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Appendix ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT CI:IRTIFICATIONS GEO'I'ECNNICAL, SPECIAL INSPECTION, & MATE RIAL TGSI•INC: NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) l it the CITY OF SANTA ANA DEPARTMUNFol. PUB1,W WORKS In accordance with 'Tille 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest ol', or cat behalf, of, any U1tdiSel0Sed person, ptu'tncrship, company, association, organization, or corporation; that the bid is germine and riot collusive or shaur that the BIDDER has not directly or indirectly induced or solicited tiny other BIDDER to put in a False or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that attyonc shall refrain liom bidding; That the BIDDER has not in any manner. directly or indirectly, sought by agreement, conummicadon, or conference Nvith anyone to Iix the bid price of the BIDDER or any BIDUGR, or to rix any overhead, prolit, or cost element of the hid price, or or that of any other BIDUGR, or to secure any advantage against the public body awarding the contract or anyone interested in the proposed conh,act; that all statements contained in the bid are true: and. further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or file contents thereof: or divulged information or data relative thareto, or paid, and will not pny, any I'ce to any carporation, partnership, company association, organization, bid depository, or to any member oragcnt thereoTlo erIbMulte a collusive or sham bid, El F L Now: The above Non-Cllusion Affidavit is part of the Propostl. Signing this Proposal on Ute signauur portion thereof shill also constitute signature or this Non -collusion Affidavit, BIDDLRS are cautioned that snaking a false acrlilivafion may subject the venni t(.) criminal prosecution. Signed/� ) State ol,Celilinniat County of OPnaae Subscribed and sworn to (or al'I- il''�ted) ime on this day olFebruary 2O 1 lby proved to too on the basis oi'satisfa tory evidence to be the persons) who appeared bc1bre ntc. M Notary Public Signature Notary Public Scal AESCO P4882, City of Santa Ali@ RFP No. 15-055 Gectechnicel, Special inspection & Material Testing fo �] Public Works Agency Capitol Improvement _.._._._,__.. City of Santa Ana RFP 15.055 Pagca AV 25N-30