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20C - AA - AGMT - ENGINEERING SRVS
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04/19/2016
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20C - AA - AGMT - ENGINEERING SRVS
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Last modified
4/15/2016 11:29:35 AM
Creation date
4/14/2016 5:05:08 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20C
Date
4/19/2016
Destruction Year
2021
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EXHIBIT C t <br />APPENDIX <br />ATTACHMENT 3 -1: NON-COLLUSION AFFIDAVIT <br />_ CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />STORM DRAIN MASTER FLAN PHASE 2 <br />RFP NO,: 16 -02 <br />NON - COLLUSION AFFIDAVIT <br />(Title 23 United States Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OP 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 or indirectly induced or <br />solicited any other BIDDER to put in a false or shaut 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 hid 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 kite 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 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 <br />Non - collusion A �idav thereof shall also constitute sir '1 ay subject the y i <br />Corti 1 <br />Signed <br />State of California Y <br />County of <br />is part of the Proposal. Signing this Proposal an the signature portion <br />1 Ngn- oollusion Affidavit. BIDDER'S are cautioned that making a false <br />Subscribed and sworn to (or affirmed) before me on this mm_ day of _, 20,^, by <br />proved to me on the basis of satisfactory evidence to be fire pers n(s who appeared before tne. <br />Notary Public Signature Notary Public Seal <br />20C -49 <br />
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