sham bid, or that anyone shall refrain from bidding: that the BIDDER has not in any manner, <br />directly or indirectly. sought by agreement, communication, or conference with anyone to fix the bid price <br />of the BIDDER or any BIDDER or to fix any overhead, profit, or cost element of the bid price, or ofthat of <br />any other BIDDER or to secure any advantage against the public body awarding the contract of anyone <br />interested in the proposed contract: that all statements contained in the bid are true; and. further, that the <br />BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the <br />contains thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to my <br />corporation, partnership, company association, organisation, 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 pad of the Proposal. Signing this Proposal on the <br />signature portion thereof shall also consdNte signature of this Non -collusion Affidavit. BIDDERS <br />are cautioned that making a false certification may subject the certifier to criminal prosecution. <br />Signed <br />State o(Califomi. <br />County of <br />Subscribed and sworn to for afftmed) before me on this _ day or 20 , by <br />, proved 1a me on the basis of satisfactory evidence to be the fars s) who appeared <br />before me. <br />SEE <br />ATTACHED <br />Notary Public Signature Notary Public Srnl <br />City or Santa Ana RFP W"35 <br />PageA l <br />Request for Proposals for On -Call Engineering Plan Check Services <br />City of Santa Ana <br />