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NON -COLLUSION AFFIDAVIT <br />APPENDIX <br />ATTACHMENT 3-1: NON—COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />PROPERTY MANAGEME NT SERVICES <br />RFP NO,: 15-043 <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 71.06) <br />To the CITY OF SANTA ANA DEPARTMENT 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, compimy, 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 />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 />not 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 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 divulgedrnfornation 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 the signature portion <br />thereof shall also constitute signature of this Non -collusion Affidavit. BIDDERS are cautioned that making a false <br />certification may subject the certifier to criminal prosecution. <br />Signed <br />State of California <br />County of Orange <br />Subscribed and sworn to (or affirmed) before me on this 10th day of June , 2015, by Nellia LaValle , <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. <br />Who proved to me on the basis of satisfactory evidence to be the person(s) whose namejs. i are subscribed to the <br />within instrument and acknowledged tome that he sh they executed the same in his&their authorized <br />capacity(ies), and that by his, ttptheir signature(s) on the Instrument the person(s), or the entity upon behalf of which <br />the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California th 't ejDr,pltigara rapt istrue; <br />correct, USq M 0 2 <br />Commlaeinn 2663994 <br />$ ® Notify Public • California <br />otary Public Sign tune Notary Public Seal '� a orange County <br />Page 20 <br />��%PARAGON <br />PAVFNFRS %/RTIF1(,AT10!\1S 1 15 <br />