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Item 17 - Agreements for Rental Equipment Services
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Item 17 - Agreements for Rental Equipment Services
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4/14/2025 9:43:39 AM
Creation date
4/9/2025 2:51:35 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Parks, Recreation, & Community Services
Item #
17
Date
4/15/2025
Destruction Year
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(9) CITY OF SANTA ANA <br />ATTACHMENT D <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the proposer <br />declares that the proposal is not made in the interest of, or on behalf of, any undisclosed person, <br />partnership, company, association, organization, or corporation; that the proposal is genuine and not <br />collusive or sham; that the proposer has not directly or indirectly induced or solicited any other proposer <br />to put in a false or sham proposal, and has not directly or indirectly colluded, conspired, connived or <br />agreed with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain from <br />bidding; that the proposer has not in any manner, directly or indirectly, sought by agreement, <br />communication, or conference with anyone to fix the proposal price of the proposer or any proposer, or <br />to fix any overhead, profit, or cost element of the proposal price, or of that of any other proposer, or to <br />secure any advantage against the public body awarding the contract of anyone interested in the <br />proposed contract; that all statements contained in the proposal are true; and, further, that the proposer <br />has not, directly or indirectly, submitted his or her proposal price or any breakdown thereof, or the <br />contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any <br />corporation, partnership, company association, organization, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham proposal. <br />Note: The above non -collusion affidavit is part of the proposal. Signing this proposal on the signature <br />portion thereof shall also constitute signature of this non -collusion affidavit. Proposers are cautioned that <br />making a false certification may subject the certifier to criminal prosecution. <br />Signed: Judson T (Ted) Cook <br />State of G County of o rLe _ <br />Sub cribed and sworn to (or affirmed) before me on this day ofr 20a5 by <br />Un Th(A Qrt CAG&•, proved to me on the basis of satisfactory evidence to the person(s) <br />who appeared before me. <br />� I 0;J ti�" <br />Notary Public Signature Notary Public Seal <br />CLAIRE HUNN <br />"My <br />Notary Public • California <br />Orange County <br />Commission M 2462E33 <br />Comm. Expires Sep 12, 2027 <br />City of Santa Ana RFP No. 25-004 Page 28 of 27 <br />
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