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EXHIBIT C <br />APPENDEV <br />ATTACHMENT 3.1; NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CITY OE SANTA ANA <br />REQUEST FORPROPOSALS <br />FOR <br />CENTENNIAL PARK LAKE CIRCULATION STUDY <br />RFP NO.: I5-127 <br />NON -COLLUSION ArFM <br />(Title 23 United Stales Code Section 112 and <br />Public Contract Code Section 7106) <br />To the CITY OF SAMA ANA DEPARTMENT OF PUBLIC WORKS <br />In accordance with'1'itle 23 United States Code Section 112 and Public Connect Code 7106 the BIDDER declares that the bid <br />is not made in the hnerestof, or on behalf of, any undisclosed person, partnership,. company, association, organizatiorb or <br />corporation; that the bid is genuine and ant collusive or slam; that the BIDDER has not directly or indirectly induced or <br />solicited any other BIDDER to put in a false or shorn bid, and has not directly or indirectly colluded, conaptred, connived or <br />agreed with any BIDDER or anyone else to put in sham bid, or that anyone shall refrain from bidding that theDIDDER has <br />not in my manner, directly or indirectly,sought by agreomenh, cararmnication, or coadmcnce with anyone to fix Ono bid price <br />of the BIDDER or any BIDDER, or to 0x 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 ilia contract of anyone interested In the proposed <br />contract; That all s icuarn s contained in the bid are live; and, further, that the BIDDER lass not, directly or indirectly, <br />submitted his or her bid price or any breakdown thereof, or Ore contents thereof, or divulged information or data relative <br />thereto, or paid, and will not pay, any fee to any empomtim, partnership, company association, orgadrntion,.bid depository, <br />or to mry member or agent thereof to effectuate a collusive or sham bid. <br />New: 'rho above Non -collusion Affidavit is pat of the Proposal. Signing this Proposal on the signature portion <br />thcrdzrf shall also coratiene signatureof this Narvoultusion Affidavit. BIDDDRS are cautioned that maddug a fnlse <br />cenificationmay subjeci the cetifrer to edminal Iapsecution. <br />Signed <br />State of California <br />Countyof—%L N 7/1,660 <br />Subscribed and swum to (or affirmed) before me on [Ids t elb day of UAmvtx 20I„� by abVNru /rlreaAer. /'7,67'Y! <br />proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. <br />---- DAMELKIL <br />NDWPU <br />-%) am tMEno GOUM <br />Notary public Signnhre Notary Public Seal M 'N 1017 <br />City of Santa Ana RFP 15.127 <br />Page 21 <br />DUDEK Centennial Park Lake Circulation and Aeration Study 19 <br />