Laserfiche WebLink
CITY OF SANTA ANA <br />SPECIFICATIONS - PROPOSAL <br />PROJECT" NO. 16-6849 <br />CITY`J4'7:IDE CONCRETE IMPROVEMENT'S <br />NON-N�QQL ISION AFFIQ6A jT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 711.06 the.. <br />BIDD113It. declares that the bid is not made in the. interest of, or on behalf of, ,nry undisclosed person, <br />partnership„ company, association,„ organization, or coirporation; that the bid is genuine wail not <br />collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other <br />BIDDER to put in a false or sl= bid, and has not directly or indirectly colluded, conspired, <br />connived or agreed with any 'BIDDER or anyone eW- to put in a slum bid, or that anyone shall <br />refrain horn bidding; that the BIDDER has not in any manner, directly or indirectly, sought by <br />agreement, communication, or conference with anyone to fix the bid price ol'the BdDDER. or any <br />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 wryont, <br />interested in the proposed contract; that all statements contained in the bird are true; and, furtliter, that <br />the BIDDER has not, directly or intlirectly, submitted his or her bid price or any breakdown thereof;, <br />or the contents thereof, or divulged information irrr data relative thereto„ or paid, and will not pay, <br />any fed; to any corporation, partnership, company association, organization, bid depository, or to any <br />member or agent thereof to effectuate a collusive or sham bid. <br />Note. The above Non -collusion Affidavit is pari; of the Proposal. Sighing this Proposal on <br />the. signature portion thereof shall also constitute signature of this Noncollusion AIIfldavit, <br />BIDDERS are cautioned iliat making a false certification may subject the certifier to <br />criminal prosecution, I I <br />Signed <br />State of Calilbrnia <br />County of L.FpSeics <br />Subscribed and sworn to s;or affirmed) before me on this3 ,. day of �I�, � 2(1 lj by <br />proved to me on the basis of satisfactory evidence to be the person(s) <br />wbp-appeared before; me <br />Public <br />BP' -12 <br />lldotary Public Seal. <br />raRACHEL �DA� <br />CmolaN M07 <br />f2 <br />Notary Public - cawiaeroN <br />Lof A"INo County ,. <br />it <br />