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EXHIBIT C <br />Certifications <br />APPENDIX <br />ATTACI MENTM: NON- COLLUSION AFFIDAVIT <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />CE.CNTENNIAi., PARK LAKE CIRCULATION STUDY <br />REP NO.: 15.127 <br />&QN-DQI.LU90,N AMDAVIT . <br />(fide 23 United States Code Section 112 aid <br />Public Contmed Code Suction 7106) <br />TO the CCCY OF SANTA ANA DRPARTNIPNT OF PUBLIC WORKS <br />fit accenlance with "lido 23 United States Code Section 112 anet Paldfo Contract Code, 7166 the BIDDER declares Burt the bid <br />is not made in the interest of, or on behalf or,, any undisctosed Person, partners lops company, association, orgcdzahon, or <br />corporation; drat the bid is genuine and not collusive or shorn; that the BIDDER has not directly or butterfly hufiued or <br />solicited any other BIDDER to put in it India or shams bid, mid has not directly or indirectly colluded, conspirad, connived or <br />agreed with any BIDDER or anyone else to put In a strain bid, or that anyone shall refrain from bidding; that the BIDDER has <br />not in any manner, directly or indirectly, sought by agccxman; communication, or conference with anyone to flx the bid price <br />of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost clalwat of the bid price, or of that of cry other <br />BIDDER, or to socure any advantage against the public body awarding the contract of anyone interested in the proposed <br />contract; first all statements contained or the bid are ltare; and, further, tfwt the BIDDER has• trot, directly or indirectly, <br />submitted firs or her bid prico or any brenkdnent ffiwas f, or the contrans dremof, or divulgod bdomution or data relative <br />thereto, or paid, and will not pay, rely fee to any Wrporntion, parnorsldp, company association, mgrn imbon, bid deposftmy, <br />or to ally member or agent thereof to rurbeluce a calhulvo or sham bid. <br />Note The above Non-collusion Affidavit is and of the Proturad. Signing ibis Proposal on the sigunhue portion <br />dteru$ shall noun \containee aiymaturo of this Non collusion Affidavit. BIDDERS are c udionud that making a false <br />cradficatimu�y% fact die cerldneto I1"mal' eCl tior4 <br />State of Call parnin <br />Conroy ct'_�N 7:r Eno <br />Subselibed and sworn to (or offirmd) before me on for aP'a day 20f6, by _�G-- NH_r„ltl, ufr+E4 /7,e,7yl <br />Proved tome on the basis of satinfarnry evidence to bo dtc pergon(s) who appeared before ate. <br />__..,..._.. _.._ bAN16L K�IL .. [ <br />COMM42416306 ' <br />ttOYrypWE IbrNe <br />BVYOIEOCSCCVmY <br />Nntnry Public Signatwz <br />Notary Public 3cal <br />Dry of Santa Ana RrP 15 127 <br />Pago 21 <br />DG. DEK Centennial Park Lake Circulation and Aeration Study 19 <br />25B -22 <br />