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APPENDIX <br />ATTACHMENT 3 -1: NON - COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />SOLID WASTE CONSULTING SERVICES <br />RFI1 NO.: t5 -096 <br />NON -Cf)L_ (4 )SIGN AFrII,pAVrf <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />to the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with'T'itic 23 United States Code Section 112 and Public Contract Cale 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 or indirectly induced a, <br />solicited any other BIDDER to put in a false or sham bid, and has not 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 />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 o'f 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 cortoration, partnership, company association, organization, bid depository, <br />or to any momber or agent flMeofto effectuate a collusive or sham bid. <br />Note: The above Nan - collusion Affidavit is (,cart of the Proposal. Signing this Proposal an the signature portion <br />11Xreorshall also con ' to signature of this Non-collusion Affidavit BIDDERS ere cautioned that making a false <br />�ert�l't a[ion``may su(T'o: •t the crtitier to criminal prosacudnit. <br />State of Ci <br />County of <br />Subscribed and sworn to (or a ged) before me on this ._........___ day of _ - , 20__, by <br />proved to me on the basis of satisfacAf v %nce to be the person(s) who appeared before me. <br />�%�� <br />Notary Public Signature Notary Public Seal <br />City of Santa Ana RFP 15 -096 <br />Page 22 <br />251 -64 <br />