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(A4) Acquisition /Relocation <br />x <br />DF <br />APP <br />A <br />[=A'I'TACIHIMENT3-1:N40N-C(OLLUSIONAFtFilDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSAL <br />FOR <br />ON-CALL RIGHT OF WAY SPECIALTY SERVICES <br />l?YP NO.. 15-044 <br />NON-COLLUSIQN Ala F—IQA—VIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTN ENT OF PUBLIC WORKS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 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 of indirectly induced or <br />solicited any other BIDDER to put in a false or sham bid, and has act directly or indirectly colluded, conspired, connived or <br />agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has <br />net in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price <br />of the BIDDER or any TUDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other <br />BIDDEE, 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, father, 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 sham bid. <br />Note: The above Non-collusion Affidavit is part of the Proposal. Signing this Proposal on file signature portion <br />thereof shall also constitute signature of this Non - collusion Affidavit, BIDDERS are cautioned that making a false <br />cerfiEpt fin 'Amay subject the cergfier tq,:riiqrirud prosecution. <br />Signed <br />Stale of <br />County <br />Subscribed and sworn to (or affirmed) before me on this _4_ day of e_- 20 a by '+ <br />_ 4:j� <br />proved tome on the basis of satisfactory evidence to be the person(s) who appeared before me. <br />Jory Public Sign ti oe <br />City of Santa Ana RFP 15-044 <br />Page 28 <br />25L-214 <br />t Ft <br />