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- – 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 />Publie Contract Code Section 7106) <br />1*0 the CH Y OF SANTA ANA DTiPARTMLNT OP PUBLIC WORKS <br />In accordance with Title 21 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid <br />is not made in the interest ol; or on behalf ol; any undisclosed person, partnership, company, association, organiuuion, or <br />corporation: that the bid is genuine and riot 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 BIDDI':R or anyone else to put in a sharn bid, or that anyone shall refrain from bidding: that the BIDDER has <br />not in any manner, directly or indirectly, sought by agreement, comnumication, or conference with anyone to fix the hid 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 arty other <br />BIDDER, or to secure any advantage against the pubtic 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 <br />his ocher bid price or iin} breakdo n thereof, or the contents thereof. or divulged information or clata relative <br />thereto, or paid, and will not pay', any Tec to any corporation, partnership, company association, organization, bid depository, <br />or to any member or agent thereof to eflcetuatc a collusive or sham bic1, <br />Note: i -he ahme Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the si��nauut! portion <br />thereof shall also constitute signature of -this Non -col ftuion Affidavit. BIDDERS are cautioned that malting it false <br />certification nay subject the cerl'iFler l�)_criminal prosecution. <br />Signed <br />State ofC'alilornia <br />County ol, Or_ nape _ <br />1 <br />Subscribed and sworn to for affirmed) before me on this day of-ebruary 20 IE bs <br />proved to me on the hasis ofsatisihetoD evidence to he the person(s) tvho,tppcared betorc me. <br />Notary Public Signature Nottin Public Seal <br />AESCO P4882, City of Santa Ana RFP No, 15-055 Geotechnlcai, Special Inspection & Material Testing fo <br />Public Works Agency Capitol Improvement <br />City of Santa Ana RFP 15-055 <br />Page A3-1 <br />11 <br />11 <br />IF <br />