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I <br />j <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />GEOTECHNICAL, SPECIAL INSPECTION, & MATERIAL TESTING <br />NON -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 made 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 refrain from bidding; that the BIDDER has <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 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 signature of this Noncollusion Affidavit. BIDDERS are cautioned that making a false <br />certification may, subject,,he certifier to criminal prosecution. <br />Signed <br />State of California ` <br />County of Orange <br />r <br />Subscribed and sworn to (or affirmed) before me on this <br />proved to me on the basis of satisfactory evidence to be the I <br />4 L_1("114 /1� <br />Notary Oublic Signature <br />�5) day of r 20�, by rUrr_-. yosh; <br />erson(s) who appe�efore me. <br />----„m ---- <br />-- <br />M, LINDA CARSON <br />Commission N 2138681 <br />Notary Public • California n <br />w <br />()raga County <br />Notary Public Seal <br />ti City of Santa Ana RFP 15-055 <br />Page A3-1 <br />