Laserfiche WebLink
ATTACIIMENT 3: CERTIFICATIONS <br />NON -COLLUSION AFFIDAVIT <br />(Title 23 United States Code section 112 and Public Contract code Section 7106) <br />In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the <br />BIDDER declares that the bid Is not made In the interest of, or on behalf of, any undisclosed <br />person, partnership, company, association, organization, or corporation; that the bid is genuine <br />and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any <br />other BIDDER to put In afalse or sham bid, and has not directly or indirectly colluded, conspired, <br />connived, or agreed with any BIDDER or anyone else to out 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 <br />agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any <br />other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any <br />other BIDDER, or to secure any advantage against the public body awarding the contract of <br />anyone Interested In the proposed contract; that all statements contained in the bid are true; <br />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 <br />paid, and will not pay, any fee to any corporation, partnership, company association, <br />organization, bid depository, orto any member oragentthereofto effectuate a collusive or sham <br />bid. <br />Note; The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned <br />that r9aldng a false4certifcation may subject the certifier to criminal prosecution. <br />Signed <br />State of Colorado <br />County of Denver <br />Subscribed and sworn to (or affirmed) before me on thls 23rd day of October , 2017, by <br />Jason Hetcher, Chief Operating Officer proved to me on the basis of <br />satisfactory evidence to be the person(s) who appeared before me <br />' KATAIAt1 p, WILLIAMS <br />U7ARY PUBLIC <br />O �-LC r � i��L SATE OF i;OLORA00 <br />NOT Y ID T.B084033fiB3 <br />Notary Public Slgnatu re Notary Public Seal <AYO 'S3&ONE%fIREB NOVEMBER]TBMl <br />city of Santa Ana RFP 17-107 <br />Page 26 <br />25A-29 <br />