My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
25A - AGMT - CONSTRUCTION SURVEYING SRVS
Clerk
>
Agenda Packets / Staff Reports
>
City Council (2004 - Present)
>
2017
>
07/05/2017
>
25A - AGMT - CONSTRUCTION SURVEYING SRVS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/29/2017 2:56:08 PM
Creation date
6/29/2017 2:47:16 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25A
Date
7/5/2017
Destruction Year
2022
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
72
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
EXHIBIT G <br />Appendix <br />ATTACHMENT 3-1: NON -COLLUSION AFFIDAVIT <br />CERTIFICATIONS <br />NQ -COLLUSION, AFFIDAVI Ir <br />(Title23 United States Code Section 112and <br />Public ContractCode Section 7106) <br />To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORDS <br />In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares <br />that the bid is not trade in the interest of, or on behalf of, any undisclosed person, partnership, company, association, <br />organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or <br />indirectly induced or solicited any other BIDDER to put In a false or sham bid, and has not directly or indirectly <br />colluded, conspired, connived or agreed with any BIDDER or anyone else to put in asham bid, or that anyone shall <br />retrain from bidding; that the .BIDDER has not in any matmer, directly or indirectly, sought by agreement, <br />communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any <br />overhead, profit, or cost element of the bid price, or of that of any other BIDDER, orto secure any advantage against <br />the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in <br />the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any <br />breakdown thereof, or the contents thereof, or divulged information ordata relative thereto, or paid, and will not pay, <br />any fecto any corporation, partnership, company association, organization, bid depository, orto any member or agent <br />theroofto effectuate a collusive or sham bid, <br />Note; The above Non-colluslon Affidavit is part of the Proposal. Signing this Proposal on the signature <br />portion thereof shatialso aonstituto. tahtreofthis 'Non-collusionAf'fidavit. BIDDER5are cautioned that <br />makings falsecottificationp�nysnl the certitiertocriminal prpsocutiorv. r <br />Signed <br />State of California <br />County0(_A?4 IG - <br />Subscribed and sworn to (or affirmed) before me <br />Notary Public Signature <br />by <br />satisfactory evidence to be //the person(s) who appeared <br />4&j (�� <br />Notary Public Seal <br />City of Santa Ana RFP <br />P@ga A3-1 <br />25A-43 <br />
The URL can be used to link to this page
Your browser does not support the video tag.