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Appendix <br />ATTACHMENT 3 -1: NON - COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />CONSTRUCTABILITY REVIEW <br />M -COLLUSION APPID& Yff <br />(Title 23 United Slates Code Section 112 and <br />Public Contract Code Section 7106) <br />To (he CITY OF SANTA ANA DEPAl21'MENTOF PUBLIC WORKS <br />In accordance with Title 23 United States Cade Scedon 112 and Public Contract Code 7106 the BIDDER declares Ihal the bid <br />is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or <br />co pornlion; [lint die bid is genuine and not collusive or sham; Ihnt the BIDDER has trot directly or indirectly induced or <br />solicited any other BIDDER to put in n raise or sham bid, and has not directly or indirectly calluded, conspired, connived or <br />agreed with any BIDDER or anyone else to put in a sham bid, or (lint anyone shall terrain from bidding; that the BIDDER has <br />not in any manner, directly or indirectly, sought by agreemem, communiention, 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 1101, 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, nny fee to any corporation, partnership, company association, orgonivaion, bid depository, <br />or to any member or agent thereof to effeclunte a collusive or sham bid. <br />Note: The above Non-collusion Affidavit is part of the Proposal, Signing this Proposal on the signature portion <br />thereof shall also constitute signo(ore of this Non - collusion Affidavit. BIDDERS are cautioned that making a false <br />certification may subjo [he certifier to criminnl prosecution. <br />Signed <br />Store of California <br />County or' <br />Subscribed trod sworn to (or affhnned) before me on this _ _ day of _T, 20__, by <br />proved to the en the basis of satisfactory evidence to be the persons) who appeared before me. <br />Notary Public Signature <br />Notary Public Seal <br />SEE, ATTACHED FOR OT � <br />-- -- - <br />City of Santa Ana RFP 10 -008 <br />Page A3,1 RP <br />25C -51 <br />1-', <br />Is <br />