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;1*8r ur 9 r <br />Paragon has provided our pricing proposal in a separately sealed envelope, as requested by the City. <br />IV. CERTIFICATIONS <br />T Appendix <br />ATTACHMENT 3-1: NON-COLIALISION AFFIAAVI`C <br />Cis ITIFICATIONS <br />CONSTRUCTARILITY REVIEW <br />('fide 21(Iniwd States C:odo 5oatlon t 12 and <br />Public Contract Coda Scctlo l 7106) <br />,ro tie CITY OP SAN'T'A ANA nCPAW M&:NT Op PUiB K WORKS <br />In accordance with ,ritle 29 Uniled Stales Code Soalion 112 and Pubile Contract Coale 7106lite RIDOP'3? doelnros <br />01at the laid is not made in file Interest of, m' on behalf ol', airy aulisdrised porson, partnership, conateny, association, <br />al'ga11f1JaliMy <br />at, corperadon; that taw bill la gelnnine and ]lot Collusive or eland flue tlhe BIDDER iraA not directly Or <br />IndliNtiy Induced or aoliehui any olio, Idll)n1jrR at put in it tattle or sltant bid, and Has not directly or Indirectly <br />eolhrdvd, consphud, connived nr nydred w10+ any SIDDLR or anyone eltio 10 plat in a sham bid, or ilia[ atyoua shall <br />retrain Grail bhldit>p; that the DIDDI'M hes not f l ally manner, directly or indh'udly, Nought by ngrnwncnb <br />conlmunicalian, nr Cloche mac with anyone to IN the hid price Of file 1310DhR or any BIDDER, or to fix ally <br />overhead, profit, at' cost chancel or the bld price, or of that oN my caber DIDI)GR, or to secure any advantage epireit <br />the public body awarding the maract of anyone interested in the proposed conhrect that all slafenaenls containori its <br />ilm bid are (runt and, further, that rhe [nDDBR has not, dhvcily or Indirectly, submitted his or her bill prize; nr any <br />breakdowa thereof, or the contents thereof, or divulided information or data relative thatvto, or paid, and Will not pay, <br />'illy li:o to ally Corporation, partnmshlp, company association, organization, bid depositary, or to any member or agent <br />thereof to COCC MIC a allusive mshorn bill. <br />Note: 'fila above Non -collusion Affidavit is pall[ or (lie Proposal. Signing this Proposal on the signature <br />portion thereof shall also constitute signature orlhis Nan•collusiml Anidavit, BIDDrRS nun cautioned [flat <br />malciogaraise codification nla sobleClthecel1ifiertocrintinalprosCoution. <br />Signed <br />State of California <br />County Of fthj'Q. <br />Subcalilxd w sworn to (,or afHraled) before hie on ills day of y'"�[td'u , 201± by <br />011--- uC�.. ,Proved Ut nue on the bncls of sntiaPaCGrsry avlalenoe to bo dile person(s) Who appoais!d <br />Liotbr'e tine. <br />Kp 1 <br />Comm, 0214"11 <br />na.rywtlik COW"" <br />Q(M/QRaaalny <br />,"�}( Camm.BpNraPAu8l,Nna <br />ONO PulliC SignaturC Notary Public Seal <br />City of Santa Ana RFP <br />Page AM <br />Ill> viii e�Z" CITY OF SANTAANA I ON. CALL RIGHT or WAY PROPERTY MANAUMFNT SL Rvic ' <br />25L-104 <br />