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111 m a:1 =i7'7• <br />Paragon has provided our pricing proposal in a separately sealed envelope, as requested by the City. <br />- <br />Appendix <br />—� <br />A'I"1'ACI'IMI'sN']' 3-1: NON -COLLUSION AFFIDAVIT <br />Cn?,wri RICATIONS <br />CONSTItUCTAIJILITY REVIMV <br />NUN•CULLIJSIUN Ah'FIA VI'1' <br />('Title 23 United Slates Code Section 112 and <br />Public Cononct Code Section 7106) <br />To the CITY OF SA N'I'A ANA DRPA lITMENT OF PUBLIC WORKS <br />In accordance with'I'tile 27 United Stales Cade Section 117. and Public Contract Code 7106 the BIDINtR declares <br />that the bid is 1101 made in the interest of, or on behalf ol', any undisclosed persml, parinciship, congnany, association, <br />otganizaiiml, or corpmalion; Ilial the bid is gamine and not collusive or sham; Bial the RIDDBR has not directly or <br />bldhucny Induced ar solicited any other IIII')DIiR In pat in a 1110 nr sham bid, mud has not directly of indirectly <br />colhuled, uninspired, connived or ageoed with any BIDDRR nr auyono also to put in a shorn bid, la that anyone shall <br />refrain koro bidding; dual ilia BIDDER has nol in any manner, directly or indireclly, soogin by agreamenl, <br />cmunumicatian, or cnnrmence with anyone to ax Ills bid prim, 01, lite BIDDER or ally BIDDER, or to fix any <br />anmrllcad, profit, m•cost cicnront or the Will price, or of Ilial ol'any other BIDUM, or in secure any advantage againsl <br />the liable body awmding; Ilse contract of anyone intet'eslell to ilia Isolumed contract; that all stmemenls contained in <br />ilia bid are Iran; and, Rollie•, Hall (lie BIDDER has not, directly or indirectly, submitted his or her aid price orally <br />brealedowu thereof, or the contemns Ihcrcor, or divulged information or data relative Ihcmlo, or paid, and will not pay, <br />any Ice to any corpor tion, partnership, company'mmcknion, organization, bid <IgmsilOryS or to ally member nr agent <br />thereof to criectuata a collusive orshmn bid. <br />Note; 'file above Non -collusion Affidavit is pall of the Proposal. Signing this Proposal on the signature <br />portico thuraH'shall ;don cmisliluta signtiuim of this Nomenlhlsion Anidavil. BIDDIiRS ale cautioned ilial <br />uud:ing a lidse carliliantian may subject the certif icr to etiminal prosecutiou, <br />Signed � ,,,R .._.' A <br />Sane afCalifamia <br />County oromin 4..! <br />sobscrilnd Ill'(+ J'stworn In (0) ld7irurcrl) bororc the on this �� day of TCfne, a ?017, by <br />A'.. .0.._�.Vwlt'___� Proved l0 ion on the basis 01'snlixfnciory evielcnca l0 be lir, pers0u{s) who nppcamd <br />b4cre mc. <br />aannlMnVia/ks <br />foam. ilpSall <br />n 1 tloi�ryyo lice <br />fetMamb <br />/ 2 � banpefaanty <br />�iuk±f�Camrn.FWrN__'�,Y�.tAw91.7tl?.m�'� <br />N ary Public Sigtla—tae Notary Public Scat <br />City of Santa Ana RPP ^�- <br />Page A3.1 <br />� } PARINU S CITY OF SANTAANA i ON-CALL RIGHT OF WAY PROPERTY MANAGEMENT SERVICES <br />