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EXHIBIT C I <br />APPENIi17s; <br />ATTACHMENT 3-I.: NON -COLLUSION AFFIDAVIT <br />_ ` T CERTIFI'CATIONTS _ <br />CITY OF SA.NTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />STORM DRAIN MASTER FLAN PHASE 2 <br />RFP NO.: 16-02 <br />VON -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 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 trade 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 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 retrain from bidding; that the BIDDER bas <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 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 strain bid. <br />Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion <br />thereof shall also conitute ostsign or <br />this N n-collusion Affidavit. BIDDER'S are cautioned that making a false <br />certitiaalidnl}ray subject thc�eplr"(lcr to climinalprosecution, <br />Signed <br />State of California <br />County of <br />Subscribed and sworn to (or affirmed) before me on this _ day of , 20_, by <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. <br />v -e.ft- i, , , iB_ 1 <br />Notary Public Signature <br />Notary Public Seal <br />20C-51 <br />