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C ly of Santo Ana • RFP wl kl -U36 _cmc;oope A nhr1acturoJ Design for - aciflcJ Ele ;trio Pa,t: <br />Attachments <br />APPENDIX_ <br />ATTACHMENTT C-1, NON - COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSAI.S <br />FOR <br />LANDSCAPE ARCHITECTURAL DESIGN SERVICES <br />FOR PACIFIC ELECTRIC PARK <br />RFP NO,: '14.036 <br />v91_.(/A� gQRA y(;): <br />(Tltla 23 United Slates Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT' OF PUBLIO WORKS <br />In acoordanCe with Title 23 United States Code Sootton 112 and Public Contract Code 7106 the BIDDER declares <br />that the bid is riot made in the interost of, or on behalf of, any undisclosed person, partnership, company, <br />association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has <br />not dirootly or Indirectly Induced or Solicited any other BIDDER to put In a falso or sham bid, and has not directly or <br />Indirectly oalluded, conspired, connived or agreed with any BIDDER or anyone else to put In a sham bid, or that <br />anyone shall refrain from bidding; that the BIDDER has not in any mannof, directly or Indirectly, sought by <br />agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDFR, or to fix <br />any overhead, profit, or cost element of the bid price, or of that of any other 0100ER, or to secure any advantage <br />against the publio body awarding the contract of anyone Interested In the proposed contract; that all statements <br />contained in the bid are true; and, further, that the BIDDER has not, directly or Indirectly, submitted his Or her bid <br />price or any breakdown thereof, or the contents thereof, or divulged Information or data relativo thereto, or paid, <br />and will not pay, any fee to any Corporation, partnership, company nssoclation, organization, bid depository, or to <br />any member or agent thereof to effectuate a collusive or sham bid. <br />Note: 'r IRW 76"'No - collusion Affidavit is part of the Proposal. Signing this Proposal on the signature <br />podio leraaf shall aIs constitute signature of this Non collusion Affidavit, BIDDERS are cautioned that <br />mak Ig rl Ise aeCtlWl e� ppNl ss l�oct the certifier to criminal proaeoutlon, <br />Signed <br />Slate Caun <br />of Califnirnla <br />County of �r�✓fy�Q„„, <br />ubscribed and sworn to (or affirmed) before 11% on this day of �- 20 � by <br />?, proved to me on the basis of satisfactory evidence to bo the person( who <br />appeared before me, 4 <br />RACHELLE MARIE CANCIANO <br />Commission # 2042422 <br />/p • Notary Public - Cailfornla <br />C ":7", ea ONTO$Caunly <br />tary Pubila Sign . tore (f Notary Publio Seal M Comm. Ex tea Oct 10 2 17 W <br />City of Santa Ana RFP 14 -030 <br />Page 20 <br />SAN JUAN CAPISTRANO - SACRAMENTO '16 <br />www,RJM00sipn0rrup.rom ,1989]493.2600 <br />25D -55 <br />