25L - AGMT - ON-CALL RIGHT OF WAY SRVS

Home Browse Search

NOWCOLLUSION AFFIDAVIT APPENDIX ATTACHMENT 3 -1. NON - COLLUSION AFFIDAVIT CERTIFICATIONS CFFY OF SANTA ANA REQUEST FOR PROPOSALS FOR PROPERTY MANAGE, MENT SERVICES RFP NO.: 15 -043 NON•COLLUSrON AFFIDAVIT Critic 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS III accordance with Title 23 United States Code Section 112 and Public Contract Cade 7106 the BIDDER declares that the bid is not made in the interest of, or behalf of, any undisclosed person, partnership, company, association, organization, or corporation;, that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited atny other BIDDER to put in- a-falsev rsham bld,- and-has -mat directly or indirectly eofbader, conspired, connived or -- agreed with any BIDDER or anyone also to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not In any manner, directly or Indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cast element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding tine contract of anyone interested in be proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged Information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership company association, organization, bid depository, or to any member or agent thereofto effectuate a collusive or sham bid. Note: The above Nan - collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereofshall also constitute signature of this Non- eallusfon Affidavit. BIDDERS are cautioned that making a false certification may subject the certifier to crminat prosecution. Signed State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 30th day of Anne , 20i5 by Neilia LaValle proved to me on the basis of satisfactory evidence to be the persons) who appeared before me. Who proved tome on the basis of satisfactory evidence to be the person(s) whose names i are subscribed to the within Instrument and acknowledged to me that he sh they executed the samelnhis/ their authorized capacity(fes), and that by hisj e thelrsill nature(s) on the instrument the person (s), orthe entity upon behalf ofwhtch the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California th ntrt"a"ra ph is true a or LISA act. BMission � Atill 20539th Notary Public - California otanyPubliesign tore Notary Public Seat OtaaQaCaunty jjn.k[V.49N \ \�� r.Ale�r,�;F�s Page 20 25L -308 115