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25L - AGMT - ON-CALL RIGHT OF WAY SRVS
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25L - AGMT - ON-CALL RIGHT OF WAY SRVS
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Last modified
8/3/2015 10:29:01 AM
Creation date
7/30/2015 5:10:43 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25L
Date
8/4/2015
Destruction Year
2020
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ATTACHMENT -1: NON-COLLUSION AFFIDAVIT <br />CITY' OF SANTA ANA <br />)REQUEST FOR PROPOSALS <br />FOR <br />ON -CALL RIGHT OF WAY SPECIALTY SERVICES <br />RFP NO.: IM44 <br />NON-COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PiMTIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 71.06 the BIDDER declares that the bid <br />is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or <br />corporation, that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or <br />solicited any other BIRDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or <br />agreed with any BIRDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has <br />not in any manner, directly or indirectly, sought by agreement, communications 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 of that of any other <br />BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed <br />contract; that all statements contained in the bid are true; and, further, that the BIDDER has not directly or indirectly, <br />submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative <br />thereto, or paid; and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, <br />or to any member or agent thereof to effectuate a collusive or chant bid. <br />Note; The above Non- collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion <br />thereof shall also constitute signature of this Non - collusion Affidavit, BIDDERS are cautioned that snaking a false <br />ccrtiCcaiorr may subject the certifiA to efigi at prosecution, <br />Signed <br />State of California <br />County of D <br />Subscribed and sworn to (or affirmed) before me on this <br />proved to me on the basis of satisfactory evidence to be the <br />Notary Public Signature <br />day ofgtAW 20by <br />who appeared before me, <br />Notary Public Seat <br />City of Santa Ana RFP 15 - 044 <br />Page 28 <br />25L -21 <br />[-vv /V)) <br />
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