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D.WOOLLEY & ASSOCIATES-2017
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D.WOOLLEY & ASSOCIATES-2017
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Last modified
3/14/2018 3:21:47 PM
Creation date
8/24/2017 11:18:53 AM
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Contracts
Company Name
D.WOOLLEY & ASSOCIATES
Contract #
A-2017-161
Agency
PUBLIC WORKS
Council Approval Date
7/5/2017
Expiration Date
7/4/2019
Insurance Exp Date
2/11/2019
Destruction Year
0
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EXHIBIT C <br />Apponclax <br />ATTACHMENT 34t NON -COLLUSION AFFIDAVIT <br />CRRTIPICATIONS <br />NON-COL4U9ON AErIDAVIT <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 <br />that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, <br />organization, or corporation; that the bid is genuino 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 lies not directly or indirectly <br />colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall <br />refrain from bidding; that the BIDDER has not in any manner, 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, or to 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 or data relative thereto, or paid, and will not pay, <br />any fee to any corporation, partnership, company association, organiaatiou, bid depository, or to any member or agent <br />thereof to effectuate a collusive or sham bid. <br />Signed <br />NoW The above Non -collusion Affidavit is part of the Proposal, Signing this Proposal cn.the signature <br />portion thereof shall also constitute signature of this Non -collusion Affidavit. BIDDERS are cautioned that <br />making a�lsexertification may subject the certifier to criminal prosecution. <br />notary publio or other officer completing this <br />rtificate verifies only the identity of the individual <br />io signed the document to which this certificate <br />attached, and not the truthfulness, accuracy, or <br />State of California <br />County of Orange <br />Subscribed and sworn to (or affirmed) before me on this 13 <br />day of April 20 17 , by Trevor D. Rice <br />r <br />proved to me on the basis of satisfactory evidence to be the <br />person(s) who appeared before me. <br />M. L.PAULH <br />Z COMM. k 2926094 a) <br />NOTARY PUBLIC- CALIFORNIA <br />M ' ORANGE COUNTY j <br />My COMM e a June 1, 2819 ry�r ^ p <br />'"'�"'^^"'°^^ Signature /' (� L I NQ 7lxfy 1 ust'g. <br />City of Santa Ana RFP <br />Page A3.1 <br />
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